MRI and neuropsychological improvement in Huntington disease following ethyl-EPA treatment

被引:78
作者
Puri, BK
Bydder, GM
Counsell, SJ
Corridan, BJ
Richardson, AJ
Hajnal, JV
Appel, C
McKee, HM
Vaddadi, KS
Horrobin, DF
机构
[1] Univ London Imperial Coll Sci Technol & Med, Hammersmith Hosp, Fac Med, MRC,Clin Sci Ctr,Magnet Resonance Unit, London W12 0HS, England
[2] Univ London Imperial Coll Sci Technol & Med, Sch Med, London, England
[3] Ealing Hammersmith & Fulham Mental Hlth NHS Trust, London, England
[4] Laxdale Res, Stirling, Scotland
[5] Monash Med Ctr, Dept Psychiat, Clayton, Vic 3168, Australia
关键词
EPA; ethyl eicosapentaenoate; Huntington disease; motor system; MRI; subvoxel registration;
D O I
10.1097/00001756-200201210-00029
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
A 6-month randomized, placebo-controlled pilot study of the ethyl-ester of eicosapentaenoic acid (ethyl-EPA) was carried out in seven in-patients with advanced (stage III) Huntington's disease (three on ethyl-EPA, four on placebo; no significant difference in age or sex between the groups). After 6 months all the patients treated with ethyl-EPA improved on the orofacial component of the Unified Huntington's Disease Rating Scale while all the patients on placebo deteriorated on this scale (p < 0.03). Following subvoxel registration of follow-up 3D MRI brain scans with baseline scans, subtraction images showed that while the placebo was associated with progressive cerebral atrophy, the ethyl-EPA was associated with a reverse process. We conclude that treatment with ethyl-EPA is associated with beneficial motor and MRI changes. NeuroReport 13;123-126 (C) 2002 Lippincott Williams & Wilkins.
引用
收藏
页码:123 / 126
页数:4
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