Kataoka Hiroshi, Tonomura Yasuyo, Taoka Toshiaki, Ueno Satoshi
Department of Neurology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.
Parkinsonism Relat Disord. 2008;14(1):63-5. doi: 10.1016/j.parkreldis.2007.03.001. Epub 2007 May 4.
Pathological changes of the superior cerebellar peduncle (SCP) can occur in PSP. We assessed the clinical history and signal changes in the SCP on fluid-attenuated inversion recovery (FLAIR) images of 12 patients with clinically probable PSP. Three control groups were studied: Parkinson's disease (PD), multiple system atrophy with predominant parkinsonian features (MSA-P), and healthy controls. Three patients who had clinically probable PSP showed increased FLAIR signals within the SCP. No subject with PD or MSA-P showed any signal changes of the SCP. The signal changes in the SCP on FLAIR may be one indicator for differentiating PSP from other parkinsonian diseases.
上小脑脚(SCP)的病理改变可发生于进行性核上性麻痹(PSP)。我们评估了12例临床疑似PSP患者的临床病史以及SCP在液体衰减反转恢复(FLAIR)图像上的信号变化。研究了三个对照组:帕金森病(PD)、以帕金森综合征为主要特征的多系统萎缩(MSA-P)和健康对照。3例临床疑似PSP患者的SCP内FLAIR信号增强。PD或MSA-P患者均未出现SCP的任何信号变化。SCP在FLAIR图像上的信号变化可能是鉴别PSP与其他帕金森病的一个指标。