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Parkinsonian Patients with Striatal Cribriform State Present Rapidly Progressive Axial Parkinsonism

Authors
 Lee S.H.  ;  Lyoo C.H.  ;  Cho H.  ;  Rinne J.O.  ;  Lee M.S. 
Citation
 European Neurology, Vol.78(3~4) : 119-124, 2017 
Journal Title
 European Neurology 
ISSN
 0014-3022 
Issue Date
2017
MeSH
Aged ; Aged, 80 and over ; Brain/pathology* ; Female ; Gait Disorders, Neurologic/epidemiology ; Gait Disorders, Neurologic/etiology ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Parkinson Disease/complications ; Parkinson Disease/pathology* ; Postural Balance ; Sensation Disorders/epidemiology ; Sensation Disorders/etiology
Keywords
Cribriform state ; Lower half parkinsonism ; Multiple system atrophy ; Progressive supranuclear palsy
Abstract
OBJECTIVE: To define the significance of striatal cribriform state (SCS) observed in patients with primary progressive parkinsonism. METHODS: We reviewed medical records and brain magnetic resonance imaging studies of 1,260 patients with primary progressive parkinsonism. We identified 23 patients with SCS and analyzed their clinical features. RESULTS: All 23 patients had rapidly progressive parkinsonism predominated by postural instability and gait disturbance. Clinical features of 18 of the 23 patients were compatible with progressive supranuclear palsy (PSP); 2 patients were compatible with parkinsonian type multiple system atrophy; 2 patients were compatible with mixed clinical features of both; and 1 patient had PSP-like clinical features. CONCLUSIONS: Most parkinsonian patients with SCS present rapidly progressive parkinsonism predominated by postural instability and gait disturbance. SCS observed in patients with parkinsonism does not seem to be a coincidental finding associated with the generalized cerebrovascular process.
Full Text
https://www.karger.com/Article/FullText/479227
DOI
10.1159/000479227
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실)
Yonsei Authors
류철형(Lyoo, Chul Hyoung) ORCID logo https://orcid.org/0000-0003-2231-672X
이명식(Lee, Myung Sik)
이승하(Lee, Seung Ha)
조한나(Cho, Hanna) ORCID logo https://orcid.org/0000-0001-5936-1546
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160486
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