Movement Disorders (revue)

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Cerebral autoregulation is preserved in multiple system atrophy : A transcranial doppler study

Identifieur interne : 001446 ( PascalFrancis/Curation ); précédent : 001445; suivant : 001447

Cerebral autoregulation is preserved in multiple system atrophy : A transcranial doppler study

Auteurs : Anne Pavy-Le Traon [France] ; Richard L. Hughson [Canada] ; Claire Thalamas [France] ; Monique Galitsky [France] ; Nelly Fabre [France] ; Olivier Rascol [France] ; Jean-Michel Senard [France]

Source :

RBID : Pascal:07-0090864

Descripteurs français

English descriptors

Abstract

Patients with multiple system atrophy (MSA) present large changes in blood pressure (BP) due to autonomic disturbances. We analyzed how this change may influence dynamic cerebral autoregulation (DCA). Simultaneous recordings of arterial BP (Finapres) and middle cerebral artery (MCA) blood flow velocity (BFV) (transcranial Doppler) were performed in 10 patients with MSA (61 ± 12 yr of age) and 12 healthy volunteers (61 ± 11 yr of age): cerebral BFV response to oscillations in mean BP was studied in the supine position by cross-spectral analysis of mean BP and mean MCA BFV. The DCA was also studied during the decrease in BP the first seconds when standing up from a sitting position by the assessment of the cerebrovascular resistance index (CR; mean BP/mean MCA BFV ratio). The MCA BFV/BP cross-spectral analysis showed a phase for the mid-frequency band (0.07-0.2 Hz) significantly larger in MSA, suggesting more active autoregulation in response to larger changes in BP. Changes in CR reflecting the rate of autoregulation, when standing did not differ between the two groups. These data suggest that dynamic cerebral autoregulation is preserved in MSA.
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A08 01  1  ENG  @1 Cerebral autoregulation is preserved in multiple system atrophy : A transcranial doppler study
A11 01  1    @1 PAVY-LE TRAON (Anne)
A11 02  1    @1 HUGHSON (Richard L.)
A11 03  1    @1 THALAMAS (Claire)
A11 04  1    @1 GALITSKY (Monique)
A11 05  1    @1 FABRE (Nelly)
A11 06  1    @1 RASCOL (Olivier)
A11 07  1    @1 SENARD (Jean-Michel)
A14 01      @1 Laboratory of Autonomic Nervous System and Neurosonology, Vascular Neurology Department, Hopital Rangueil @2 Toulouse @3 FRA @Z 1 aut.
A14 02      @1 INSERM, U 586 @2 Toulouse @3 FRA @Z 1 aut. @Z 7 aut.
A14 03      @1 Cardiorespiratory and Vascular Dynamics Laboratory, University of Waterloo @2 Ontario @3 CAN @Z 2 aut.
A14 04      @1 Clinical Investigation Centre, Hopital Purpan @2 Toulouse @3 FRA @Z 3 aut. @Z 4 aut. @Z 6 aut.
A14 05      @1 Neurology Department, Hopital Rangueil @2 Toulouse @3 FRA @Z 5 aut.
A14 06      @1 Department of Clinical Pharmacology, Faculty of Medicine, University Hospital @2 Toulouse @3 FRA @Z 6 aut. @Z 7 aut.
A20       @1 2122-2126
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A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
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C01 01    ENG  @0 Patients with multiple system atrophy (MSA) present large changes in blood pressure (BP) due to autonomic disturbances. We analyzed how this change may influence dynamic cerebral autoregulation (DCA). Simultaneous recordings of arterial BP (Finapres) and middle cerebral artery (MCA) blood flow velocity (BFV) (transcranial Doppler) were performed in 10 patients with MSA (61 ± 12 yr of age) and 12 healthy volunteers (61 ± 11 yr of age): cerebral BFV response to oscillations in mean BP was studied in the supine position by cross-spectral analysis of mean BP and mean MCA BFV. The DCA was also studied during the decrease in BP the first seconds when standing up from a sitting position by the assessment of the cerebrovascular resistance index (CR; mean BP/mean MCA BFV ratio). The MCA BFV/BP cross-spectral analysis showed a phase for the mid-frequency band (0.07-0.2 Hz) significantly larger in MSA, suggesting more active autoregulation in response to larger changes in BP. Changes in CR reflecting the rate of autoregulation, when standing did not differ between the two groups. These data suggest that dynamic cerebral autoregulation is preserved in MSA.
C02 01  X    @0 002B17
C02 02  X    @0 002B17F
C02 03  X    @0 002B17C
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Atrophie multisystématisée @2 NM @5 02
C03 02  X  ENG  @0 Multiple system atrophy @2 NM @5 02
C03 02  X  SPA  @0 Atrofia multisistematizada @2 NM @5 02
C03 03  X  FRE  @0 Système nerveux autonome pathologie @5 03
C03 03  X  ENG  @0 Diseases of the autonomic nervous system @5 03
C03 03  X  SPA  @0 Sistema nervioso autónomo patología @5 03
C03 04  X  FRE  @0 Hypotension artérielle orthostatique @5 04
C03 04  X  ENG  @0 Postural hypotension @5 04
C03 04  X  SPA  @0 Hipotensión arterial ortostática @5 04
C03 05  X  FRE  @0 Encéphale @5 09
C03 05  X  ENG  @0 Encephalon @5 09
C03 05  X  SPA  @0 Encéfalo @5 09
C03 06  X  FRE  @0 Autorégulation @5 10
C03 06  X  ENG  @0 Self regulation @5 10
C03 06  X  SPA  @0 Autoregulación @5 10
C03 07  X  FRE  @0 Dopplérométrie @5 11
C03 07  X  ENG  @0 Doppler ultrasound study @5 11
C03 07  X  SPA  @0 Dopplerometría @5 11
C03 08  X  FRE  @0 Analyse spectrale @5 12
C03 08  X  ENG  @0 Spectral analysis @5 12
C03 08  X  SPA  @0 Análisis espectral @5 12
C07 01  X  FRE  @0 Système nerveux central @5 37
C07 01  X  ENG  @0 Central nervous system @5 37
C07 01  X  SPA  @0 Sistema nervioso central @5 37
C07 02  X  FRE  @0 Exploration ultrason @5 38
C07 02  X  ENG  @0 Sonography @5 38
C07 02  X  SPA  @0 Exploración ultrasonido @5 38
C07 03  X  FRE  @0 Appareil circulatoire pathologie @5 39
C07 03  X  ENG  @0 Cardiovascular disease @5 39
C07 03  X  SPA  @0 Aparato circulatorio patología @5 39
N21       @1 057
N44 01      @1 OTO
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Pascal:07-0090864

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<div type="abstract" xml:lang="en">Patients with multiple system atrophy (MSA) present large changes in blood pressure (BP) due to autonomic disturbances. We analyzed how this change may influence dynamic cerebral autoregulation (DCA). Simultaneous recordings of arterial BP (Finapres) and middle cerebral artery (MCA) blood flow velocity (BFV) (transcranial Doppler) were performed in 10 patients with MSA (61 ± 12 yr of age) and 12 healthy volunteers (61 ± 11 yr of age): cerebral BFV response to oscillations in mean BP was studied in the supine position by cross-spectral analysis of mean BP and mean MCA BFV. The DCA was also studied during the decrease in BP the first seconds when standing up from a sitting position by the assessment of the cerebrovascular resistance index (CR; mean BP/mean MCA BFV ratio). The MCA BFV/BP cross-spectral analysis showed a phase for the mid-frequency band (0.07-0.2 Hz) significantly larger in MSA, suggesting more active autoregulation in response to larger changes in BP. Changes in CR reflecting the rate of autoregulation, when standing did not differ between the two groups. These data suggest that dynamic cerebral autoregulation is preserved in MSA.</div>
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<s0>Patients with multiple system atrophy (MSA) present large changes in blood pressure (BP) due to autonomic disturbances. We analyzed how this change may influence dynamic cerebral autoregulation (DCA). Simultaneous recordings of arterial BP (Finapres) and middle cerebral artery (MCA) blood flow velocity (BFV) (transcranial Doppler) were performed in 10 patients with MSA (61 ± 12 yr of age) and 12 healthy volunteers (61 ± 11 yr of age): cerebral BFV response to oscillations in mean BP was studied in the supine position by cross-spectral analysis of mean BP and mean MCA BFV. The DCA was also studied during the decrease in BP the first seconds when standing up from a sitting position by the assessment of the cerebrovascular resistance index (CR; mean BP/mean MCA BFV ratio). The MCA BFV/BP cross-spectral analysis showed a phase for the mid-frequency band (0.07-0.2 Hz) significantly larger in MSA, suggesting more active autoregulation in response to larger changes in BP. Changes in CR reflecting the rate of autoregulation, when standing did not differ between the two groups. These data suggest that dynamic cerebral autoregulation is preserved in MSA.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B17F</s0>
</fC02>
<fC02 i1="03" i2="X">
<s0>002B17C</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Système nerveux pathologie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Atrophie multisystématisée</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Multiple system atrophy</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Atrofia multisistematizada</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Système nerveux autonome pathologie</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Diseases of the autonomic nervous system</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Sistema nervioso autónomo patología</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Hypotension artérielle orthostatique</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Postural hypotension</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Hipotensión arterial ortostática</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Encéphale</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Encephalon</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Encéfalo</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Autorégulation</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Self regulation</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Autoregulación</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Dopplérométrie</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Doppler ultrasound study</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Dopplerometría</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Analyse spectrale</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Spectral analysis</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Análisis espectral</s0>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Système nerveux central</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Central nervous system</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Sistema nervioso central</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Exploration ultrason</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Sonography</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Exploración ultrasonido</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>39</s5>
</fC07>
<fN21>
<s1>057</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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