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α-Synuclein pathology is related to postoperative delirium in patients undergoing gastrectomy

Authors
 Mun Kyung Sunwoo  ;  Jin Yong Hong  ;  Junjeong Choi  ;  Hyun Jung Park  ;  Se Hoon Kim  ;  Phil Hyu Lee 
Citation
 Neurology, Vol.80(9) : 810-813, 2013 
Journal Title
 Neurology 
ISSN
 0028-3878 
Issue Date
2013
Abstract
Objective: The clinical characteristics of postoperative delirium are similar to core features of α-synuclein–related cognitive disorders, such as dementia with Lewy bodies or Parkinson disease dementia. We therefore investigated the α-synuclein pathology in patients who experienced postoperative delirium after gastrectomy for stomach cancer. Method: Patients with and without postoperative delirium were selected among patients undergoing total gastrectomy for primary gastric cancer from 2007 to 2011 (each n = 16) at the university hospital. Immunohistochemical staining for α-synuclein of both normal and phosphorylated form was performed in the myenteric plexus. A logistic regression analysis was applied to identify independent predictors of postoperative delirium. Results: No significant differences were observed for age, sex, operation time, or onset of delirium after total gastrectomy between patients with and without postoperative delirium. Patients with postoperative delirium had a higher frequency of intensive care unit admissions (43.8 vs 6.3%, p = 0.037) and α-synuclein–positive pathologies of normal (56.3 vs 12.5%, p = 0.023) and phosphorylated form (43.8 vs 6.3%, p = 0.037) compared with those without postoperative delirium. A logistic regression analysis revealed that immunoreactivity for normal α-synuclein (odds ratio [OR] 9.20) and intensive care unit admission (OR 11.97) were independently associated with postoperative delirium. Conclusion: These results suggest that underlying α-synuclein pathologies in the stomach are associated with postoperative delirium, implying that postoperative delirium represents a preclinical stage of α-synuclein related to cognitive disorders.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86394
Full Text
http://www.neurology.org/content/80/9/810.long
DOI
10.1212/WNL.0b013e3182840782
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > BioMedical Science Institute (의생명과학부)
Yonsei Authors
김세훈(Kim, Se Hoon)
박현정(Park, Hyun Jung)
선우문경(Sunwoo, Mun Kyung)
이필휴(Lee, Phil Hyu)
홍진용(Hong, Jin Yong)
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