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Limbic grey matter changes in early Parkinson's disease.
Xingfeng Li1,2, Yue Xing1,2, Stefan T Schwarz1,2
1Radiological Sciences, Division of Clinical Neuroscience, University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2UH, United Kingdom.
Human Brain Mapping
|May 3, 2017
Summary
Early Parkinson's disease (PD) shows reduced grey matter in the right amygdala, linked to non-motor symptoms. This study reveals early limbic system changes and altered brain networks in PD patients.
Area of Science:
- Neuroimaging
- Neurology
- Neuroscience
Background:
- Parkinson's disease (PD) is a neurodegenerative disorder.
- Non-motor symptoms are prevalent in early PD.
- Limbic system involvement in PD is not fully understood.
Purpose of the Study:
- Investigate local and network-related changes in limbic grey matter in early PD.
- Examine the relationship between grey matter changes and non-motor symptom severity.
- Identify early pathological markers in the limbic system.
Main Methods:
- Voxel-based morphometry applied to 538 T1 MRI scans from the Parkinson's Progression Markers Initiative.
- Comparison of grey matter density between early PD patients (n=366) and healthy controls (n=172).
- Structural brain network analysis using covariance seeded in abnormal regions.
Main Results:
- Reduced grey matter density in the right amygdala in early PD patients.
- Right amygdala grey matter correlated negatively with autonomic dysfunction and positively with cognitive performance.
- Altered structural connectivity of the right amygdala with cerebellum, thalamus, and temporal cortices.
- Increased age-related grey matter change in the limbic system of PD patients.
Conclusions:
- Early PD is characterized by limbic grey matter deficits, particularly in the right amygdala.
- These deficits are associated with specific non-motor symptoms and altered brain connectivity.
- Findings suggest early limbic pathology and extranigral spread in Parkinson's disease.
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