Regional homogeneity analysis of low-frequency blood oxygenation level-dependent signals from neighboring voxels enables the analysis of local neuronal synchrony. Both structural magnetic resonance imaging and resting...Regional homogeneity analysis of low-frequency blood oxygenation level-dependent signals from neighboring voxels enables the analysis of local neuronal synchrony. Both structural magnetic resonance imaging and resting-state functional magnetic resonance imaging scans were collected from nine Parkinson＇s disease patients with right resting tremor, and from eight age-matched normal controls. Regional homogeneity was compared between Parkinson＇s disease patients and controls. The results revealed that regional homogeneity was increased in several brain regions, including the right precuneus, right superior parietal gyrus, left anterior cingulate cortex, right middle frontal gyrus and right inferior frontal gyrus. Conversely, regional homogeneity was decreased in the cerebellar vermis in Parkinson＇s disease patients compared with healthy controls.展开更多
Background： The relationship between monosymptomatic resting tremor （mRT） and Parkinson＇s disease （PD） Iemains controversial. In this study, we aimed to assess tile function ofpresynaptic dopaminergic neurons in...Background： The relationship between monosymptomatic resting tremor （mRT） and Parkinson＇s disease （PD） Iemains controversial. In this study, we aimed to assess tile function ofpresynaptic dopaminergic neurons in patients with mRT by dopamine transporter positron emission tomography （DAT-PET） and to evaluate the utility of clinical features or electrophysioIogical studies in differential diagnosis. Methods： Thirty-three consecutive patients with toRT were enrolled prospectively. The Unified Parkinson＇s Disease Rating Scale and electromyography were tested before DAT-PET. Striatal asymmetry index （SAI） was calculated, and a normal DATPET was defined as a SAI of 〈15%. Scans without evidence of dopaminergic deficits （SWEDDs） were diagnosed in patients with a subsequent normal DAT-PET and structural magnetic resonance imaging. Results： Twenty-eight toRT patients with a significant reduction in uptake of DAT binding in the striatum were diagnosed with PD, while the remained 5 with a normal DAT-PET scan were SWEDDs. As for UPRDS, the dressing and hygiene score, walking m motor experiences of daily living （Part I1） and motor examination （Part Ill ） were significant different between two groups （P 〈 0.05 and P 〈 0.01, respectively）. Bilateral tremor was more frequent in the SWEDDs group （P 〈 0.05）. The frequency of resting tremor and the amplitude ofpostural tremor tend to be higher in the SWEDDs group （P = 0.08 and P= 0.05, respectively）. Conclusions： mRT is heterogeneous in presynaptic nigrostriatal dopaminergic degeneration, which can be determined by DAT-PET brain imaging. Clinical and electrophysiological features may provide clues to distinguish PD from SWEDDs.展开更多
基金the Science and Technology Planning Project of Guangdong Province, China, No. 2008B080703041
文摘Regional homogeneity analysis of low-frequency blood oxygenation level-dependent signals from neighboring voxels enables the analysis of local neuronal synchrony. Both structural magnetic resonance imaging and resting-state functional magnetic resonance imaging scans were collected from nine Parkinson＇s disease patients with right resting tremor, and from eight age-matched normal controls. Regional homogeneity was compared between Parkinson＇s disease patients and controls. The results revealed that regional homogeneity was increased in several brain regions, including the right precuneus, right superior parietal gyrus, left anterior cingulate cortex, right middle frontal gyrus and right inferior frontal gyrus. Conversely, regional homogeneity was decreased in the cerebellar vermis in Parkinson＇s disease patients compared with healthy controls.
文摘Background： The relationship between monosymptomatic resting tremor （mRT） and Parkinson＇s disease （PD） Iemains controversial. In this study, we aimed to assess tile function ofpresynaptic dopaminergic neurons in patients with mRT by dopamine transporter positron emission tomography （DAT-PET） and to evaluate the utility of clinical features or electrophysioIogical studies in differential diagnosis. Methods： Thirty-three consecutive patients with toRT were enrolled prospectively. The Unified Parkinson＇s Disease Rating Scale and electromyography were tested before DAT-PET. Striatal asymmetry index （SAI） was calculated, and a normal DATPET was defined as a SAI of 〈15%. Scans without evidence of dopaminergic deficits （SWEDDs） were diagnosed in patients with a subsequent normal DAT-PET and structural magnetic resonance imaging. Results： Twenty-eight toRT patients with a significant reduction in uptake of DAT binding in the striatum were diagnosed with PD, while the remained 5 with a normal DAT-PET scan were SWEDDs. As for UPRDS, the dressing and hygiene score, walking m motor experiences of daily living （Part I1） and motor examination （Part Ill ） were significant different between two groups （P 〈 0.05 and P 〈 0.01, respectively）. Bilateral tremor was more frequent in the SWEDDs group （P 〈 0.05）. The frequency of resting tremor and the amplitude ofpostural tremor tend to be higher in the SWEDDs group （P = 0.08 and P= 0.05, respectively）. Conclusions： mRT is heterogeneous in presynaptic nigrostriatal dopaminergic degeneration, which can be determined by DAT-PET brain imaging. Clinical and electrophysiological features may provide clues to distinguish PD from SWEDDs.
