Retrospective analysis of parkinsonian patients exhibiting normal 123I-MIBG cardiac uptake

Yasuaki Mizutani, Shinji Ito, Kenichiro Murate, Seiko Hirota, Takao Fukui, Chika Hikichi, Tomomasa Ishikawa, Sayuri Shima, Akihiro Ueda, Madoka Kizawa, Kunihiko Asakura, Tatsuro Mutoh

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Abstract

Background Although most patients with Parkinson's disease (PD) show decreased cardiac 123I-metaiodobenzylguanidine (MIBG) uptake, some exhibit normal uptake. We evaluated the clinical characteristics of such patients. Methods We enrolled 154 non-demented patients showing parkinsonism with normal cardiac MIBG uptake and had been clinically followed up during 29.9 ± 27.6 months. We defined the patients who did not fit the exclusion criteria for PD and demonstrated > 30% reduction in the Unified Parkinson's Disease Rating Scale (UPDRS) motor score after anti-Parkinson agent administration as probable PD. We compared clinical characteristics and the cardiac MIBG heart-to-mediastinum (H/M) ratio between the probable PD group (N = 37) and other groups (N = 117). Results The probable PD group showed significantly higher UPDRS motor scores and greater incidence of tremor/rigidity than those of other groups. In addition, they showed a significantly lower cardiac MIBG H/M ratio in the delayed phase (delayed, p < 0.0001). Washout-rate (WR) was significantly higher in probable PD cases (p < 0.0001). Among 16 probable PD patients undergoing serial cardiac MIBG scintigraphy, the delayed phase cardiac MIBG H/M ratio showed a significant decrease and WR significantly increased during follow-up periods. Conclusions An increase in WR and lower delayed phase cardiac MIBG uptake were found to be characteristics of such patients.

Original languageEnglish
Pages (from-to)236-240
Number of pages5
JournalJournal of the Neurological Sciences
Volume359
Issue number1-2
DOIs
Publication statusPublished - 15-12-2015

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

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    Mizutani, Y., Ito, S., Murate, K., Hirota, S., Fukui, T., Hikichi, C., Ishikawa, T., Shima, S., Ueda, A., Kizawa, M., Asakura, K., & Mutoh, T. (2015). Retrospective analysis of parkinsonian patients exhibiting normal 123I-MIBG cardiac uptake. Journal of the Neurological Sciences, 359(1-2), 236-240. https://doi.org/10.1016/j.jns.2015.10.059