Patterns of grey matter loss associated with motor subscores in early Parkinson's disease.
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Published version
Author(s)
Li, Xingfeng
Xing, Yue
Martin-Bastida, Antonio
Piccini, Paola
Auer, Dorothee P
Type
Journal Article
Abstract
Classical motor symptoms of Parkinson's disease (PD) such as tremor, rigidity, bradykinesia, and axial symptoms are graded in the Movement Disorders Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) III. It is yet to be ascertained whether parkinsonian motor symptoms are associated with different anatomical patterns of neurodegeneration as reflected by brain grey matter (GM) alteration. This study aimed to investigate associations between motor subscores and brain GM at voxel level. High resolution structural MRI T1 scans from the Parkinson's Progression Markers Initiative (PPMI) repository were employed to estimate brain GM intensity of PD subjects. Correlations between GM intensity and total MDS-UPDRS III and its four subscores were computed. The total MDS-UPDRS III score was significantly negatively correlated bilaterally with putamen and caudate GM density. Lower anterior striatal GM intensity was significantly associated with higher rigidity subscores, whereas left-sided anterior striatal and precentral cortical GM reduction were correlated with severity of axial symptoms. No significant morphometric associations were demonstrated for tremor subscores. In conclusion, we provide evidence for neuroanatomical patterns underpinning motor symptoms in early PD.
Date Issued
2017-11-10
Date Acceptance
2017-11-08
Citation
NeuroImage: Clinical, 2017, 17, pp.498-504
ISSN
2213-1582
Publisher
Elsevier
Start Page
498
End Page
504
Journal / Book Title
NeuroImage: Clinical
Volume
17
Copyright Statement
© 2017 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/)
License URL
Identifier
PII: S2213-1582(17)30289-9
Subjects
MDS-UPDRS III
MRI grey matter
Motor symptoms
PD subtypes
Parkinson's disease
Publication Status
Published