Examining Braak's Hypothesis by Imaging Parkinson's Disease

被引:22
作者
Brooks, David J. [1 ,2 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Hammersmith Hosp, MRC, Ctr Clin Sci, London W12 0NN, England
[2] Univ London Imperial Coll Sci Technol & Med, Hammersmith Hosp, Fac Med, Div Neurosci & Mental Hlth, London W12 0NN, England
关键词
Parkinson's disease; Braak staging; positron emission tomography; SPECT; magnetic resonance imaging; transcranial sonography; SLEEP BEHAVIOR DISORDER; CARDIAC SYMPATHETIC DENERVATION; MULTIPLE-SYSTEM ATROPHY; SUBSTANTIA-NIGRA; ALZHEIMERS-DISEASE; MICROGLIAL ACTIVATION; DOPAMINE TRANSPORTERS; DYSFUNCTION; DEMENTIA; SPECT;
D O I
10.1002/mds.22720
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In this review, in vivo patterns of structural, metabolic, and neurotransmitter binding changes revealed by imaging in both symptomatic Parkinson's disease (PD) and at-risk subjects are compared with those predicted at different Braak stages. It is concluded that the dysfunction revealed by imaging in PD is only partially in line with the sequential ascending topography of Lewy body pathology reported by Braak, suggesting that neurons in different brain regions are likely to be selectively vulnerable to the presence of intracellular synuclein aggregates. (C) 2010 Movement Disorder Society
引用
收藏
页码:S83 / S88
页数:6
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