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Increased Signal in the Superior Cerebellar Peduncle of Patients with Progressive Supranuclear Palsy
Hiroshi Kataoka, Yukako Nishimori, Takao Kiriyama, Hitoki Nanaura, Tesseki Izumi, Nobuyuki Eura, Naoki Iwasa, Kazuma Sugie
J Mov Disord. 2019;12(3):166-171.   Published online August 9, 2019
DOI: https://doi.org/10.14802/jmd.19002
  • 7,039 View
  • 195 Download
  • 2 Citations
AbstractAbstract PDF
Objective
The provisional diagnosis of progressive supranuclear palsy (PSP) depends on a combination of typical clinical features and specific MRI findings, such as atrophy of the tegmentum in the midbrain. Atrophy of the superior cerebellar peduncle (SCP) distinguishes PSP from other types of parkinsonism. Histological factors affect the conventional fluid-attenuated inversion recovery (FLAIR) signals, such as the extent of neuronal loss and gliosis.
Methods
We investigated patients with PSP to verify the percentage of patients with various PSP phenotypes presenting a high signal intensity in the SCP. Three interviewers, who were not informed about the clinical data, visually inspected the presence or absence of a high signal intensity in the SCP on the FLAIR images. We measured the pixel value in the SCP of each patient. Clinical characteristics were evaluated using the Mann-Whitney test, followed by the χ2 test.
Results
Ten of the 51 patients with PSP showed a high signal intensity in the SCP on FLAIR MRI. Higher pixel values were observed within the SCP of patients with a high signal intensity in the SCP than in patients without a high signal intensity (p < 0.001). The sensitivity and specificity of the high signal intensity in the SCP of patients with PSP was 19.6% and 100%, respectively. This finding was more frequently observed in patients with PSP with Richardson’s syndrome (PSP-RS) (25.7%) than other phenotypes (6.2%).
Conclusion
The high signal intensity in the SCP on FLAIR MRI might be an effective diagnostic tool for PSP-RS.

Citations

Citations to this article as recorded by  
  • Diffusion tractography of superior cerebellar peduncle and dentatorubrothalamic tracts in two autopsy confirmed progressive supranuclear palsy variants: Richardson syndrome and the speech-language variant
    Rodolfo G. Gatto, Peter R. Martin, Farwa Ali, Heather M. Clark, Joseph R. Duffy, Rene L. Utianski, Hugo Botha, Mary M. Machulda, Dennis W. Dickson, Keith A. Josephs, Jennifer L. Whitwell
    NeuroImage: Clinical.2022; 35: 103030.     CrossRef
  • The Role of Magnetic Resonance Imaging for the Diagnosis of Atypical Parkinsonism
    Lydia Chougar, Nadya Pyatigorskaya, Bertrand Degos, David Grabli, Stéphane Lehéricy
    Frontiers in Neurology.2020;[Epub]     CrossRef
Can Postural Instability Respond to Galvanic Vestibular Stimulation in Patients with Parkinson’s Disease?
Hiroshi Kataoka, Yohei Okada, Takao Kiriyama, Yorihiro Kita, Junji Nakamura, Shu Morioka, Koji Shomoto, Satoshi Ueno
J Mov Disord. 2016;9(1):40-43.   Published online December 3, 2015
DOI: https://doi.org/10.14802/jmd.15030
  • 20,131 View
  • 177 Download
  • 31 Citations
AbstractAbstract PDFSupplementary Material
Objective
Galvanic vestibular stimulation (GVS) activates the vestibular afferents, and these changes in vestibular input exert a strong influence on the subject’s posture or standing balance. In patients with Parkinson’s disease (PD), vestibular dysfunction might contribute to postural instability and gait disorders.
Methods
Current intensity was increased to 0.7 mA, and the current was applied to the patients for 20 minutes. To perform a sham stimulation, the current intensity was increased as described and then decreased to 0 mA over the course of 10 seconds. The patient’s status was recorded continuously for 20 minutes with the patient in the supine position.
Results
Three out of 5 patients diagnosed with PD with postural instability and/or abnormal axial posture showed a reduction in postural instability after GVS. The score for item 12 of the revised Unified Parkinson’s Disease Rating Scale part 3 was decreased in these patients.
Conclusions
The mechanism of postural instability is complex and not completely understood. In 2 out of the 5 patients, postural instability was not changed in response to GVS. Nonetheless, the GVS-induced change in postural instability for 3 patients in our study suggests that GVS might be a therapeutic option for postural instability.

Citations

Citations to this article as recorded by  
  • Acceptability and feasibility of a vestibular nerve stimulation headset protocol in children with cerebral palsy
    Karen McConnell, Daniel Topley, Jason McKeown, Claire Kerr
    BMC Pediatrics.2022;[Epub]     CrossRef
  • Effect of galvanic vestibular stimulation on axial symptoms in Parkinson’s disease
    Hiroshi Kataoka, Yohei Okada, Takao Kiriyama, Yorihiro Kita, Junji Nakamura, Koji Shomoto, Kazuma Sugie
    Journal of Central Nervous System Disease.2022; 14: 117957352210815.     CrossRef
  • Galvanic vestibular stimulation and its applications: a systematic review
    Anna Paula Batista de Ávila Pires, Tatiana Rocha Silva, Maíra Soares Torres, Maria Luiza Diniz, Maurício Campelo Tavares, Denise Utsch Gonçalves
    Brazilian Journal of Otorhinolaryngology.2022; 88: S202.     CrossRef
  • Detection and assessment of Parkinson's disease based on gait analysis: A survey
    Yao Guo, Jianxin Yang, Yuxuan Liu, Xun Chen, Guang-Zhong Yang
    Frontiers in Aging Neuroscience.2022;[Epub]     CrossRef
  • EFFECT OF VESTIBULAR STIMULATION ON BEHAVIORAL CHANGES IN PARKINSON DISEASE-INDUCED MICE
    Ram Mohan, Mohan Jayabal, Rashmi Ramanathan, Jeevithan Shanmugam, Archana R
    Asian Journal of Pharmaceutical and Clinical Research.2022; : 84.     CrossRef
  • IMPACT OF CALORIC VESTIBULAR STIMULATION ON CO-ORDINATION IN PARKINSON DISEASE INDUCED MICE
    RAM MOHAN, KAYALVIZHI, RASHMI RAMANATHAN, JEEVITHAN SHANMUGAM, ARCHANA R.
    International Journal of Pharmacy and Pharmaceutical Sciences.2022; : 46.     CrossRef
  • The effect of galvanic vestibular stimulation on postural balance in Parkinson's disease: A systematic review and meta-analysis
    Mohammad Mahmud, Zaeem Hadi, Mabel Prendergast, Matteo Ciocca, Abdel Rahman Saad, Yuscah Pondeca, Yen Tai, Gregory Scott, Barry M. Seemungal
    Journal of the Neurological Sciences.2022; 442: 120414.     CrossRef
  • A systematic review of vestibular stimulation in cerebral palsy
    Daniel Topley, Karen McConnell, Claire Kerr
    Disability and Rehabilitation.2021; 43(23): 3291.     CrossRef
  • The link between lateral trunk flexion in Parkinson’s disease and vestibular dysfunction: a clinical study
    Haiyan Tang, You Chen, Zhidong Cen, Zhiyuan Ouyang, Danning Lou, Ying Tan, Wei Luo
    International Journal of Neuroscience.2021; 131(6): 521.     CrossRef
  • Vestibular stimulation: a noninvasive brain stimulation in Parkinson’s disease & its implications
    Thanalakshmi Jagadeesan, Archana Rajagopal, Senthilkumar Sivanesan
    Journal of Complementary and Integrative Medicine.2021; 18(4): 657.     CrossRef
  • Current perspectives on galvanic vestibular stimulation in the treatment of Parkinson’s disease
    Soojin Lee, Aiping Liu, Martin J. McKeown
    Expert Review of Neurotherapeutics.2021; 21(4): 405.     CrossRef
  • Caloric and galvanic vestibular stimulation for the treatment of Parkinson’s disease: rationale and prospects
    David Wilkinson
    Expert Review of Medical Devices.2021; 18(7): 649.     CrossRef
  • Early balance impairment in Parkinson’s Disease: Evidence from Robot-assisted axial rotations
    Alessandro Zampogna, Ilaria Mileti, Francesca Martelli, Marco Paoloni, Zaccaria Del Prete, Eduardo Palermo, Antonio Suppa
    Clinical Neurophysiology.2021; 132(10): 2422.     CrossRef
  • Dizziness in Parkinson’s disease patients is associated with vestibular function
    Jeong-Ho Park, Suk Yun Kang
    Scientific Reports.2021;[Epub]     CrossRef
  • c-Fos Expression after Stochastic Vestibular Stimulation and Levodopa in 6-OHDA Hemilesioned Rats
    Ghazaleh Samoudi, Andrea Nilsson, Thomas Carlsson, Filip Bergquist
    Neuroscience.2020; 424: 146.     CrossRef
  • Sensory Neuromodulation
    Robert D. Black, Lesco L. Rogers
    Frontiers in Systems Neuroscience.2020;[Epub]     CrossRef
  • Efficacy of transmastoidal galvanic stimulation on recovery outcomes in patients with unilateral peripheral vestibular disorders: a randomized controlled trial
    Reham Ali Mohamed Ali Ahmed, Ebtesam Mohamed Fahmy, Amina Mohamed Awad, Mona Mohamed Hamdy, Hussein Ahmed Abd Rahman Shaker
    The Egyptian Journal of Neurology, Psychiatry and Neurosurgery.2020;[Epub]     CrossRef
  • Effect of caloric vestibular stimulation on brain neurochemicals in rotenone induced mouse model of Parkinson’s disease
    Sai Sailesh Kumar G, Srilatha Bashetti
    International Journal of Clinical Biochemistry and Research.2020; 7(1): 49.     CrossRef
  • The Effect of L-dopa on Postural Stability in Parkinson’s Disease Patients
    Jacek Wilczyński, Natalia Habik
    Applied Sciences.2019; 9(3): 409.     CrossRef
  • Receptor Ligands as Helping Hands to L-DOPA in the Treatment of Parkinson’s Disease
    Fabio Bello, Mario Giannella, Gianfabio Giorgioni, Alessandro Piergentili, Wilma Quaglia
    Biomolecules.2019; 9(4): 142.     CrossRef
  • Aplicações dos potenciais evocados miogênicos vestibulares: revisão sistemática de literatura
    Tatiana Rocha Silva, Marco Aurélio Rocha Santos, Luciana Macedo de Resende, Ludimila Labanca, Júlia Fonseca de Morais Caporali, Marjore Rhaissa de Sousa, Denise Utsch Gonçalves
    Audiology - Communication Research.2019;[Epub]     CrossRef
  • Caloric vestibular stimulation for the management of motor and non-motor symptoms in Parkinson's disease
    David Wilkinson, Aleksandra Podlewska, Sarah E. Banducci, Tracy Pellat-Higgins, Martin Slade, Mayur Bodani, Mohamed Sakel, Lanty Smith, Peter LeWitt, Kristen K. Ade
    Parkinsonism & Related Disorders.2019; 65: 261.     CrossRef
  • Deterioration of postural deformity in Parkinson’s disease patients with punding and hobbyism
    Ryoma Aoki, Makoto Shiraishi, Kyohei Mikami, Tsutomu Kamo
    Journal of Clinical Neuroscience.2019; 69: 179.     CrossRef
  • Recent advancements in lateral trunk flexion in Parkinson disease
    Hiroshi Kataoka, Kazuma Sugie
    Neurology: Clinical Practice.2019; 9(1): 74.     CrossRef
  • Galvanic Vestibular Stimulation (GVS) Augments Deficient Pedunculopontine Nucleus (PPN) Connectivity in Mild Parkinson's Disease: fMRI Effects of Different Stimuli
    Jiayue Cai, Soojin Lee, Fang Ba, Saurabh Garg, Laura J. Kim, Aiping Liu, Diana Kim, Z. Jane Wang, Martin J. McKeown
    Frontiers in Neuroscience.2018;[Epub]     CrossRef
  • Effects of Galvanic Vestibular Stimulation on Upper and Lower Extremities Motor Symptoms in Parkinson’s Disease
    Mahta Khoshnam, Daniela M. C. Häner, Eunice Kuatsjah, Xin Zhang, Carlo Menon
    Frontiers in Neuroscience.2018;[Epub]     CrossRef
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    Paul F. Smith
    Frontiers in Neurology.2018;[Epub]     CrossRef
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    Bipolar Disorders.2016; 18(6): 539.     CrossRef
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    Robert D. Black, Lesco L. Rogers, Kristen K. Ade, Heather A. Nicoletto, Heather D. Adkins, Daniel T. Laskowitz
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JMD : Journal of Movement Disorders