http://www.cnr.it/ontology/cnr/individuo/prodotto/ID50277
Diffusion tensor MRI changes in cerebellar structures of patients with familial essential tremor. (Articolo in rivista)
- Type
- Label
- Diffusion tensor MRI changes in cerebellar structures of patients with familial essential tremor. (Articolo in rivista) (literal)
- Anno
- 2010-01-01T00:00:00+01:00 (literal)
- Alternative label
Nicoletti G, Manners D, Novellino F, Condino F, Malucelli E, Barbiroli B, Tonon C, Arabia G, Salsone M, Giofre' L, Testa C, Lanza P, Lodi R, Quattrone A. (2010)
Diffusion tensor MRI changes in cerebellar structures of patients with familial essential tremor.
in Neurology
(literal)
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- Nicoletti G, Manners D, Novellino F, Condino F, Malucelli E, Barbiroli B, Tonon C, Arabia G, Salsone M, Giofre' L, Testa C, Lanza P, Lodi R, Quattrone A. (literal)
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- Rivista
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- ISI Web of Science (WOS) (literal)
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- Nicoletti Giuseppe: Institute of Neurology, University Magna Graecia, Catanzaro, Italy
Arabia Gennarina: Institute of Neurology, University Magna Graecia, Catanzaro, Italy
Lanza Pier Luigi: Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy;
Condino Francesca: Institute of Neurological Sciences, National Research Council, Mangone (CS), Italy;
Quattrone Aldo: Institute of Neurology, University Magna Graecia, Catanzaro, Italy (literal)
- Titolo
- Diffusion tensor MRI changes in cerebellar structures of patients with familial essential tremor. (literal)
- Abstract
- ABSTRACT
Objective: The aim of our study was to investigate the microstructural integrity of brain regions
functionally involved in the tremor loop in patients with familial essential tremor (FET), using diffusion
tensor imaging (DTI).
Methods: Twenty-five patients with FET, 15 patients with Parkinson disease (PD), and 15 healthy
subjects were studied. DTI was performed to measure fractional anisotropy (FA) and mean diffusivity
(MD) in various regions of interest: red nucleus, dentate nucleus (DN), cerebellar white matter,
middle (MCP) and superior cerebellar peduncle (SCP), and ventrolateral thalamus.
Results: In patients with FET, FA values in the DN (median 0.19, range 0.13-0.23) were reduced
(p ? 0.001) compared with patients with PD (median 0.37, range 0.32-0.58) and healthy controls
(median 0.36, range 0.33-0.40). In patients with FET, FA was also reduced (p ? 0.003) and
MD values increased (p ? 0.001) in the SCP compared with patients with PD and healthy controls.
Among patients with FET, those with longer disease duration showed FA values in the DN
lower than those with shorter disease duration (p ? 0.018). Patients with FET could be completely
distinguished from both patient with PD and healthy controls using FA values of the DN
alone.
Conclusion: Neuroimaging evidence of microstructural changes consistent with neurodegeneration
was found in the dentate nucleus (DN) and SCP of patients with familial essential tremor. This
suggests that neurodegenerative pathology of cerebellar structures may play a role in essential
tremor. Further studies are needed to assess the role of fractional anisotropy and mean diffusivity
changes in DN and SCP in the differential diagnosis of essential tremor and Parkinson disease,
which may present similar clinical signs at the onset of disease (literal)
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