Skip to main content
Top
Published in: Neurological Sciences 9/2022

20-06-2022 | Intense Pulsed Light | Original Article

Cerebral blood flow alterations specific to freezing of gait in Parkinson’s disease

Authors: Shangpei Wang, Tong Wu, Chuan Li, Tieyu Wu, Yinfeng Qian, Cuiping Ren, Yan Qin, Juan Li, Xianzhou Chu, Xianwen Chen, Yongqiang Yu

Published in: Neurological Sciences | Issue 9/2022

Login to get access

Abstract

Background

Freezing of gait (FOG) have been associated with deficits in the cortico-basal ganglia-thalamic network. However, the resting-state cerebral blood flow (CBF) alterations specific to FOG in Parkinson’s disease (PD) remain unknown.

Methods

In total, sixty PD individuals, including 30 PD with FOG (PD-FOG) and 30 PD without FOG (PD-NFOG), and 30 healthy controls (HC) underwent arterial spin labeling magnetic resonance image. The CBF were voxel-wise compared among the three groups and validated in a different cohort of PD-FOG and PD-NFOG.

Results

The results revealed that patients with PD-FOG had increased CBF in bilateral thalamus and the left caudate nucleus and decreased CBF in the left inferior parietal cortex compared to patients with PD-NFOG. The inter-group differences of CBF between PD-FOG and PD-NFOG was confirmed in a different cohort in the validation analysis. Moreover, the CBF in left caudate nucleus was positively correlated with severity of FOG in PD-FOG patients.

Conclusions

Perfusion alterations in both cortical and subcortical regions in the cortico-basal ganglia-thalamic network are related to the development of FOG in PD patients.
Appendix
Available only for authorised users
Literature
3.
go back to reference Van Laere K, Santens P, Bosman T, De Reuck J, Mortelmans L, Dierckx R (2004) Statistical parametric mapping of 99mTc-ECD SPECT in idiopathic Parkinson’s disease and multiple system atrophy with predominant parkinsonian features: correlation with clinical parameters. J Nucl Med 45:933–942PubMed Van Laere K, Santens P, Bosman T, De Reuck J, Mortelmans L, Dierckx R (2004) Statistical parametric mapping of 99mTc-ECD SPECT in idiopathic Parkinson’s disease and multiple system atrophy with predominant parkinsonian features: correlation with clinical parameters. J Nucl Med 45:933–942PubMed
10.
go back to reference Berding G, Odin P, Brooks DJ, Nikkhah G, Matthies C, Peschel T, Shing M, Kolbe H, van Den Hoff J, Fricke H, Dengler R, Samii M, Knapp WH (2001) Resting regional cerebral glucose metabolism in advanced Parkinson’s disease studied in the off and on conditions with [18F] FDG-PET. Mov Disord 16:1014–1022. https://doi.org/10.1002/mds.1212CrossRefPubMed Berding G, Odin P, Brooks DJ, Nikkhah G, Matthies C, Peschel T, Shing M, Kolbe H, van Den Hoff J, Fricke H, Dengler R, Samii M, Knapp WH (2001) Resting regional cerebral glucose metabolism in advanced Parkinson’s disease studied in the off and on conditions with [18F] FDG-PET. Mov Disord 16:1014–1022. https://​doi.​org/​10.​1002/​mds.​1212CrossRefPubMed
15.
go back to reference Arslan DB, Gurvit H, Genc O, Kicik A, Eryurek K, Cengiz S, Erdogdu E, Yildirim Z, Tufekcioglu Z, Ulug AM, Bilgic B, Hanagasi H, Tuzun E, Demiralp T, Ozturk-Isik E (2020) The cerebral blood flow deficits in Parkinson’s disease with mild cognitive impairment using arterial spin labeling MRI. J Neural Transm (Vienna) 127:1285–1294. https://doi.org/10.1007/s00702-020-02227-6CrossRef Arslan DB, Gurvit H, Genc O, Kicik A, Eryurek K, Cengiz S, Erdogdu E, Yildirim Z, Tufekcioglu Z, Ulug AM, Bilgic B, Hanagasi H, Tuzun E, Demiralp T, Ozturk-Isik E (2020) The cerebral blood flow deficits in Parkinson’s disease with mild cognitive impairment using arterial spin labeling MRI. J Neural Transm (Vienna) 127:1285–1294. https://​doi.​org/​10.​1007/​s00702-020-02227-6CrossRef
20.
29.
go back to reference Filippi M, Sarasso E, Piramide N, Stojkovic T, Stankovic I, Basaia S, Fontana A, Tomic A, Markovic V, Stefanova E, Kostic VS, Agosta F (2020) Progressive brain atrophy and clinical evolution in Parkinson’s disease. Neuroimage Clin 28:102374CrossRef Filippi M, Sarasso E, Piramide N, Stojkovic T, Stankovic I, Basaia S, Fontana A, Tomic A, Markovic V, Stefanova E, Kostic VS, Agosta F (2020) Progressive brain atrophy and clinical evolution in Parkinson’s disease. Neuroimage Clin 28:102374CrossRef
Metadata
Title
Cerebral blood flow alterations specific to freezing of gait in Parkinson’s disease
Authors
Shangpei Wang
Tong Wu
Chuan Li
Tieyu Wu
Yinfeng Qian
Cuiping Ren
Yan Qin
Juan Li
Xianzhou Chu
Xianwen Chen
Yongqiang Yu
Publication date
20-06-2022
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue 9/2022
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-022-06205-6

Other articles of this Issue 9/2022

Neurological Sciences 9/2022 Go to the issue