Imaging of nonmotor symptoms in Parkinson syndromes.

W Paulus, C Trenkwalder
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Abstract

Neuroimaging modalities in Parkinson's Disease (PD) are primarily used for the differential diagnosis of Parkinson syndromes and to understand pathophysiological mechanisms in PD. Neuroimaging of nonmotor dysfunctions in PD mostly consist of functional studies in neuropsychologically impaired PD patients using PET or SPECT techniques. Various studies controversially discuss the probable frontal versus temporal hypometabolism in demented PD patients. Functional studies of PD patients with depression are limited to case reports showing an involvement of left frontal regions. To investigate the pathophysiology of hallucinations with functional imaging may be a promising field of future research.

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帕金森综合征非运动症状的影像学研究
帕金森病(PD)的神经影像学模式主要用于帕金森综合征的鉴别诊断和了解PD的病理生理机制。PD非运动功能障碍的神经影像学研究主要包括使用PET或SPECT技术对神经心理受损PD患者进行功能研究。各种研究对痴呆PD患者可能的额叶和颞叶代谢低下进行了有争议的讨论。PD患者合并抑郁症的功能研究仅限于显示左额叶区域受累的病例报告。利用功能成像技术研究幻觉的病理生理可能是未来研究的一个有前景的领域。
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