Motor activation in multiple system atrophy and Parkinson disease: a PET study.
Identifieur interne : 000A54 ( PubMed/Corpus ); précédent : 000A53; suivant : 000A55Motor activation in multiple system atrophy and Parkinson disease: a PET study.
Auteurs : P. Payoux ; C. Brefel-Courbon ; F. Ory-Magne ; W. Regragui ; C. Thalamas ; S. Balduyck ; F. Durif ; J P Azulay ; F. Tison ; O. Blin ; J P Esquerre ; O. RascolSource :
- Neurology [ 1526-632X ] ; 2010.
English descriptors
- KwdEn :
- Aged, Brain Mapping, Case-Control Studies, Deuterium Oxide, Dopamine Agents (therapeutic use), Functional Laterality (drug effects), Functional Laterality (physiology), Hand (physiopathology), Humans, Levodopa (therapeutic use), Motor Cortex (diagnostic imaging), Movement (drug effects), Movement (physiology), Multiple System Atrophy (diagnostic imaging), Multiple System Atrophy (drug therapy), Multiple System Atrophy (pathology), Multiple System Atrophy (physiopathology), Parkinson Disease (diagnostic imaging), Parkinson Disease (drug therapy), Parkinson Disease (pathology), Parkinson Disease (physiopathology), Positron-Emission Tomography, Statistics, Nonparametric.
- MESH :
- chemical , therapeutic use : Dopamine Agents, Levodopa.
- chemical : Deuterium Oxide.
- diagnostic imaging : Motor Cortex, Multiple System Atrophy, Parkinson Disease.
- drug effects : Functional Laterality, Movement.
- drug therapy : Multiple System Atrophy, Parkinson Disease.
- pathology : Multiple System Atrophy, Parkinson Disease.
- physiology : Functional Laterality, Movement.
- physiopathology : Hand, Multiple System Atrophy, Parkinson Disease.
- Aged, Brain Mapping, Case-Control Studies, Humans, Positron-Emission Tomography, Statistics, Nonparametric.
Abstract
Multiple system atrophy (MSA) is an atypical parkinsonian syndrome including cerebellar impairment and poor response to levodopa. We assessed right hand motor activation in patients with MSA before and after an acute levodopa challenge in comparison with patients with PD and healthy volunteers (HVs).
DOI: 10.1212/WNL.0b013e3181f4d78f
PubMed: 20876470
Links to Exploration step
pubmed:20876470Le document en format XML
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<author><name sortKey="Brefel Courbon, C" sort="Brefel Courbon, C" uniqKey="Brefel Courbon C" first="C" last="Brefel-Courbon">C. Brefel-Courbon</name>
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<series><title level="j">Neurology</title>
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<term>Brain Mapping</term>
<term>Case-Control Studies</term>
<term>Deuterium Oxide</term>
<term>Dopamine Agents (therapeutic use)</term>
<term>Functional Laterality (drug effects)</term>
<term>Functional Laterality (physiology)</term>
<term>Hand (physiopathology)</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Motor Cortex (diagnostic imaging)</term>
<term>Movement (drug effects)</term>
<term>Movement (physiology)</term>
<term>Multiple System Atrophy (diagnostic imaging)</term>
<term>Multiple System Atrophy (drug therapy)</term>
<term>Multiple System Atrophy (pathology)</term>
<term>Multiple System Atrophy (physiopathology)</term>
<term>Parkinson Disease (diagnostic imaging)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Positron-Emission Tomography</term>
<term>Statistics, Nonparametric</term>
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<term>Levodopa</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Deuterium Oxide</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Motor Cortex</term>
<term>Multiple System Atrophy</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Functional Laterality</term>
<term>Movement</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Multiple System Atrophy</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Multiple System Atrophy</term>
<term>Parkinson Disease</term>
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<term>Movement</term>
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<term>Multiple System Atrophy</term>
<term>Parkinson Disease</term>
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<term>Brain Mapping</term>
<term>Case-Control Studies</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Multiple system atrophy (MSA) is an atypical parkinsonian syndrome including cerebellar impairment and poor response to levodopa. We assessed right hand motor activation in patients with MSA before and after an acute levodopa challenge in comparison with patients with PD and healthy volunteers (HVs).</div>
</front>
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<Month>09</Month>
<Day>29</Day>
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<Day>18</Day>
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<Month>11</Month>
<Day>25</Day>
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<Issue>13</Issue>
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<Month>Sep</Month>
<Day>28</Day>
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<Title>Neurology</Title>
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<ArticleTitle>Motor activation in multiple system atrophy and Parkinson disease: a PET study.</ArticleTitle>
<Pagination><MedlinePgn>1174-80</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Multiple system atrophy (MSA) is an atypical parkinsonian syndrome including cerebellar impairment and poor response to levodopa. We assessed right hand motor activation in patients with MSA before and after an acute levodopa challenge in comparison with patients with PD and healthy volunteers (HVs).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Eighteen patients with MSA, 8 patients with PD, and 10 age-matched HVs were included. Regional cerebral blood flow measurements with H(2)(15)O PET were performed at rest and during a right hand movement. Statistical parametric mapping was used to analyze motor vs rest in OFF and ON conditions and the effect of levodopa on motor activation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Before levodopa, patients with MSA activated most known cerebral motor areas. Compared with HVs, patients with MSA exhibited less bilateral cerebellar activation and greater left superior parietal activation. They also had less bilateral cerebellar and greater supplementary motor and left superior parietal activation than patients with PD. Conversely, patients with PD had greater activation than HVs in the right cerebellum and less in the supplementary motor cortex. After levodopa, patients with MSA exhibited reduced activation in anterior cingulate, whereas patients with PD had greater activation in the right cerebellum.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Patients with MSA and patients with PD recruited different motor networks. Patients with PD preferentially activated cerebellar pathways, possibly to compensate for basal ganglia dysfunction. This was not observed in patients with MSA, probably because of cerebellar dysfunction; other frontoparietal cortical areas were recruited.</AbstractText>
</Abstract>
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