Transcranial brain parenchyma sonography in movement disorders: State of the art

被引：204
作者：
Walter, Uwe
Behnke, Stefanie
Eyding, Jens
Niehaus, Ludwig
Postert, Thomas
Seidel, Guenter
Berg, Daniela
机构：
[1] Univ Rostock, Dept Neurol, D-18147 Rostock, Germany
[2] Univ Saarland, Dept Neurol, D-6650 Homburg, Germany
[3] Ruhr Univ Bochum, St Josef Hosp, Dept Neurol, D-4630 Bochum, Germany
[4] Otto Von Guericke Univ, Dept Neurol 2, Magdeburg, Germany
[5] St Vincenz Hosp Paderborn, Dept Neurol, Paderborn, Germany
[6] Med Univ Lubeck, Hosp Schleswig Holstein, Dept Neurol, Lubeck, Germany
[7] Univ Tubingen, Inst Med Genet, Tubingen, Germany
[8] Univ Tubingen, Hertie Inst Brain Res, Tubingen, Germany
来源：
ULTRASOUND IN MEDICINE AND BIOLOGY | 2007年 / 33卷 / 01期
关键词：
transcranial sonography; brain parenchyma sonography; neurodegenerative disease; movement disorder; substantia nigra; lenticular nucleus; caudate nucleus; cerebellum; ventricle width; consensus;
D O I：
10.1016/j.ultrasmedbio.2006.07.021
中图分类号：
O42 [声学];
学科分类号：
070206 ; 082403 ;
摘要：
The present paper summarizes recommendations on transcranial sonography (TCS) application in neurodegenerative diseases, resulting from a consensus meeting of the European Society of Neurosonology and Cerebral Hemodynamics. TCS of distinct infra- and supratentorial brain structures detects characteristic changes in several movement disorders, such as abnormal hyperechogenicity of substantia nigra (SN) in Parkinson's disease and of lenticular nucleus in dystonia, Wilson's disease and atypical Parkinsonian disorders. In healthy adults, the TCS finding of marked SN hyperechogenicity indicates a subclinical functional impairment of the nigrostriatal dopaminergic system. The finding of marked SN hyperechogenicity in combination with normal lenticular-nucleus echogenicity discriminates idiopathic Parkinson's disease from multiple-system atrophy and progressive supranuclear palsy with a positive predictive value of more than 90%. As TCS is a quick and noninvasive method, using the same duplex-ultrasound machines as for investigation of intracranial vessels, applicable even in agitated patients, this method has a great potential to be more widely used. (E-mail: uwe.walter@med.uni-rostock.de) (c) 2006 World Federation for Ultrasound in Medicine & Biology.
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收藏
页码：15 / 25
页数：11
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