Movement Disorders (revue)

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Midbrain Hyperechogenicity in Idiopathic REM Sleep Behavior Disorder

Identifieur interne : 001F69 ( PascalFrancis/Curation ); précédent : 001F68; suivant : 001F70

Midbrain Hyperechogenicity in Idiopathic REM Sleep Behavior Disorder

Auteurs : Heike Stockner [Autriche] ; Alex Iranzo [Espagne] ; Klaus Seppi [Autriche] ; I. M Nica Serradell [Espagne] ; Viola Gschliesser [Autriche] ; Martin Sojer [Autriche] ; Francesc Valldeoriola [Espagne] ; José L. Molinuevo [Espagne] ; Birgit Frauscher [Autriche] ; Christof Schmidauer [Autriche] ; Joan Santamaria [Espagne] ; Birgit Hög [Autriche] ; Eduardo Tolosa [Espagne] ; Werner Poewe [Autriche]

Source :

RBID : Pascal:09-0472205

Descripteurs français

English descriptors

Abstract

Recent studies have reported an increased risk to develop Parkinson's disease (PD) in patients with idiopathic RBD (iRBD). Midbrain hyperechogenicity is a common transcranial sonography (TCS) finding in PD and has been suggested as a PD risk-marker in nonparkinsonian subjects. The objective of this study is to assess midbrain echogenicity by TCS in patients with iRBD and compare the findings with the healthy controls. TCS was performed in 55 iRBD patients and in 165 age and sex-matched controls. The area of echogenicity in the SN region in the iRBD group was significantly increased compared with the control group (P < 0.001). About 19 (37.3%) of patients with iRBD were found to have SN hyperechogenicity when compared with 16 (10.7%) of the controls (P < 0.00 1). This is the first case-control study assessing midbrain echogenicity in a large iRBD cohort compared to age- and sex-matched healthy individuals. The finding of an increased prevalence of hyperechogenicity in a subgroup of individuals with a priori increased risk for PD supports the potential role of hyperechogenicity as a risk marker for PD. The prospective follow-up of this iRBD cohort is needed to establish if those with midbrain hyperechogenicity will go on to develop clinically defined PD or not.
pA  
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A08 01  1  ENG  @1 Midbrain Hyperechogenicity in Idiopathic REM Sleep Behavior Disorder
A11 01  1    @1 STOCKNER (Heike)
A11 02  1    @1 IRANZO (Alex)
A11 03  1    @1 SEPPI (Klaus)
A11 04  1    @1 SERRADELL (I. Mónica)
A11 05  1    @1 GSCHLIESSER (Viola)
A11 06  1    @1 SOJER (Martin)
A11 07  1    @1 VALLDEORIOLA (Francesc)
A11 08  1    @1 MOLINUEVO (José L.)
A11 09  1    @1 FRAUSCHER (Birgit)
A11 10  1    @1 SCHMIDAUER (Christof)
A11 11  1    @1 SANTAMARIA (Joan)
A11 12  1    @1 HÖG (Birgit)
A11 13  1    @1 TOLOSA (Eduardo)
A11 14  1    @1 POEWE (Werner)
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C01 01    ENG  @0 Recent studies have reported an increased risk to develop Parkinson's disease (PD) in patients with idiopathic RBD (iRBD). Midbrain hyperechogenicity is a common transcranial sonography (TCS) finding in PD and has been suggested as a PD risk-marker in nonparkinsonian subjects. The objective of this study is to assess midbrain echogenicity by TCS in patients with iRBD and compare the findings with the healthy controls. TCS was performed in 55 iRBD patients and in 165 age and sex-matched controls. The area of echogenicity in the SN region in the iRBD group was significantly increased compared with the control group (P < 0.001). About 19 (37.3%) of patients with iRBD were found to have SN hyperechogenicity when compared with 16 (10.7%) of the controls (P < 0.00 1). This is the first case-control study assessing midbrain echogenicity in a large iRBD cohort compared to age- and sex-matched healthy individuals. The finding of an increased prevalence of hyperechogenicity in a subgroup of individuals with a priori increased risk for PD supports the potential role of hyperechogenicity as a risk marker for PD. The prospective follow-up of this iRBD cohort is needed to establish if those with midbrain hyperechogenicity will go on to develop clinically defined PD or not.
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C03 01  X  FRE  @0 Trouble du sommeil @5 01
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C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Mésencéphale @5 09
C03 04  X  ENG  @0 Midbrain @5 09
C03 04  X  SPA  @0 Mesencéfalo @5 09
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C03 09  X  SPA  @0 Locus níger @5 14
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 Cycle veille sommeil @5 38
C07 02  X  ENG  @0 Sleep wake cycle @5 38
C07 02  X  SPA  @0 Ciclo sueño vigilia @5 38
C07 03  X  FRE  @0 Trouble neurologique @5 40
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C07 04  X  ENG  @0 Encephalon @5 41
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C07 05  X  FRE  @0 Pathologie de l'encéphale @5 42
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C07 06  X  FRE  @0 Syndrome extrapyramidal @5 43
C07 06  X  ENG  @0 Extrapyramidal syndrome @5 43
C07 06  X  SPA  @0 Extrapiramidal síndrome @5 43
C07 07  X  FRE  @0 Maladie dégénérative @5 44
C07 07  X  ENG  @0 Degenerative disease @5 44
C07 07  X  SPA  @0 Enfermedad degenerativa @5 44
C07 08  X  FRE  @0 Pathologie du système nerveux central @5 45
C07 08  X  ENG  @0 Central nervous system disease @5 45
C07 08  X  SPA  @0 Sistema nervosio central patología @5 45
N21       @1 341
N44 01      @1 OTO
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Pascal:09-0472205

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<div type="abstract" xml:lang="en">Recent studies have reported an increased risk to develop Parkinson's disease (PD) in patients with idiopathic RBD (iRBD). Midbrain hyperechogenicity is a common transcranial sonography (TCS) finding in PD and has been suggested as a PD risk-marker in nonparkinsonian subjects. The objective of this study is to assess midbrain echogenicity by TCS in patients with iRBD and compare the findings with the healthy controls. TCS was performed in 55 iRBD patients and in 165 age and sex-matched controls. The area of echogenicity in the SN region in the iRBD group was significantly increased compared with the control group (P < 0.001). About 19 (37.3%) of patients with iRBD were found to have SN hyperechogenicity when compared with 16 (10.7%) of the controls (P < 0.00 1). This is the first case-control study assessing midbrain echogenicity in a large iRBD cohort compared to age- and sex-matched healthy individuals. The finding of an increased prevalence of hyperechogenicity in a subgroup of individuals with a priori increased risk for PD supports the potential role of hyperechogenicity as a risk marker for PD. The prospective follow-up of this iRBD cohort is needed to establish if those with midbrain hyperechogenicity will go on to develop clinically defined PD or not.</div>
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