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Homayoon, N; Pirpamer, L; Franthal, S; Katschnig-Winter, P; Kögl, M; Seiler, S; Wenzel, K; Hofer, E; Deutschmann, H; Fazekas, F; Langkammer, C; Ropele, S; Schmidt, R; Schwingenschuh, P.
Nigral iron deposition in common tremor disorders.
Mov Disord. 2019; 34(1):129-132
Doi: 10.1002/mds.27549
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- Führende Autor*innen der Med Uni Graz
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Homayoon Nina
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Schwingenschuh Petra
- Co-Autor*innen der Med Uni Graz
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Deutschmann Hannes
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Fazekas Franz
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Franthal Sebastian Othmar
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Hofer Edith
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Katschnig-Winter Petra
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Langkammer Christian
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Pirpamer Lukas
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Ropele Stefan
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Schmidt Reinhold
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Seiler Stephan
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Wenzel Karoline
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- Abstract:
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We investigated R2* relaxation rates as a marker of iron content in the substantia nigra in patients with common tremor disorders and explored their diagnostic properties.
Mean nigral R2* rates were measured in 40 patients with tremor-dominant Parkinson's disease (PD), 15 with tremor in dystonia, 25 with essential tremor, and 25 healthy controls.
Tremor-dominant PD patients had significantly higher nigral R2* values (34.1 ± 5.7) than those with tremor in dystonia (30.0 ± 3.9), essential tremor (30.6 ± 4.8), and controls (30.0 ± 2.8). An R2* threshold of 31.15 separated tremor-dominant PD from controls with a sensitivity and specificity of 67.5% and 72%. The sensitivity and specificity for discrimination between PD and non-PD tremor patients was 67.5% and 60%.
Iron content in the substantia nigra is significantly higher in tremor-dominant PD than in tremor in dystonia, essential tremor, and controls. Because of the considerable overlap, nigral R2* cannot be suggested as a useful diagnostic tool. © 2018 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.
© 2018 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.
- Find related publications in this database (using NLM MeSH Indexing)
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Aged -
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Aged, 80 and over -
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Biomarkers - analysis
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Female -
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Humans -
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Iron - metabolism
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Magnetic Resonance Imaging - methods
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Male -
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Middle Aged -
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Parkinson Disease - diagnosis
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Parkinson Disease - metabolism
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Substantia Nigra - metabolism
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Substantia Nigra - physiopathology
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Tremor - metabolism
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Tremor - physiopathology
- Find related publications in this database (Keywords)
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brain iron accumulation
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essential tremor
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tremor-dominant Parkinson's disease
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tremor in dystonia
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R2 Star