The relationship between cerebral vascular disease and parkinsonism: The VADO study (917 views)
Parkinsonism Relat D (ISSN: 1353-8020, 1873-5126, 1873-5126electronic), 2012; 18(6): 775-780.
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Paper type: Journal Article,
Impact factor: 3.274, 5-year impact factor: 3.361
Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84862186620&partnerID=40&md5=8ac74d57946a36ba076d24e7978dbdff
Keywords: Dopamine Transporter Spect Imaging, Mr Imaging, Parkinson, S Disease, Vascular Parkinsonism, Levodopa, Adult, Article, Basal Ganglion, Cerebrovascular Disease, Clinical Feature, Cohort Analysis, Cross-Sectional Study, Differential Diagnosis, Disease Severity, Drug Response, Female, Frontal Lobe, Human, Hypertension, Major Clinical Study, Nuclear Magnetic Resonance Imaging, Parkinson Disease, Priority Journal, Protein Binding, Risk Factor, Single Photon Emission Computer Tomography, Vascular Lesion, 80 And Over, Antiparkinson Agents, Cerebrovascular Disorders, Cohort Studies, Corpus Striatum, Cross-Sectional Studies, Dopamine Plasma Membrane Transport Proteins, Middle Aged, Parkinsonian Disorders, Severity Of Illness Index, Emission-Computed, Single-Photon,
Affiliations:
*** IBB - CNR ***
Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy
Department for Parkinson's disease, IRCCS San Camillo, Venice and University of Padua, Italy
University Parthenope, Naples, Italy
IDC Hermitage-Capodimonte, Naples, Italy
Neurodegenerative Diseases Center, University of Salerno, Salerno, Italy
Neuroradiology, Istituti Clinici di Perfezionamento, Milan, Italy
Department of Neurosciences, University of Pisa, Italy
Neurology Unit, Annunziata Hospital, Cosenza, Italy
Department of Clinical Medicine and Neurology, University of Trieste, Trieste, Italy
Department of Nuclear Medicine, Ospedali Riuniti, Bergamo, Italy
Division of Nuclear Medicine, Ferrara, Italy
Hospital, Ferrara, Italy
Department of Endocrinological and Metabolic Sciences, Section of Clinical Neurophysiology Nuclear medicine, University of Genoa, Italy
Department of Radiological Sciences Nuclear Medicine, University of Messina, Italy
Nuclear Medicine, IRCCS-Ospedale Maggiore, Milan, Italy
Biostructure and Bioimaging Institute, National Research Council, Naples, Italy
IRCCS San Raffaele La Pisana, Rome, Italy
Hospital, Turin, Italy
References:
Not available.
Parkinsonism Relat D (ISSN: 1353-8020, 1873-5126, 1873-5126electronic), 2012; 18(6): 775-780.
Export to BibTeX Export to EndNote
Paper type: Journal Article,
Impact factor: 3.274, 5-year impact factor: 3.361
Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84862186620&partnerID=40&md5=8ac74d57946a36ba076d24e7978dbdff
Keywords: Dopamine Transporter Spect Imaging, Mr Imaging, Parkinson, S Disease, Vascular Parkinsonism, Levodopa, Adult, Article, Basal Ganglion, Cerebrovascular Disease, Clinical Feature, Cohort Analysis, Cross-Sectional Study, Differential Diagnosis, Disease Severity, Drug Response, Female, Frontal Lobe, Human, Hypertension, Major Clinical Study, Nuclear Magnetic Resonance Imaging, Parkinson Disease, Priority Journal, Protein Binding, Risk Factor, Single Photon Emission Computer Tomography, Vascular Lesion, 80 And Over, Antiparkinson Agents, Cerebrovascular Disorders, Cohort Studies, Corpus Striatum, Cross-Sectional Studies, Dopamine Plasma Membrane Transport Proteins, Middle Aged, Parkinsonian Disorders, Severity Of Illness Index, Emission-Computed, Single-Photon,
Affiliations:
*** IBB - CNR ***
Parkinson Institute, Istituti Clinici di Perfezionamento, Milan, Italy
Department for Parkinson's disease, IRCCS San Camillo, Venice and University of Padua, Italy
University Parthenope, Naples, Italy
IDC Hermitage-Capodimonte, Naples, Italy
Neurodegenerative Diseases Center, University of Salerno, Salerno, Italy
Neuroradiology, Istituti Clinici di Perfezionamento, Milan, Italy
Department of Neurosciences, University of Pisa, Italy
Neurology Unit, Annunziata Hospital, Cosenza, Italy
Department of Clinical Medicine and Neurology, University of Trieste, Trieste, Italy
Department of Nuclear Medicine, Ospedali Riuniti, Bergamo, Italy
Division of Nuclear Medicine, Ferrara, Italy
Hospital, Ferrara, Italy
Department of Endocrinological and Metabolic Sciences, Section of Clinical Neurophysiology Nuclear medicine, University of Genoa, Italy
Department of Radiological Sciences Nuclear Medicine, University of Messina, Italy
Nuclear Medicine, IRCCS-Ospedale Maggiore, Milan, Italy
Biostructure and Bioimaging Institute, National Research Council, Naples, Italy
IRCCS San Raffaele La Pisana, Rome, Italy
Hospital, Turin, Italy
References:
Not available.
The relationship between cerebral vascular disease and parkinsonism: The VADO study
Background: The observation of gait abnormalities, parkinsonism and vascular lesions in elderly patients is often reported as vascular parkinsonism (VP). However the status of striatal dopamine transporter (DAT) and the effects of brain vascular lesions on motor features and levodopa responsiveness are poorly defined. Methods: We recorded clinical features, chronic response to levodopa and vascular risk factors in a cross-sectional cohort of consecutive elderly patients with possible Parkinson's disease (PD) or VP recruited in 20 centers in Italy. Results: We included a total of 158 patients. Onset of motor symptoms was asymmetric in 93 (59%) and symmetric in 65 patients (41%). Symmetric motor onset was associated with greater disease severity. Chronic levodopa response was positive in 75 (47.8%) and negative in 82 patients (52.2%). A negative response to levodopa was associated with greater frequency of symmetric onset of motor symptoms, worst disease severity, absence of dyskinesia and greater number of vascular risk factors. Frontal lobe showed largest vascular load. Striatal DAT was normal in 48 (30.4%) and abnormal in 110 (69.6%) patients. Patients with normal DAT binding showed higher vascular load at MRI. Significant predictive factors of worst disease severity and negative response to levodopa were hypertension, vascular lesions in basal ganglia/periventricular regions, and normal DAT uptake. Conclusions: Multiple cerebral vascular lesions modify clinical presentation and severity in patients with parkinsonism and this is underlined by specific risk factors primarily hypertension. Striatal DAT assessment is helpful in identifying patients where therapy benefit is less likely. © 2012 Elsevier Ltd.
Background: The observation of gait abnormalities, parkinsonism and vascular lesions in elderly patients is often reported as vascular parkinsonism (VP). However the status of striatal dopamine transporter (DAT) and the effects of brain vascular lesions on motor features and levodopa responsiveness are poorly defined. Methods: We recorded clinical features, chronic response to levodopa and vascular risk factors in a cross-sectional cohort of consecutive elderly patients with possible Parkinson's disease (PD) or VP recruited in 20 centers in Italy. Results: We included a total of 158 patients. Onset of motor symptoms was asymmetric in 93 (59%) and symmetric in 65 patients (41%). Symmetric motor onset was associated with greater disease severity. Chronic levodopa response was positive in 75 (47.8%) and negative in 82 patients (52.2%). A negative response to levodopa was associated with greater frequency of symmetric onset of motor symptoms, worst disease severity, absence of dyskinesia and greater number of vascular risk factors. Frontal lobe showed largest vascular load. Striatal DAT was normal in 48 (30.4%) and abnormal in 110 (69.6%) patients. Patients with normal DAT binding showed higher vascular load at MRI. Significant predictive factors of worst disease severity and negative response to levodopa were hypertension, vascular lesions in basal ganglia/periventricular regions, and normal DAT uptake. Conclusions: Multiple cerebral vascular lesions modify clinical presentation and severity in patients with parkinsonism and this is underlined by specific risk factors primarily hypertension. Striatal DAT assessment is helpful in identifying patients where therapy benefit is less likely. © 2012 Elsevier Ltd.
The relationship between cerebral vascular disease and parkinsonism: The VADO study
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The relationship between cerebral vascular disease and parkinsonism: The VADO study
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
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View Export to BibTeX Export to EndNote
19 Records (17 excluding Abstracts).
Total impact factor: 44.2 (41.457 excluding Abstracts).
Total 5 year impact factor: 49.208 (45.18 excluding Abstracts).
Total impact factor: 44.2 (41.457 excluding Abstracts).
Total 5 year impact factor: 49.208 (45.18 excluding Abstracts).
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