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Reduction in presynaptic dopamine transporter may be associated with future problematic delusion.
Kataoka, Hiroshi; Kinugawa, Kaoru; Sugata, Mayu; Morita, Shusaku; Miyasaka, Toshiteru; Sugie, Kazuma.
Afiliación
  • Kataoka H; Department of Neurology, Nara Medical University, Nara, Japan. Electronic address: hk55@naramed-u.ac.jp.
  • Kinugawa K; Department of Neurology, Nara Medical University, Nara, Japan.
  • Sugata M; Department of Neurology, Nara Medical University, Nara, Japan.
  • Morita S; Central Division of Radiology, Nara Medical University Hospital, Nara, Japan.
  • Miyasaka T; Department of Radiology, Nara Medical University, Nara, Japan.
  • Sugie K; Department of Neurology, Nara Medical University, Nara, Japan.
Clin Neurol Neurosurg ; 242: 108321, 2024 07.
Article en En | MEDLINE | ID: mdl-38749355
ABSTRACT

OBJECTIVES:

Psychosis, especially in delusions, greatly impairs the quality of life of patients with Parkinson's disease (PD) and their caregivers. Few objective risk indicators of the association between psychosis and clinical features has been reported. It is unclear whether the reduction in DAT binding represents the underlying mechanism of delusion or its association. There are no long-term data on the objective prognostic value of DAT binding for delusions. We investigated whether DAT binding at baseline can be a prognostic risk factor for future development of PD delusions. MATERIALS AND

METHODS:

We reviewed the detailed clinical chart of patients with PD without a history of psychosis who underwent [123I]FP-CIT SPECT during the disease. The endpoint was defined as when the delusions occurred during the 5 years after the examination of [123I]FP-CIT SPECT. Specific binding ratio (SBR) values were calculated.

RESULTS:

Sixty-one patients with PD were included in the analysis, and 11 patients had delusions within 5 years of [123I] FP-CIT SPECT. The average (p = 0.004), minimum (p = 0.004), maximum (p = 0.001), right-sided (p = 0.002), and left-sided (p = 0.003) SBRs in the striatum were significantly smaller in patients with delusions than in patients without delusions. Each difference of each SBR was significantly smaller than those without delusions after adjusting after controlling for age, gender, disease severity, timing of [123I]FP-CIT SPECT, anti-parkinsonian medications, hospitalization, administering more or newly anti-parkinsonian drugs, and receiving DBS or LCIG.

CONCLUSIONS:

PD delusions is still problematic, and lowering DAT binding may be helpful for predicting future delusions, regardless of the timing of [123I]FP-CIT SPECT.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Parkinson / Tomografía Computarizada de Emisión de Fotón Único / Deluciones / Proteínas de Transporte de Dopamina a través de la Membrana Plasmática Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Neurol Neurosurg Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de Parkinson / Tomografía Computarizada de Emisión de Fotón Único / Deluciones / Proteínas de Transporte de Dopamina a través de la Membrana Plasmática Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Neurol Neurosurg Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos