Cerebral Vasoreactivity in Parkinson's Disease: A Cross-Sectional Pilot Study in a Hispanic Cohort

A. Ojeda, H. R. Martinez, F. G. Rivera, J. Garza, Hector Canfield Medina, S. Davila
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引用次数: 5

Abstract

Background: Abnormalities in cerebral vasomotor reactivity (CVR) in patients with idiopathic Parkinson’s disease (IPD) have not been well determined; nonetheless, a vascular mechanism may be involved in some patients with this neurodegenerative disorder. The objective of this study was to compare CVR in IPD patients and subjects without Parkinson’s disease. Methods: A cross-sectional pilot study was conducted including Hispanic IPD patients and a control group. CVR in the middle cerebral arteries (MCA) was measured by transcranial Doppler ultrasonography (TCD) at rest and after inhalation of 7% CO2. A comparison of CVR in the MCA of both groups was performed. Results: 27 IPD Hispanic patients with a recent brain MRI were evaluated. The CVR showed a significant difference between the two groups (p=0.044). The CVR in 70% of the IPD patients was low in comparison to control subjects. Conclusion: IPD patients are prone to exhibit diminished CVR in comparison with control group. Further studies may demonstrate this tendency and its implication in disease severity.
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帕金森氏病的脑血管反应性:西班牙裔队列的横断面试点研究
背景:特发性帕金森病(IPD)患者的脑血管运动反应性(CVR)异常尚未得到很好的确定;尽管如此,这种神经退行性疾病的一些患者可能与血管机制有关。本研究的目的是比较IPD患者和非帕金森病患者的CVR。方法:对西班牙裔IPD患者和对照组进行横断面初步研究。静息和吸入7% CO2后,采用经颅多普勒超声(TCD)测量大脑中动脉(MCA) CVR。比较两组MCA的CVR。结果:27例近期脑部MRI的西班牙裔IPD患者进行了评估。两组间CVR差异有统计学意义(p=0.044)。70% IPD患者的CVR低于对照组。结论:IPD患者CVR较对照组明显降低。进一步的研究可能会证明这种趋势及其对疾病严重程度的影响。
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