De ziekte van Parkinson is een langzaam progressieve degeneratieve aandoening die gekenmerkt wordt door progressieve degeneratie van dopaminerge neuronen in de substantia nigra. De klassieke trias van klinische symptomen van de ziekte van Parkinson bestaat uit: bradykinesie, rigiditeit en rusttremor. In het begin van de ziekte kunnen deze symptomen nog subtiel zijn en kan het daarom lastig zijn om uitsluitend op basis daarvan de juiste diagnose te stellen.
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Literatuur
Antonini, A., Vontobel, P., Psylla, M., Gunther, I., Maguire, P.R., Missimer, J. & Leenders, K.L. (1995). Complementary positron emission tomographic studies of the striatal dopaminergic system in Parkinson’s disease. Archives of Neurology, 52, 1183–1190.
Asenbaum, S., Brucke, T., Pirker, W., Podreka, I., Angelberger, P., Wenger, S., Wober, C., Muller, C. & Deecke, L. (1997). Imaging of dopamine transporters with iodine-123-beta-CIT and spect in Parkinson’s disease. Journal of Nuclear Medicine, 38, 1–6.
Benamer, H.T., Patterson, J., Wyper, D.J., Hadley, D.M., Macphee, G.J. & Grosset, D.G. (2000a). Correlation of Parkinson’s disease severity and duration with 123I-fp-cit spect striatal uptake. Movement Disorders, 15, 692–698.
Benamer, T.S., Patterson, J., Grosset, D.G., Booij, J., Bruin, K. de, Royen, E. van, Speelman, J.D., Horstink, M.H., Sips, H.J., Dierckx, R.A., Versijpt, J., Decoo, D., Van Der, L.C., Hadley, D.M., Doder, M., Lees, A.J., Costa, D.C., Gacinovic, S., Oertel, W.H., Pogarell, O., Hoeffken, H., Joseph, K., Tatsch, K., Schwarz, J. & Ries, V. (2000b). Accurate differentiation of parkinsonism and essential tremor using visual assessment of [123I]-fp-cit spect imaging: the [123I]-fp-cit study group. Movement Disorders, 15, 503–510.
Booij, J., Bergmans P., Winogrodzka, A., Speelman, J.D. & Wolters, E.C. (2001). Imaging of dopamine transporters with [123I]fp-cit spect does not suggest a significant effect of age on the symptomatic threshold of disease in Parkinson’s disease. Synapse, 39, 101–108.
Booij, J., Tissingh, G., Boer, G.J., Speelman, J.D., Stoof, J.C., Janssen, A.G., Wolters, E.C. & Royen, E.A van. (1997). [123I]fp-cit spect shows a pronounced decline of striatal dopamine transporter labelling in early and advanced Parkinson’s disease. Journal of Neurology, Neurosurgery and Psychiatry, 62, 133–140.
Dhawan, V., Ma, Y.L., Pillai, V., Spetsieris, P., Chaly, T., Belakhlef, A., Margouleff, C. & Eidelberg, D. (2002). Comparative analysis of striatal FDOPA uptake in Parkinson’s disease: Ratio method versus graphical approach. Journal of Nuclear Medicine, 43, 1324–1330.
Eidelberg, D., Takikawa, S., Dhawan, V., Chaly, T., Robeson, W., Dahl, R., Margouleff, D., Moeller, J.R., Patlak, C.S. & Fahn, S. (1993). Striatal F-18 Dopa Uptake - Absence of An Aging Effect. Journal of Cerebral Blood Flow and Metabolism 13, 881–888.
Eshuis, S.A., Jager, P.L., Maguire, R.P., Jonkman, S., Dierckx, R.A. & Leenders, K.L. (2009). Direct comparison of fp-cit spect and f-dopa pet in patients with Parkinson’s disease and healthy controls. European. Journal of Nuclear Medicine and Molecular Imaging, 36, 454–462.
Eshuis, S.A., Maguire, R.P., Leenders, K.L., Jonkman, S. & Jager, P.L. (2006). Comparison of fp-cit spect with f-dopa pet in patients with de novo and advanced Parkinson’s disease. Euopean. Journal of Nuclear Medicine and Molecular Imaging, 33, 200–209.
Fearnley, J.M. & Lees, A.J. (1991). Ageing and Parkinson’s disease: substantia nigra regional selectivity. Brain, 114 (Pt 5), 2283–2301.
Garnett, E.S., Nahmias, C. & Firnau, G. (1984). Central dopaminergic pathways in hemiparkinsonism examined by positron emission tomography. Canadian Journal of Neurological Science, 11, 174–179.
Goodman, M.M., Keil, R., Shoup, T.M., Eshima, D., Eshima, L., Kilts, C., Votaw, J., Camp, V.M., Votaw, D., Smith, E., Kung, M.P., Malveaux, E., Watts, R., Huerkamp, M., Wu, D., Garcia, E. & Hoffman, J.M. (1997). Fluorine-18-FPct: a pet radiotracer for imaging dopamine transporters. Journal of Nuclear Medicine, 38, 119–126.
Haaxma, C.A., Borm, G.F., Bloem, B.R. & Horstink, M.W.I.M. (2006). Gender differences in Parkinson’s disease. Movement Disorders, 21, S84.
Haycock, J.W., Becker, L., Ang, L., Furukawa, Y., Hornykiewicz, O. & Kish, S.J. (2003). Marked disparity between age-related changes in dopamine and other presynaptic dopaminergic markers in human striatum. Journal of Neurochemistry, 87, 574–585.
Hilker, R., Thomas, A.V., Klein, J.C., Weisenbach, S., Kalbe E., Burghaus, L., Jacobs, A.H., Herholz, K. & Heiss, W.D. (2005). Dementia in Parkinson disease: functional imaging of cholinergic and dopaminergic pathways. Neurology, 65, 1716–1722.
Hughes, A.J., Daniel, S.E., Ben Shlomo, Y. & Lees, A.J. (2002). The accuracy of diagnosis of parkinsonian syndromes in a specialist movement disorder service. Brain, 125, 861–870.
Hughes, A.J., Daniel, S.E., Blankson, S. & Lees, A.J. (1993). A Clinicopathological Study of 100 Cases of Parkinson’s-Disease. Archives of Neurology, 50, 140–148.
Ishikawa, T., Dhawan, V., Kazumata, K., Chaly, T., Mandel, F., Neumeyer, J., Margouleff, C., Babchyck, B., Zanzi, I. & Eidelberg, D. (1996). Comparative nigrostriatal dopaminergic imaging with iodine-123-beta cit/fpspect and fluorine-18-fdopa/pet. Journal of Nuclear Medicine, 37, 1760–1765.
Ito, Y., Fujita, M., Shimada, S., Watanabe, Y., Okada, T., Kusuoka, H., Tohyama, M. & Nishimura, T. (1999). Comparison between the decrease of dopamine transporter and that of l-dopa uptake for detection of early to advanced stage of Parkinson’s disease in animal models. Synapse, 31, 178–185.
Kaasinen, V., Nurmi, E., Bruck, A., Bergman, J., Solin, O. & Rinne, J.O. (2001). Increased frontal [F-18]fluorodopa uptake in early Parkinson’s Disease: sex differences in the prefrontal cortex. Brain, 124, 1125–1130.
Kazumata, K., Dhawan, V., Chaly, T., Antonini, A., Margouleff, C., Belakhlef, A., Neumeyer, J. & Eidelberg, D. (1998). Dopamine transporter imaging with fluorine-18-FPCIT and pet. Journal of Nuclear Medicine, 39, 1521–1530.
Kish, S.J., Zhong, X.H., Hornykiewicz, O. & Haycock, J.W. (1995). Striatal 3,4-dihydroxyphenylalanine decarboxylase in aging: disparity between postmortem and positron emission tomography studies? Annals of Neurology, 38, 260–264.
Koerts, J., Leenders, K.L., Koning, M., Portman, A.T. & Beilen, M. van (2007). Striatal dopaminergic activity (fdopa-pet) associated with cognitive items of a depression scale (madrs) in Parkinson’s disease. European Journal of Neuroscience, 25, 3132–3136.
Kuhl, D.E., Minoshima, S., Fessler, J.A., Frey, K.A., Foster, N.L., Ficaro, E.P., Wieland, D.M. & Koeppe, R.A. (1996). In vivo mapping of cholinergic terminals in normal aging, Alzheimers disease, and Parkinson’s disease. Annals of Neurology, 40, 399–410.
Laakso, A., Vilkman, H., Bergman, J., Haaparanta, M., Solin, O., Syvalahti, E., Salokangas, R.K.R. & Hietala, J. (2002). Sex differences in striatal presynaptic dopamine synthesis capacity in healthy subjects. Biological Psychiatry, 52, 759–763.
Lavalaye, J., Booij, J., Reneman, L., Habraken, J.B. & van Royen, E.A. (2000). Effect of age and gender on dopamine transporter imaging with [123I]FP- CIT Spet in healthy volunteers. Europan Journal of Nuclear Medicine, 27, 867–869.
Lee, C.S., Samii, A., Sossi, V., Ruth, T.J., Schulzer, M., Holden, J.E., Wudel, J., Pal, P.K., Fuente-Fernandez, R., Calne, D.B. & Stoessl, A.J. (2000). In vivo positron emission tomographic evidence for compensatory changes in presynaptic dopaminergic nerve terminals in Parkinson’s disease. Annals of Neurology, 47, 493–503.
Leenders, K.L., Palmer, A.J., Quinn, N., Clark, J.C., Firnau, G., Garnett, E.S., Nahmias, C., Jones, T. & Marsden, C.D. (1986). Brain dopamine metabolism in patients with Parkinson’s disease measured with positron emission tomography. Journal of Neurology, Neurosurgery and Psychiatry, 49, 853–860.
Marek, K.L., Seibyl, J.P., Zoghbi, S.S., Zea-Ponce, Y., Baldwin, R.M., Fussell, B., Charney, D.S., Dyck, C. van, Hoffer, P.B. & Innis, R.P. (1996). [123I] beta-cit/spect imaging demonstrates bilateral loss of dopamine transporters in hemi-Parkinson’s disease. Neurology, 46, 231–237.
Martin, W.R.W., Palmer, M.R., Patlak, C.S. & Calne, D.B. (1989). Nigrostriatal Function in Humans Studied with Positron Emission Tomography. Annals of Neurology, 26, 535–542.
Morrish, P.K., Sawle, G.V. & Brooks, D.J. (1995). Clinical and [18F] dopa pet findings in early Parkinson’s disease. Journal of Neurology, Neurosurgery and Psychiatry, 59, 597–600.
Niznik, H.B., Fogel, E.F., Fassos, F.F. & Seeman, P. (1991). The dopamine transporter is absent in parkinsonian putamen and reduced in the caudate nucleus. Journal of Neurochemistry, 56, 192–198.
Ota, M., Yasuno, F., Ito, H., Seki, C., Nozaki, S., Asada, T. & Suhara, T. (2006). Age-related decline of dopamine synthesis in the living human brain measured by positron emission tomography with L-[beta-11C]dopa. Life Science, 79, 730–736.
Paulus, W. & Jellinger, K. (1991). The neuropathologic basis of different clinical subgroups of Parkinson’s disease. Journal of Neuropathology and Experimental Neurology, 50, 743–755.
Pirker, W. (2003). Correlation of dopamine transporter imaging with parkinsonian motor handicap: how close is it? Movement Disorders, 18, Supplement 7, S43–S51.
Ryding, E., Lindstrom, M., Bradvik, B., Grabowski, M., Bosson, P., Traskman-Bendz, L. & Rosen, I. (2004). A new model for separation between brain dopamine and serotonin transporters in I-123-beta-cit spect measurements: normal values and sex and age dependence. European Journal of Nuclear Medicine and Molecular Imaging, 31, 1114–1118.
Sawle, G.V., Colebatch, J.G., Shah, A., Brooks, D.J., Marsden, C.D. & Frackowiak, R.S.J. (1990). Striatal Function in Normal Aging - Implications for Parkinson’s-Disease. Annals of Neurology, 28, 799–804.
Seibyl, J.P., Marek, K., Sheff, K., Zoghbi, S., Baldwin, R.M., Charney, D.S. Dyck, C.H. van & Innis, R.B. (1998). Iodine-123-beta-cit and iodine-123-fpcit spect measurement of dopamine transporters in healthy subjects and Parkinson’s patients. Journal of Nuclear Medicine, 39, 1500–1508.
Seibyl, J.P., Marek, K.L., Quinlan, D., Sheff, K., Zoghbi, S., Zea-Ponce, Y., Baldwin, R.M., Fussell, B., Smith, E.O., Charney, D.S., et al. (1995). Decreased single-photon emission computed tomographic [123I]beta-cit striatal uptake correlates with symptom severity in Parkinson’s disease. Annals of Neurology, 38, 589–598.
Staley, J.K., Krishnan-Sarin, S., Zoghbi, S., Tamagnan, G., Fujita, M., Seibyl, J.P., Maciejewski, P.K., O’Malley, S. & Innis, R.B. (2001). Sex differences in [I-123]beta-cit spect measures of dopamine and serotonin transporter availability in healthy smokers and nonsmokers. Synapse, 41, 275–284.
Tissingh, G., Bergmans, P., Booij, J., Winogrodzka, A., Royen, E.A. van, Stoof, J.C. & Wolters, E.C. (1998). Drug-naive patients with Parkinson’s disease in Hoehn and Yahr stages I and II show a bilateral decrease in striatal dopamine transporters as revealed by [123I]beta-cit spect. Journal of Neurology, 245, 14–20.
Vingerhoets, F.J.G., Snow, B.J., Schulzer, M., Morrison, S., Ruth, T.J., Holden, J.E., Cooper, S. & Calne, D.B. (1994). Reproducibility of Fluorine-18-6-Fluorodopa Positron Emission Tomography in Normal Human-Subjects. Journal of Nuclear Medicine, 35, 18–24.
Volkow, N.D., Ding, Y.S., Fowler, J.S., Wang, G.J., Logan, J., Gatley, S.J., Hitzemann, R., Smith, G., Fields, S.D. & Gur, R. (1996). Dopamine transporters decrease with age. C 37, 554–559.
Weintraub, D., Newberg, A.B., Cary, M.S., Siderowf, A.D., Moberg, P.J., Kleiner-Fisman, G., Duda, J.E., Stern, M.B., Mozley, D. & Katz, I.R. (2005). Striatal dopamine transporter imaging correlates with anxiety and depression symptoms in Parkinson’s disease. Journal of Nuclear Medicine, 46, 227–232.
Winogrodzka, A., Bergmans, P., Booij, J., Royen, E.A. van, Stoof, J.C. & Wolters, E.C. (2003). [(123)I]beta-cit spect is a useful method for monitoring dopaminergic degeneration in early stage Parkinson’s disease. Journal of Neurology, Neurosurgery and Psychiatry, 74, 294–298.
Zigmond, M.J., Berger, T.W., Grace, A.A. & Stricker, E.M. (1989). Compensatory responses to nigrostriatal bundle injury. Studies with 6-hydroxydopamine in an animal model of parkinsonism. Molecular and Chemical Neuropathology, 10, 185–200.
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Eshuis, S. De rol van presynaptische dopaminerge beeldvorming bij de ziekte van Parkinson. NEUROPRAXIS 14, 10–15 (2010). https://doi.org/10.1007/s12474-010-0003-4
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DOI: https://doi.org/10.1007/s12474-010-0003-4