Regional Brain Stem Atrophy in Idiopathic Parkinson's Disease Detected by Anatomical MRI

Autor: Clotilde Degroot, Benoit Kullmann, Oury Monchi, Thomas Jubault, Antonio P. Strafella, Anne-Louise Lafontaine, Sylvain Chouinard, Simona Maria Brambati
Přispěvatelé: Université de Montréal. Faculté des arts et des sciences. Département de psychologie
Rok vydání: 2009
Předmět:
Zdroj: PLoS ONE
PLoS ONE, Vol 4, Iss 12, p e8247 (2009)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0008247
Popis: Idiopathic Parkinson's disease (PD) is a neurodegenerative disorder characterized by the dysfunction of dopaminergic dependent cortico-basal ganglia loops and diagnosed on the basis of motor symptoms (tremors and/or rigidity and bradykinesia). Post-mortem studies tend to show that the destruction of dopaminergic neurons in the substantia nigra constitutes an intermediate step in a broader neurodegenerative process rather than a unique feature of Parkinson's disease, as a consistent pattern of progression would exist, originating from the medulla oblongata/pontine tegmentum. To date, neuroimaging techniques have been unable to characterize the pre-symptomatic stages of PD. However, if such a regular neurodegenerative pattern were to exist, consistent damages would be found in the brain stem, even at early stages of the disease. We recruited 23 PD patients at Hoenn and Yahr stages I to II of the disease and 18 healthy controls (HC) matched for age. T1-weighted anatomical scans were acquired (MPRAGE, 1 mm3 resolution) and analyzed using an optimized VBM protocol to detect white and grey matter volume reduction without spatial a priori. When the HC group was compared to the PD group, a single cluster exhibited statistical difference (p
Databáze: OpenAIRE