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The Prevalence of Cerebra Microbleeds in Non-Demented Parkinson's Disease Patients
- Title
- The Prevalence of Cerebra Microbleeds in Non-Demented Parkinson's Disease Patients
- Authors
- Kim, Kyeong Joon; Bae, Yun Jung; Kim, Jong-Min; Kim, Beom Joon; Oh, Eung Seok; Yun, Ji Young; Kim, Ji Seon; Kim, Han-Joon
- Ewha Authors
- 윤지영
- SCOPUS Author ID
- 윤지영
- Issue Date
- 2018
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- ISSN
- 1011-8934
1598-6357
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE vol. 33, no. 46
- Keywords
- Cerebral Microbleeds; Parkinson's Disease; Synucleinopathy; Amyloid Angiopathy
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Indexed
- SCIE; SCOPUS; KCI
- Document Type
- Article
- Abstract
- Background: Cerebral microbleeds (CMBs) are associated with cerebrovascular risk factors and cognitive dysfunction among patients with Parkinson's disease (PD). However, whether CMBs themselves are associated with PD is to be elucidated. Methods: We analyzed the presence of CMBs using 3-Tesla brain magnetic resonance imaging in non-demented patients with PD and in age-, sex-, and hypertension-matched control subjects. PD patients were classified according to their motor subtypes: tremor-dominant, intermediate, and postural instability-gait disturbance (PIGD). Other cerebrovascular risk factors and small vessel disease (SVD) burdens were also evaluated. Results: Two-hundred and five patients with PD and 205 control subjects were included. The prevalence of CMBs was higher in PD patients than in controls (16.1% vs. 8.8%; odds ratio [OR], 2.126; P= 0.019); CMBs in the lobar area showed a significant difference between PD patients and controls (11.7% vs. 5.9%; OR, 2.234; P= 0.032). According to the motor subtype, CMBs in those with PIGD type showed significant difference from controls with respect to the overall brain area (21.1% vs. 8.9%; OR, 2.759; P= 0.010) and lobar area (14.6% vs. 4.9%; OR, 3.336; P= 0.016). Among PD patients, those with CMBs had higher age and more evidence of SVDs than those without CMBs. Conclusion: We found that CMBs are more frequent in PD patients than in controls, especially in those with the PIGD subtype and CMBs on the lobar area. Further study investigating the pathogenetic significance of CMBs is required.
- DOI
- 10.3346/jkms.2018.33.e289
- Appears in Collections:
- 의료원 > 의료원 > Journal papers
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