Movement Disorders (revue)

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Neuropathology of prodromal Lewy body disease.

Identifieur interne : 000590 ( PubMed/Corpus ); précédent : 000589; suivant : 000591

Neuropathology of prodromal Lewy body disease.

Auteurs : Alex Iranzo ; Ellen Gelpi ; Eduard Tolosa ; José Luis Molinuevo ; M Nica Serradell ; Carles Gaig ; Joan Santamaria

Source :

RBID : pubmed:24488760

English descriptors

Abstract

Current evidence suggests that there is a prodromal stage in Parkinson disease characterized by a variety of nonmotor symptoms.

DOI: 10.1002/mds.25825
PubMed: 24488760

Links to Exploration step

pubmed:24488760

Le document en format XML

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<title xml:lang="en">Neuropathology of prodromal Lewy body disease.</title>
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<name sortKey="Iranzo, Alex" sort="Iranzo, Alex" uniqKey="Iranzo A" first="Alex" last="Iranzo">Alex Iranzo</name>
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<nlm:affiliation>Neurology Service, Hospital Clínic de Barcelona, Institut d'Investigacións Biomédiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain; Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Barcelona, Spain.</nlm:affiliation>
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<name sortKey="Gelpi, Ellen" sort="Gelpi, Ellen" uniqKey="Gelpi E" first="Ellen" last="Gelpi">Ellen Gelpi</name>
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<name sortKey="Tolosa, Eduard" sort="Tolosa, Eduard" uniqKey="Tolosa E" first="Eduard" last="Tolosa">Eduard Tolosa</name>
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<name sortKey="Molinuevo, Jose Luis" sort="Molinuevo, Jose Luis" uniqKey="Molinuevo J" first="José Luis" last="Molinuevo">José Luis Molinuevo</name>
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<name sortKey="Serradell, M Nica" sort="Serradell, M Nica" uniqKey="Serradell M" first="M Nica" last="Serradell">M Nica Serradell</name>
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<name sortKey="Gaig, Carles" sort="Gaig, Carles" uniqKey="Gaig C" first="Carles" last="Gaig">Carles Gaig</name>
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<name sortKey="Santamaria, Joan" sort="Santamaria, Joan" uniqKey="Santamaria J" first="Joan" last="Santamaria">Joan Santamaria</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lewy Body Disease (complications)</term>
<term>Lewy Body Disease (pathology)</term>
<term>Male</term>
<term>Parkinson Disease (pathology)</term>
<term>REM Sleep Behavior Disorder (etiology)</term>
<term>REM Sleep Behavior Disorder (pathology)</term>
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<term>Depression</term>
<term>Lewy Body Disease</term>
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<term>Depression</term>
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<term>REM Sleep Behavior Disorder</term>
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<term>Lewy Body Disease</term>
<term>Parkinson Disease</term>
<term>REM Sleep Behavior Disorder</term>
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<div type="abstract" xml:lang="en">Current evidence suggests that there is a prodromal stage in Parkinson disease characterized by a variety of nonmotor symptoms.</div>
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<ArticleTitle>Neuropathology of prodromal Lewy body disease.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Current evidence suggests that there is a prodromal stage in Parkinson disease characterized by a variety of nonmotor symptoms.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">A 69-year-old man presented to our sleep center with isolated rapid eye movement sleep behavior disorder. During a 10-year follow-up period, longitudinal clinical and laboratory assessments indicated the development of hyposmia, depression, mild cognitive impairment, and constipation. Parkinsonism was absent, but dopamine transporter imaging showed subclinical substantia nigra damage. Postmortem examination demonstrated neuronal loss and Lewy body pathology in the peripheral autonomic nervous system (eg, cardiac and myenteric plexus), olfactory bulb, medulla, pons, substantia nigra pars compacta (estimated cell loss, 20%-30%), nucleus basalis of Meynert, and amygdala, sparing the neocortex.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our observations indicate that nonmotor symptoms plus widespread peripheral and central nervous system pathological changes occur before parkinsonism and dementia onset in diseases associated with Lewy pathology. The current diagnostic criteria for Parkinson's disease miss these patients, who present only with nonmotor symptoms.</AbstractText>
<CopyrightInformation>© 2014 International Parkinson and Movement Disorder Society.</CopyrightInformation>
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<Keyword MajorTopicYN="N">Lewy body disease</Keyword>
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<Keyword MajorTopicYN="N">incidental Lewy body disease</Keyword>
<Keyword MajorTopicYN="N">neuropathology</Keyword>
<Keyword MajorTopicYN="N">prodromal stage</Keyword>
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