Involvement of the cerebellum in Parkinson disease and dementia with Lewy bodies

Brains from patients with Parkinson disease or dementia with Lewy bodies show aggregation of alpha‐synuclein in precerebellar brainstem structures. Furthermore, patients exhibit resting tremor, unstable gait, and impaired balance, which may be associated with cerebellar dysfunction. Therefore, we sc...

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Veröffentlicht in:Annals of neurology 2017-06, Vol.81 (6), p.898-903
Hauptverfasser: Seidel, Kay, Bouzrou, Mohamed, Heidemann, Nina, Krüger, Rejko, Schöls, Ludger, den Dunnen, Wilfred F. A., Korf, Horst‐Werner, Rüb, Udo
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container_end_page 903
container_issue 6
container_start_page 898
container_title Annals of neurology
container_volume 81
creator Seidel, Kay
Bouzrou, Mohamed
Heidemann, Nina
Krüger, Rejko
Schöls, Ludger
den Dunnen, Wilfred F. A.
Korf, Horst‐Werner
Rüb, Udo
description Brains from patients with Parkinson disease or dementia with Lewy bodies show aggregation of alpha‐synuclein in precerebellar brainstem structures. Furthermore, patients exhibit resting tremor, unstable gait, and impaired balance, which may be associated with cerebellar dysfunction. Therefore, we screened the cerebella of 12 patients with alpha‐synucleinopathies for neuropathological changes. Cerebellar nuclei and neighboring white matter displayed numerous aggregates, whereas lobules were mildly affected. Cerebellar aggregation pathology may suggest a prionlike spread originating from affected precerebellar structures, and the high homogeneity between patients with dementia with Lewy bodies and Parkinson disease shows that both diseases likely belong to the same neuropathological spectrum. Ann Neurol 2017;81:898–903
doi_str_mv 10.1002/ana.24937
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subjects Agglomeration
Aggregates
alpha-Synuclein - metabolism
Balance
Brain stem
Cerebellar Diseases - metabolism
Cerebellar Diseases - pathology
Cerebellum
Dementia
Dementia disorders
Gait
Homogeneity
Humans
Lewy bodies
Lewy Body Disease - metabolism
Lewy Body Disease - pathology
Movement disorders
Neurodegenerative diseases
Neuropathology
Nuclei
Parkinson Disease - metabolism
Parkinson Disease - pathology
Parkinson's disease
Patients
Substantia alba
Synuclein
Tremor
title Involvement of the cerebellum in Parkinson disease and dementia with Lewy bodies
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