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MRI In Patients with Suspected Vascular Parkinsonism
Neurol 45:2183-2188, Jijlmans,J.C.M.,et al, 1995
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Article Abstract
To determine whether MRI can reveal more vascular lesions in patients clinically suspected of having vascular parkinsonism,we compared 15 such patients with 15 patients who had idiopathic Parkinson's disease and 10 hypertensive controls.Patients with suspected vascular parkinsonism had significant more subcortical lesions than those with Parkinson's disease or hypertension.The cutoff point that best distinguished patients with suspected vascular parkinsonism from patients with Parkinson's disease was a 0.6%level of lesioned brain tissue volume.There were two types of vascular parkinsonism;one had an acute onset and lesions located in the subcortical gray nuclei(striatium,globus pallidus,thalamus);the other had an insideious onset and lesions diffusely distributed in the water-shed areas.
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basal ganglia,infarction
cerebral infarction
cerebral infarction,subcortical
cerebrovascular accident
cerebrovascular disease
MRI
MRI,abnormal
Parkinson disease
Parkinson disease,acute onset
Parkinson disease,arteriosclerotic
Parkinson disease,mode of onset
watershed infarcts
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