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Prevalence of impaired odor identification in Parkinson disease with imaging evidence of nigrostriatal denervation

  • Neurology and Preclinical Neurological Studies - Short communication
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Abstract

There is wide variability in the reported prevalence rates of abnormal smell in Parkinson disease (PD). This study assessed the prevalence of abnormal smell, using the University of Pennsylvania Smell Identification Test (UPSIT), in 183 patients with PD with confirmed PET imaging evidence of nigrostriatal denervation. Impaired olfaction in this sample was nearly universal (97.8 %). Wide-ranging prior olfactory impairment estimates may reflect not only uncertainty regarding diagnostic classification, but also the use of inaccurate normative data and differences in olfactory tests used.

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Abbreviations

PET:

Positron emission tomography

PD:

Parkinson disease

UPSIT:

University of Pennsylvania Smell Identification Test

VMAT2:

Vesicular monoamine transporter type 2

References

  • Adler CH, Connor DJ, Hentz JG, Sabbagh MN, Caviness JN, Shill HA, Noble B, Beach TG (2010) Incidental Lewy body disease: clinical comparison to a control cohort. Mov Disord 25(5):642–646. doi:10.1002/mds.22971

    Article  PubMed  PubMed Central  Google Scholar 

  • Berendse HW, Roos DS, Raijmakers P, Doty RL (2011) Motor and non-motor correlates of olfactory dysfunction in Parkinson’s disease. J Neurol Sci 310(1–2):21–24. doi:10.1016/j.jns.2011.06.020

    Article  PubMed  Google Scholar 

  • Bohnen NI, Studenski SA, Constantine GM, Moore RY (2008) Diagnostic performance of clinical motor and non-motor tests of Parkinson disease: a matched case-control study. Eur J Neurol 15(7):685–691. doi:10.1111/j.1468-1331.2008.02148.x

    Article  CAS  PubMed  Google Scholar 

  • Bohnen NI, Muller MLTM, Kotagal V, Koeppe RA, Kilbourn MA, Albin RL, Frey KA (2010) Olfactory dysfunction, central cholinergic integrity and cognitive impairment in Parkinson disease. Brain 133:1747–1754

    Article  PubMed  PubMed Central  Google Scholar 

  • Doty RL, Shaman P, Dann M (1984) Development of the University of Pennsylvania Smell Identification Test: a standardized microencapsulated test of olfactory function. Physiol Behav 32(3):489–502. doi:10.1016/0031-9384(84)90269-5

    Article  CAS  PubMed  Google Scholar 

  • Haehner A, Boesveldt S, Berendse HW, Mackay-Sim A, Fleischmann J, Silburn PA, Johnston AN, Mellick GD, Herting B, Reichmann H, Hummel T (2009) Prevalence of smell loss in Parkinson’s disease—a multicenter study. Parkinsonism Relat Disord 15(7):490–494. doi:10.1016/j.parkreldis.2008.12.005

    Article  CAS  PubMed  Google Scholar 

  • Hughes AJ, Daniel SE, Kilford L, Lees AJ (1992) Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: a clinico-pathological study of 100 cases. J Neurol Neurosurg Psychiatry 55(3):181–184

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hummel T, Landis BN, Huttenbrink KB (2011) Smell and taste disorders. GMS current topics in otorhinolaryngology, head and neck surgery 10:Doc04. doi:10.3205/cto000077

    PubMed  PubMed Central  Google Scholar 

  • Jansen WJ, Ossenkoppele R, Knol DL, Tijms BM, Scheltens P, Verhey FR, Visser PJ, Amyloid Biomarker Study G, Aalten P, Aarsland D, Alcolea D, Alexander M, Almdahl IS, Arnold SE, Baldeiras I, Barthel H, van Berckel BN, Bibeau K, Blennow K, Brooks DJ, van Buchem MA, Camus V, Cavedo E, Chen K, Chetelat G, Cohen AD, Drzezga A, Engelborghs S, Fagan AM, Fladby T, Fleisher AS, van der Flier WM, Ford L, Forster S, Fortea J, Foskett N, Frederiksen KS, Freund-Levi Y, Frisoni GB, Froelich L, Gabryelewicz T, Gill KD, Gkatzima O, Gomez-Tortosa E, Gordon MF, Grimmer T, Hampel H, Hausner L, Hellwig S, Herukka SK, Hildebrandt H, Ishihara L, Ivanoiu A, Jagust WJ, Johannsen P, Kandimalla R, Kapaki E, Klimkowicz-Mrowiec A, Klunk WE, Kohler S, Koglin N, Kornhuber J, Kramberger MG, Van Laere K, Landau SM, Lee DY, de Leon M, Lisetti V, Lleo A, Madsen K, Maier W, Marcusson J, Mattsson N, de Mendonca A, Meulenbroek O, Meyer PT, Mintun MA, Mok V, Molinuevo JL, Mollergard HM, Morris JC, Mroczko B, Van der Mussele S, Na DL, Newberg A, Nordberg A, Nordlund A, Novak GP, Paraskevas GP, Parnetti L, Perera G, Peters O, Popp J, Prabhakar S, Rabinovici GD, Ramakers IH, Rami L, Resende de Oliveira C, Rinne JO, Rodrigue KM, Rodriguez-Rodriguez E, Roe CM, Rot U, Rowe CC, Ruther E, Sabri O, Sanchez-Juan P, Santana I, Sarazin M, Schroder J, Schutte C, Seo SW, Soetewey F, Soininen H, Spiru L, Struyfs H, Teunissen CE, Tsolaki M, Vandenberghe R, Verbeek MM, Villemagne VL, Vos SJ, van Waalwijk van Doorn LJ, Waldemar G, Wallin A, Wallin AK, Wiltfang J, Wolk DA, Zboch M, Zetterberg H (2015) Prevalence of cerebral amyloid pathology in persons without dementia: a meta-analysis. JAMA 313(19):1924–1938. doi:10.1001/jama.2015.4668

  • Lee DH, Oh JS, Ham JH, Lee JJ, Lee I, Lee PH, Kim JS, Sohn YH (2015) Is normosmic Parkinson disease a unique clinical phenotype? Neurology 85(15):1270–1275. doi:10.1212/WNL.0000000000001999

    Article  CAS  PubMed  Google Scholar 

  • Muller A, Reichmann H, Livermore A, Hummel T (2002) Olfactory function in idiopathic Parkinson’s disease (IPD): results from cross-sectional studies in IPD patients and long-term follow-up of de-novo IPD patients. J Neural Transm 109(5–6):805–811. doi:10.1007/s007020200067

    CAS  PubMed  Google Scholar 

  • Shah N, Frey KA, Müller MLTM, Petrou M, Kotagal V, Koeppe RA, Scott PJ, Albin RL, Bohnen NI (2016) Striatal and cortical beta-amyloidopathy and cognition in Parkinson’s disease. Mov Disord 31(1):111–117. doi:10.1002/mds.26369

    Article  CAS  PubMed  Google Scholar 

  • Wenning GK, Shephard B, Hawkes C, Petruckevitch A, Lees A, Quinn N (1995) Olfactory function in atypical parkinsonian syndromes. Acta Neurol Scand 91(4):247–250

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The authors thank all patients for their time commitment and research assistants, PET technologists, cyclotron operators, chemists, and Mrs. Haugen for their assistance with the study. This work was supported by the Michael J. Fox Foundation, Department of Veterans Affairs (Grant Number I01 RX000317) and the NIH (Grant Numbers P01 NS015655, RO1 NS070856 and P50 NS091856).

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Correspondence to Nicolaas I. Bohnen.

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Haugen, J., Müller, M.L.T.M., Kotagal, V. et al. Prevalence of impaired odor identification in Parkinson disease with imaging evidence of nigrostriatal denervation. J Neural Transm 123, 421–424 (2016). https://doi.org/10.1007/s00702-016-1524-7

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  • DOI: https://doi.org/10.1007/s00702-016-1524-7

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