Diffusion Tensor Imaging in Idiopathic REM Sleep Behavior Disorder Reveals Microstructural Changes in the Brainstem, Substantia Nigra, Olfactory Region, and Other Brain Regions
Author(s) -
Marcus M. Unger,
Marcus Belke,
Katja Menzler,
Johannes T. Heverhagen,
Boris Keil,
Karin StiasnyKolster,
Felix Rosenow,
Nico J. Diederich,
Geert Mayer,
Jens Carsten Möller,
Wolfgang H. Oertel,
Susanne Knake
Publication year - 2010
Publication title -
sleep
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.222
H-Index - 207
eISSN - 1550-9109
pISSN - 0161-8105
DOI - 10.1093/sleep/33.6.767
Subject(s) - substantia nigra , brainstem , diffusion mri , neuroscience , rem sleep behavior disorder , sleep (system call) , rapid eye movement sleep , psychology , medicine , polysomnography , electroencephalography , magnetic resonance imaging , dopamine , dopaminergic , radiology , computer science , operating system
Idiopathic rapid eye movement sleep behavior disorder (iRBD)--a parasomnia characterized by dream enactments--is a risk marker for the development of Parkinson disease (PD) and other alpha-synucleinopathies. The pathophysiology of iRBD is likely due to dysfunction of brainstem nuclei that regulate REM sleep. Diffusion tensor imaging (DTI) is a method for studying microstructural brain tissue integrity in vivo. We investigated whether DTI detects microstructural abnormalities in the brain of patients with iRBD--compared with age-matched control subjects--as an in vivo potential indicator for changes related to "preclinical (premotor)" neuropathology in PD.
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