Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
13
pubmed:dateCreated
2008-11-4
pubmed:abstractText
Autosomal recessive parkin (PARK2) gene-related parkinsonism may be phenotypically and pathophysiologically distinct from idiopathic Parkinson's disease (PD). Furthermore, asymptomatic subjects carrying a single parkin mutation ("parkin carriers") may show striatal dopaminergic dysfunction and increased cortical movement-related activation. Here, we used transcranial magnetic stimulation (TMS) to study corticospinal and intracortical excitability in manifesting parkin patients and asymptomatic carriers. We studied resting and active motor thresholds (RMT/AMT), central motor conduction time (CMCT), active recruitment curves, short-interval intracortical inhibition (SICI) and facilitation (ICF), SICI recruitment curve, and cortical silent period (CSP) in 8 patients "off" medication, 7 carriers, and two groups of age-matched controls (n = 21). Patients had longer CMCTs compared to controls with a significant negative correlation between CMCT duration and onset age (r = -0.83, P = 0.04). Carriers had increased RMT/AMT; the time course of SICI/ICF and the duration of CSP were normal in both patients and carriers; however slight abnormalities in the recruitment of SICI were found in the carriers. Prolonged CMCT and normal cortical inhibitory mechanisms in parkin patients may be of value in the differentiation from idiopathic PD. The subclinical electrophysiological abnormalities found in carriers may represent underlying compensatory mechanisms.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1531-8257
pubmed:author
pubmed:copyrightInfo
(c) 2008 Movement Disorder Society.
pubmed:issnType
Electronic
pubmed:day
15
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1812-9
pubmed:dateRevised
2009-6-3
pubmed:meshHeading
pubmed-meshheading:18759365-Adult, pubmed-meshheading:18759365-Aged, pubmed-meshheading:18759365-Analysis of Variance, pubmed-meshheading:18759365-Case-Control Studies, pubmed-meshheading:18759365-Electric Stimulation, pubmed-meshheading:18759365-Electromyography, pubmed-meshheading:18759365-Evoked Potentials, Motor, pubmed-meshheading:18759365-Female, pubmed-meshheading:18759365-Humans, pubmed-meshheading:18759365-Male, pubmed-meshheading:18759365-Middle Aged, pubmed-meshheading:18759365-Motor Cortex, pubmed-meshheading:18759365-Mutation, pubmed-meshheading:18759365-Neural Conduction, pubmed-meshheading:18759365-Parkinson Disease, pubmed-meshheading:18759365-Pyramidal Tracts, pubmed-meshheading:18759365-Reaction Time, pubmed-meshheading:18759365-Recruitment, Neurophysiological, pubmed-meshheading:18759365-Sensory Thresholds, pubmed-meshheading:18759365-Transcranial Magnetic Stimulation, pubmed-meshheading:18759365-Ubiquitin-Protein Ligases
pubmed:year
2008
pubmed:articleTitle
Motor cortical physiology in patients and asymptomatic carriers of parkin gene mutations.
pubmed:affiliation
Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, UCL, London, United Kingdom.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't