Prange Stéphane, Hermier Marc, Danaila Teodor, Laurencin Chloé, Thobois Stéphane
Hospices civils de Lyon, hôpital neurologique Pierre-Wertheimer, service de neurologie C, centre expert parkinson, Lyon, France.
Hospices civils de Lyon, hôpital neurologique Pierre-Wertheimer, service de neuroradiologie, Lyon, France.
Presse Med. 2017 Mar;46(2 Pt 1):202-209. doi: 10.1016/j.lpm.2016.09.025. Epub 2016 Dec 28.
Role of brain imaging for Parkinsonism T brain MRI is normal in Pakinson's disease. Brain MRI is useless when clinical presentation is typical of idiopathic Parkinson's disease. Brain MRI is the exam of choice for differentiating idiopathic Parkinson's disease and atypical parkinsonism. DATscan* confirms or rules out dopaminergic degeneration but does not separate idiopathic Parkinson's disease from Parkinson "plus" syndromes. FDG PET is helpful to separate idiopathic Parkinson's disease from Parkinson "plus" syndromes.
帕金森病患者的脑部MRI通常正常。当临床表现典型为特发性帕金森病时,脑部MRI并无用处。脑部MRI是鉴别特发性帕金森病和非典型帕金森综合征的首选检查。多巴胺转运体(DAT)扫描*可证实或排除多巴胺能神经元变性,但无法区分特发性帕金森病与帕金森“叠加”综合征。氟代脱氧葡萄糖正电子发射断层扫描(FDG PET)有助于区分特发性帕金森病与帕金森“叠加”综合征。