PMID- 16542160 OWN - NLM STAT- MEDLINE DCOM- 20060518 LR - 20161124 IS - 0001-6314 (Print) IS - 0001-6314 (Linking) VI - 113 IP - 4 DP - 2006 Apr TI - Cardiovascular dysautonomia in Parkinson's disease and multiple system atrophy. PG - 221-7 AB - OBJECTIVES: To determine whether Parkinson's disease (PD) can be distinguished from multiple system atrophy (MSA) on the basis of the assessment of iodine-123 meta-iodobenzylguanidine (123I-MIBG) radioactivity in heart and cardiovascular autonomic function. PATIENTS AND METHODS: Seventeen patients with MSA, 39 with PD, and 25 healthy volunteers underwent 123I-MIBG scintigraphy and hemodynamic autonomic function tests using Valsalva maneuver (VM). Baroreceptor reflex sensitivity (BRS) was measured using the slope of the relation between RR interval and blood pressure during the fourth phase. RESULTS: 123I-MIBG radioactivity in heart of patients with PD was lower than that of control subjects and patients with MSA, but there was some overlap between PD and MSA. BRS in patients with PD who had a 123I-MIBG radioactivity similar to that in MSA was larger than that in patients with MSA, with no overlap in any patient. CONCLUSION: Assessment of BRS may be useful for differentiating between MSA and PD that had a 123I-MIBG radioactivity similar to MSA. FAU - Oka, H AU - Oka H AD - Department of Neurology, Aoto Hospital, Tokyo, Japan. h.oka@jikei.ac.jp FAU - Mochio, S AU - Mochio S FAU - Yoshioka, M AU - Yoshioka M FAU - Morita, M AU - Morita M FAU - Onouchi, K AU - Onouchi K FAU - Inoue, K AU - Inoue K LA - eng PT - Journal Article PT - Retracted Publication PL - Denmark TA - Acta Neurol Scand JT - Acta neurologica Scandinavica JID - 0370336 RN - 0 (Iodine Radioisotopes) RN - 0 (Radiopharmaceuticals) RN - 35MRW7B4AD (3-Iodobenzylguanidine) SB - IM RIN - Oka H, Mochio S, Yoshioka M, Morita M, Onouchi K, Inoue K. Acta Neurol Scand. 2008 Sep;118(3):208. PMID: 18803758 RIN - Ben-Menachem E, Wikkelso C. Acta Neurol Scand. 2008 Sep;118(3):208. PMID: 19034988 MH - 3-Iodobenzylguanidine MH - Aged MH - Autonomic Nervous System/diagnostic imaging/*physiopathology MH - Baroreflex/physiology MH - Cardiovascular System/diagnostic imaging/*innervation/physiopathology MH - Case-Control Studies MH - Humans MH - Iodine Radioisotopes MH - Middle Aged MH - Multiple System Atrophy/*diagnostic imaging/*physiopathology MH - Parkinson Disease/*diagnostic imaging/*physiopathology MH - Radionuclide Imaging MH - Radiopharmaceuticals MH - Valsalva Maneuver EDAT- 2006/03/18 09:00 MHDA- 2006/05/19 09:00 CRDT- 2006/03/18 09:00 PHST- 2006/03/18 09:00 [pubmed] PHST- 2006/05/19 09:00 [medline] PHST- 2006/03/18 09:00 [entrez] AID - ANE526 [pii] AID - 10.1111/j.1600-0404.2005.00526.x [doi] PST - ppublish SO - Acta Neurol Scand. 2006 Apr;113(4):221-7. doi: 10.1111/j.1600-0404.2005.00526.x.