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Visual rating of white matter hyperintensities in Parkinson's disease

Identifieur interne : 001358 ( Main/Corpus ); précédent : 001357; suivant : 001359

Visual rating of white matter hyperintensities in Parkinson's disease

Auteurs : Mona K. Beyer ; Dag Aarsland ; Ole Jacob Greve ; Jan P. Larsen

Source :

RBID : ISTEX:DF2E2DEC41C4252283571B6FB821F6115BF36454

English descriptors

Abstract

Dementia is a common complication of Parkinson's disease (PD), but the cause is incompletely understood. In previous studies, dementia has been associated with an increase in hyperintense lesions in the cerebral white matter. The aim of this study was to explore whether white matter hyperintensities (WMH) on cerebral magnetic resonance imaging (MRI) are associated with dementia in PD. For this study, 35 patients with PD, 16 with dementia (PDD) and 19 without (PDND), and 20 control subjects were recruited. MRI scans of patients and controls were rated for WMH, blind to diagnosis, using the Scheltens visual rating scale. Both bivariate and multivariate statistical analyses were carried out. Cerebrovascular risk factors, education, gender, or age were similar across groups. Compared with the PDND group, the PDD group had significantly higher level of WMH in the deep white matter and in the periventricular areas. WMH in the deep white matter was the only variable that was associated significantly with Mini‐Mental State Examination score and explained 38% of the variance in the multivariate linear regression analysis. Our findings suggest that WMH in the deep white matter may contribute to dementia in PD. © 2005 Movement Disorder Society

Url:
DOI: 10.1002/mds.20704

Links to Exploration step

ISTEX:DF2E2DEC41C4252283571B6FB821F6115BF36454

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<title>Visual rating of white matter hyperintensities in Parkinson's disease</title>
</titleInfo>
<titleInfo type="abbreviated" lang="en">
<title>White Matter Lesions in Parkinson's Disease</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>Visual rating of white matter hyperintensities in Parkinson's disease</title>
</titleInfo>
<name type="personal">
<namePart type="given">Mona K.</namePart>
<namePart type="family">Beyer</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Radiology, Stavanger University Hospital, Stavanger, Norway</affiliation>
<description>Correspondence: Department of Radiology, Stavanger University Hospital, Box 8100, N‐4068 Stavanger, Norway</description>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Dag</namePart>
<namePart type="family">Aarsland</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Geriatric Psychiatry, Stavanger University Hospital, Stavanger, Norway</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Ole Jacob</namePart>
<namePart type="family">Greve</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Radiology, Stavanger University Hospital, Stavanger, Norway</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Jan P.</namePart>
<namePart type="family">Larsen</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Department of Neurology, Stavanger University Hospital, Stavanger, Norway</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
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<publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<place>
<placeTerm type="text">Hoboken</placeTerm>
</place>
<dateIssued encoding="w3cdtf">2006-02</dateIssued>
<dateCaptured encoding="w3cdtf">2005-02-28</dateCaptured>
<dateValid encoding="w3cdtf">2005-06-22</dateValid>
<copyrightDate encoding="w3cdtf">2006</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<extent unit="figures">1</extent>
<extent unit="tables">2</extent>
<extent unit="references">49</extent>
<extent unit="words">4600</extent>
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<abstract lang="en">Dementia is a common complication of Parkinson's disease (PD), but the cause is incompletely understood. In previous studies, dementia has been associated with an increase in hyperintense lesions in the cerebral white matter. The aim of this study was to explore whether white matter hyperintensities (WMH) on cerebral magnetic resonance imaging (MRI) are associated with dementia in PD. For this study, 35 patients with PD, 16 with dementia (PDD) and 19 without (PDND), and 20 control subjects were recruited. MRI scans of patients and controls were rated for WMH, blind to diagnosis, using the Scheltens visual rating scale. Both bivariate and multivariate statistical analyses were carried out. Cerebrovascular risk factors, education, gender, or age were similar across groups. Compared with the PDND group, the PDD group had significantly higher level of WMH in the deep white matter and in the periventricular areas. WMH in the deep white matter was the only variable that was associated significantly with Mini‐Mental State Examination score and explained 38% of the variance in the multivariate linear regression analysis. Our findings suggest that WMH in the deep white matter may contribute to dementia in PD. © 2005 Movement Disorder Society</abstract>
<note type="funding">Western Norway Regional Health Authority</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>dementia</topic>
<topic>MRI</topic>
<topic>white matter hyperintensity</topic>
<topic>cerebrovascular risk factor</topic>
<topic>visual rating</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Movement Disorders</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<genre type="Journal">journal</genre>
<subject>
<genre>article category</genre>
<topic>Research Article</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2006</date>
<detail type="volume">
<caption>vol.</caption>
<number>21</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages">
<start>223</start>
<end>229</end>
<total>7</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">DF2E2DEC41C4252283571B6FB821F6115BF36454</identifier>
<identifier type="DOI">10.1002/mds.20704</identifier>
<identifier type="ArticleID">MDS20704</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 Movement Disorder Society</accessCondition>
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<recordContentSource>WILEY</recordContentSource>
<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
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