MRI evaluation of asymmetry of nigrostriatal damage in the early stage of early-onset Parkinson's disease

• Published in: Parkinsonism & related disorders Vol. 21; no. 6; pp. 590 - 596
• Main Authors: Wang, Jianli, Yang, Qing X, Sun, Xiaoyu, Vesek, Jeffrey, Mosher, Zachary, Vasavada, Megha, Chu, Jonathan, Kanekar, Sangam, Shivkumar, Vikram, Venkiteswaran, Kala, Subramanian, Thyagarajan
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.06.2015
• Subjects: Adult; Asymmetry; Diffusion tensor imaging; Diffusion Tensor Imaging - methods; Early Diagnosis; Female; Functional Laterality; Humans; Male; Middle Aged; Motor Activity; Neurology; Parkinson Disease - diagnosis; Parkinson Disease - pathology; Parkinson Disease - physiopathology; Parkinson's disease; Putamen; Putamen - pathology; Substantia nigra; Substantia Nigra - pathology; Transverse relaxation rate; Transverse relaxation rate; Parkinson's disease; Asymmetry; Putamen; Substantia nigra; Diffusion tensor imaging
• ISSN: 1353-8020; 1873-5126
• DOI: 10.1016/j.parkreldis.2015.03.012

Abstract Introduction The motor symptoms and signs of early-onset idiopathic Parkinson's disease (PD) in Hoehn and Yahr (H&Y) stage-1 are generally unilateral. We hypothesized that there would be detectable differences in the quantitative MRI parameters in these PD patients between the hemispheres contralateral to the clinically symptomatic and non-symptomatic body side. Methods We tested this hypothesis by comparing transverse relaxation rates and diffusion tensor imaging (DTI) parameters in the substantia nigra and putamen between the two hemispheres contralateral to the symptomatic and non-symptomatic side in H&Y stage-1 PD patients who had onset of symptoms between ages of 40–59 years. Results There were quantifiable hemispheric asymmetries in transverse relaxation rates in the substantia nigra, as well as fractional anisotropy and mean diffusivity in the putamen in early PD, which correlated with the unilaterality of motor symptoms as evaluated using the motor portion of the Unified Parkinson's Disease Rating Scale. Conclusion Transverse relaxation mapping and DTI demonstrated significant differences between the symptomatic and non-symptomatic hemispheres at the early stage of early-onset PD. These findings support the hypothesis of asymmetric neurodegeneration in the bilateral nigrostriatal pathways in the early stage of the disease.