Skip to main content
Erschienen in: Journal of Neural Transmission 7/2008

01.07.2008 | Parkinson's Disease and Allied Conditions - Original Article

Substantia nigra hyperechogenicity assessed by transcranial sonography is related to neuropsychological impairment in the elderly population

verfasst von: Inga Liepelt, Angela Wendt, Katherine J. Schweitzer, Bjoern Wolf, Jana Godau, Alexandra Gaenslen, Theresa Bruessel, Daniela Berg

Erschienen in: Journal of Neural Transmission | Ausgabe 7/2008

Einloggen, um Zugang zu erhalten

Abstract

Transcranial sonography (TCS) is a valuable tool in the diagnosis of Parkinson’s disease (PD). However, substantia nigra hyperechogenicity (SN+) in TCS has been shown to be also evident in about 8–10% of healthy persons. Neuroimaging studies and slight motor deficits in subjects with SN+ indicate functional impairment of the nigrostriatal system associated with the ultrasound sign. We questioned, whether SN+ may also be associated with neuropsychological deficits and whether there is a relation to other PD premotor markers. Thirty-six subjects with SN+ and 34 control persons (SN−) older than 50 years were investigated. The delayed verbal memory recall (LogII) of subjects with SN+ was significantly reduced compared to the performance of the control group (P = 0.02). Binary logistic regression analysis revealed that, besides UPDRS-III (P < 0.001) and positive family history for PD (P < 0.01), LogII (P < 0.05) seems to be independently associated with SN+.
Literatur
Zurück zum Zitat Baeumler G (1985) Farb-Wort-Interferenztest nach J.R. Stroop (FWIT). Hogrefe, Goettingen Baeumler G (1985) Farb-Wort-Interferenztest nach J.R. Stroop (FWIT). Hogrefe, Goettingen
Zurück zum Zitat Behnke S, Double KL, Duma S, Broe GA, Guenther V, Becker G et al (2007) Substantia nigra echomorphology in the healthy very old: correlation with motor slowing. Neuroimage 34:1054–1059PubMedCrossRef Behnke S, Double KL, Duma S, Broe GA, Guenther V, Becker G et al (2007) Substantia nigra echomorphology in the healthy very old: correlation with motor slowing. Neuroimage 34:1054–1059PubMedCrossRef
Zurück zum Zitat Berendse HW, Booij J, Francot CM, Bergmans PL, Hijman R, Stoof JC et al (2001) Subclinical dopaminergic dysfunction in asymptomatic Parkinson's disease patients' relatives with a decreased sense of smell. Ann Neurol 50:34–41PubMedCrossRef Berendse HW, Booij J, Francot CM, Bergmans PL, Hijman R, Stoof JC et al (2001) Subclinical dopaminergic dysfunction in asymptomatic Parkinson's disease patients' relatives with a decreased sense of smell. Ann Neurol 50:34–41PubMedCrossRef
Zurück zum Zitat Berg D (2006) Marker for a preclinical diagnosis of Parkinson’s disease as a basis for neuroprotection. J Neural Transm 71(Suppl):1–10 Berg D (2006) Marker for a preclinical diagnosis of Parkinson’s disease as a basis for neuroprotection. J Neural Transm 71(Suppl):1–10
Zurück zum Zitat Berg D (2008) Biomarkers for the early detection of Parkinson’s and Alzheimer’s disease. Neurodegen Dis 5:133–136CrossRef Berg D (2008) Biomarkers for the early detection of Parkinson’s and Alzheimer’s disease. Neurodegen Dis 5:133–136CrossRef
Zurück zum Zitat Berg D, Becker G, Zeiler B, Tucha O, Hofmann E, Preier M et al (1999) Vulnerability of the nigrostriatal system as detected by transcranial ultrasound. Neurology 53:1026–1031PubMed Berg D, Becker G, Zeiler B, Tucha O, Hofmann E, Preier M et al (1999) Vulnerability of the nigrostriatal system as detected by transcranial ultrasound. Neurology 53:1026–1031PubMed
Zurück zum Zitat Berg D, Jabs B, Merschdorf U, Beckmann H, Becker G (2001a) Echogenicity of substantia nigra determined by transcranial ultrasound correlates with severity of parkinsonian symptoms induced by neuroleptic therapy. Biol Psychiatry 50:463–467PubMedCrossRef Berg D, Jabs B, Merschdorf U, Beckmann H, Becker G (2001a) Echogenicity of substantia nigra determined by transcranial ultrasound correlates with severity of parkinsonian symptoms induced by neuroleptic therapy. Biol Psychiatry 50:463–467PubMedCrossRef
Zurück zum Zitat Berg D, Siefker C, Ruprecht-Dorfler P, Becker G (2001b) Relationship of substantia nigra echogenicity and motor function in elderly subjects. Neurology 56:13–17PubMedCrossRef Berg D, Siefker C, Ruprecht-Dorfler P, Becker G (2001b) Relationship of substantia nigra echogenicity and motor function in elderly subjects. Neurology 56:13–17PubMedCrossRef
Zurück zum Zitat Berg D, Roggendorf W, Schroder U, Klein R, Tatschner T, Benz P et al (2002) Echogenicity of the substantia nigra: association with increased iron content and marker for susceptibility to nigrostriatal injury. Arch Neurol 59:999–1005PubMedCrossRef Berg D, Roggendorf W, Schroder U, Klein R, Tatschner T, Benz P et al (2002) Echogenicity of the substantia nigra: association with increased iron content and marker for susceptibility to nigrostriatal injury. Arch Neurol 59:999–1005PubMedCrossRef
Zurück zum Zitat Daum RF, Sekinger B, Kobal G, Lang CJ (2000) Olfactory testing with “sniffin’ sticks” for clinical diagnosis of Parkinson disease. Nervenarzt 71:643–650PubMedCrossRef Daum RF, Sekinger B, Kobal G, Lang CJ (2000) Olfactory testing with “sniffin’ sticks” for clinical diagnosis of Parkinson disease. Nervenarzt 71:643–650PubMedCrossRef
Zurück zum Zitat Dujardin K, Duhamel A, Becquet E, Grunberg C, Defebvre L, Destee A (1999) Neuropsychological abnormalities in first degree relatives of patients with familial Parkinson’s disease. J Neurol Neurosurg Psychiatry 67:323–328PubMedCrossRef Dujardin K, Duhamel A, Becquet E, Grunberg C, Defebvre L, Destee A (1999) Neuropsychological abnormalities in first degree relatives of patients with familial Parkinson’s disease. J Neurol Neurosurg Psychiatry 67:323–328PubMedCrossRef
Zurück zum Zitat Fearnley JM, Lees AJ (1990) Striatonigral degeneration. A clinicopathological study. Brain 113:1823–1842PubMedCrossRef Fearnley JM, Lees AJ (1990) Striatonigral degeneration. A clinicopathological study. Brain 113:1823–1842PubMedCrossRef
Zurück zum Zitat Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198PubMedCrossRef Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198PubMedCrossRef
Zurück zum Zitat Haehner A, Hummel T, Hummel C, Sommer U, Junghanns S, Reichmann H (2007) Olfactory loss may be a first sign of idiopathic Parkinson's disease. Mov Disord 22:839–842PubMedCrossRef Haehner A, Hummel T, Hummel C, Sommer U, Junghanns S, Reichmann H (2007) Olfactory loss may be a first sign of idiopathic Parkinson's disease. Mov Disord 22:839–842PubMedCrossRef
Zurück zum Zitat Haerting C, Markowitsch HJ, Neufeld H, Calabrese P, Deisinger K, Kessler J (2000) Wechsler Gedächtnistest-Revidierte Fassung Deutsche Adaptation der revidierten Fassung der Wechlser Memory Scale. Huber, Bern Haerting C, Markowitsch HJ, Neufeld H, Calabrese P, Deisinger K, Kessler J (2000) Wechsler Gedächtnistest-Revidierte Fassung Deutsche Adaptation der revidierten Fassung der Wechlser Memory Scale. Huber, Bern
Zurück zum Zitat Hawkes C (2006) Olfaction in neurodegenerative disorder. Adv Otorhinolaryngol 63:133–151PubMed Hawkes C (2006) Olfaction in neurodegenerative disorder. Adv Otorhinolaryngol 63:133–151PubMed
Zurück zum Zitat Hautzinger M, Bailer M, Worall H, Keller F (1995) Becks-depressions-inventar (BDI), 2 edn. Huber, Bern Hautzinger M, Bailer M, Worall H, Keller F (1995) Becks-depressions-inventar (BDI), 2 edn. Huber, Bern
Zurück zum Zitat Holthoff VA, Vieregge P, Kessler J, Pietrzyk U, Herholz K, Bonner J et al (1994) Discordant twins with Parkinson’s disease: positron emission tomography and early signs of impaired cognitive circuits. Ann Neurol 36:176–182PubMedCrossRef Holthoff VA, Vieregge P, Kessler J, Pietrzyk U, Herholz K, Bonner J et al (1994) Discordant twins with Parkinson’s disease: positron emission tomography and early signs of impaired cognitive circuits. Ann Neurol 36:176–182PubMedCrossRef
Zurück zum Zitat Kessler J, Denzler P, Markowitsch HJ (1988) Demenz-Test. Beltz, Weinheim Kessler J, Denzler P, Markowitsch HJ (1988) Demenz-Test. Beltz, Weinheim
Zurück zum Zitat Kobal G, Klimek L, Wolfensberger M, Gudziol H, Temmel A, Owen CM et al (2000) Multicenter investigation of 1,036 subjects using a standardized method for the assessment of olfactory function combining tests of odor identification, odor discrimination, and olfactory thresholds. Eur Arch Otorhinolaryngol 257:205–211PubMedCrossRef Kobal G, Klimek L, Wolfensberger M, Gudziol H, Temmel A, Owen CM et al (2000) Multicenter investigation of 1,036 subjects using a standardized method for the assessment of olfactory function combining tests of odor identification, odor discrimination, and olfactory thresholds. Eur Arch Otorhinolaryngol 257:205–211PubMedCrossRef
Zurück zum Zitat Lange KW, Robbins TW, Marsden CD, James M, Owen AM, Paul GM (1992) L-dopa withdrawal in Parkinson’s disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction. Psychopharmacology (Berl) 107:394–404CrossRef Lange KW, Robbins TW, Marsden CD, James M, Owen AM, Paul GM (1992) L-dopa withdrawal in Parkinson’s disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction. Psychopharmacology (Berl) 107:394–404CrossRef
Zurück zum Zitat Leentjens AF, Van den AM, Metsemakers JF, Lousberg R, Verhey FR (2003) Higher incidence of depression preceding the onset of Parkinson's disease: a register study. Mov Disord 18:414–418PubMedCrossRef Leentjens AF, Van den AM, Metsemakers JF, Lousberg R, Verhey FR (2003) Higher incidence of depression preceding the onset of Parkinson's disease: a register study. Mov Disord 18:414–418PubMedCrossRef
Zurück zum Zitat Lewis SJ, Slabosz A, Robbins TW, Barker RA, Owen AM (2005) Dopaminergic basis for deficits in working memory but not attentional set-shifting in Parkinson’s disease. Neuropsychologia 43:823–832PubMedCrossRef Lewis SJ, Slabosz A, Robbins TW, Barker RA, Owen AM (2005) Dopaminergic basis for deficits in working memory but not attentional set-shifting in Parkinson’s disease. Neuropsychologia 43:823–832PubMedCrossRef
Zurück zum Zitat Memory Clinic-NPZ (2005) The consorium to establish a registry of Alzheimer’s Disease CERAD-Plus. Memory Clinic-NPZ, Basel Memory Clinic-NPZ (2005) The consorium to establish a registry of Alzheimer’s Disease CERAD-Plus. Memory Clinic-NPZ, Basel
Zurück zum Zitat Muller U, Wachter T, Barthel H, Reuter M, von Cramon DY (2000) Striatal [123I]beta-CIT SPECT and prefrontal cognitive functions in Parkinson’s disease. J Neural Transm 107:303–319PubMedCrossRef Muller U, Wachter T, Barthel H, Reuter M, von Cramon DY (2000) Striatal [123I]beta-CIT SPECT and prefrontal cognitive functions in Parkinson’s disease. J Neural Transm 107:303–319PubMedCrossRef
Zurück zum Zitat Muslimovic D, Post B, Speelman JD, Schmand B (2005) Cognitive profile of patients with newly diagnosed Parkinson disease. Neurology 65:1239–1245PubMedCrossRef Muslimovic D, Post B, Speelman JD, Schmand B (2005) Cognitive profile of patients with newly diagnosed Parkinson disease. Neurology 65:1239–1245PubMedCrossRef
Zurück zum Zitat Reeves SJ, Grasby PM, Howard RJ, Bantick RA, Asselin MC, Mehta MA (2005) A positron emission tomography (PET) investigation of the role of striatal dopamine (D2) receptor availability in spatial cognition. Neuroimage 28:216–226PubMedCrossRef Reeves SJ, Grasby PM, Howard RJ, Bantick RA, Asselin MC, Mehta MA (2005) A positron emission tomography (PET) investigation of the role of striatal dopamine (D2) receptor availability in spatial cognition. Neuroimage 28:216–226PubMedCrossRef
Zurück zum Zitat Ruprecht-Dorfler P, Klotz P, Becker G, Berg D (2006) Substantia nigra hyperechogenicity correlates with subtle motor dysfunction in tap dancers. Parkinsonism Relat Disord 13:362–364PubMedCrossRef Ruprecht-Dorfler P, Klotz P, Becker G, Berg D (2006) Substantia nigra hyperechogenicity correlates with subtle motor dysfunction in tap dancers. Parkinsonism Relat Disord 13:362–364PubMedCrossRef
Zurück zum Zitat Schweitzer KJ, Behnke S, Liepelt I, Wolf B, Grosser C, Godau J et al (2007) Cross-sectional study discloses a positive family history for Parkinson’s disease and male gender as epidemiological risk factors for substantia nigra hyperechogenicity. J Neural Transm 114(9):1167–1171PubMedCrossRef Schweitzer KJ, Behnke S, Liepelt I, Wolf B, Grosser C, Godau J et al (2007) Cross-sectional study discloses a positive family history for Parkinson’s disease and male gender as epidemiological risk factors for substantia nigra hyperechogenicity. J Neural Transm 114(9):1167–1171PubMedCrossRef
Zurück zum Zitat Sommer U, Hummel T, Cormann K, Mueller A, Frasnelli J, Kropp J et al (2004) Detection of presymptomatic Parkinson’s disease: combining smell tests, transcranial sonography, and SPECT. Mov Disord 19:1196–1202PubMedCrossRef Sommer U, Hummel T, Cormann K, Mueller A, Frasnelli J, Kropp J et al (2004) Detection of presymptomatic Parkinson’s disease: combining smell tests, transcranial sonography, and SPECT. Mov Disord 19:1196–1202PubMedCrossRef
Zurück zum Zitat Sturm W, Willmes K, Horn W (1993) Leistungspruefsystem fuer 50–90jaehrige (LPS 50+). Hogrefe, Goettingen Sturm W, Willmes K, Horn W (1993) Leistungspruefsystem fuer 50–90jaehrige (LPS 50+). Hogrefe, Goettingen
Zurück zum Zitat Taylor AE, Saint-Cyr JA, Lang AE (1986) Frontal lobe dysfunction in Parkinson’s disease. The cortical focus of neostriatal outflow. Brain 109:845–883PubMedCrossRef Taylor AE, Saint-Cyr JA, Lang AE (1986) Frontal lobe dysfunction in Parkinson’s disease. The cortical focus of neostriatal outflow. Brain 109:845–883PubMedCrossRef
Zurück zum Zitat Tewes U (1991) HAWIE-R: Hamburg-Wechsler-Intelligenztest fuer Erwachsene, revision 1991. Huber, Bern Tewes U (1991) HAWIE-R: Hamburg-Wechsler-Intelligenztest fuer Erwachsene, revision 1991. Huber, Bern
Zurück zum Zitat Tucha O, Lange KW (2004) The tower of London—German version. Hogrefe, Göttingen Tucha O, Lange KW (2004) The tower of London—German version. Hogrefe, Göttingen
Zurück zum Zitat Volkow ND, Gur RC, Wang GJ, Fowler JS, Moberg PJ, Ding YS et al (1998) Association between decline in brain dopamine activity with age and cognitive and motor impairment in healthy individuals. Am J Psychiatry 155:344–349PubMed Volkow ND, Gur RC, Wang GJ, Fowler JS, Moberg PJ, Ding YS et al (1998) Association between decline in brain dopamine activity with age and cognitive and motor impairment in healthy individuals. Am J Psychiatry 155:344–349PubMed
Zurück zum Zitat Zimmermann P, Fimm B (2002) Testbatterie zur Aufmerksamkeitsprüfung (Version 1.7). Psytests, Herzogenrath Zimmermann P, Fimm B (2002) Testbatterie zur Aufmerksamkeitsprüfung (Version 1.7). Psytests, Herzogenrath
Metadaten
Titel
Substantia nigra hyperechogenicity assessed by transcranial sonography is related to neuropsychological impairment in the elderly population
verfasst von
Inga Liepelt
Angela Wendt
Katherine J. Schweitzer
Bjoern Wolf
Jana Godau
Alexandra Gaenslen
Theresa Bruessel
Daniela Berg
Publikationsdatum
01.07.2008
Verlag
Springer Vienna
Erschienen in
Journal of Neural Transmission / Ausgabe 7/2008
Print ISSN: 0300-9564
Elektronische ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-008-0043-6

Weitere Artikel der Ausgabe 7/2008

Journal of Neural Transmission 7/2008 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.