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@ARTICLE{Faber:145039,
author = {Faber, Jennifer and Giordano, Ilaria and Jiang, Xueyan and
Kindler, Christine and Spottke, Annika and Acosta-Cabronero,
Julio and Nestor, Peter J and Machts, Judith and Düzel,
Emrah and Vielhaber, Stefan and Speck, Oliver and Dudesek,
Ales and Kamm, Christoph and Scheef, Lukas and Klockgether,
Thomas},
title = {{P}rominent {W}hite {M}atter {I}nvolvement in {M}ultiple
{S}ystem {A}trophy of {C}erebellar {T}ype.},
journal = {Movement disorders},
volume = {35},
number = {5},
issn = {0885-3185},
address = {New York, NY},
publisher = {Wiley},
reportid = {DZNE-2020-00399},
pages = {816-824},
year = {2020},
abstract = {Sporadic degenerative ataxia patients fall into 2 major
groups: multiple system atrophy with predominant cerebellar
ataxia (MSA-C) and sporadic adult-onset ataxia (SAOA). Both
groups have cerebellar volume loss, but little is known
about the differential involvement of gray and white matter
in MSA-C when compared with SAOA.The objective of this study
was to identify structural differences of brain gray and
white matter between both patient groups.We used magnetic
resonance imaging to acquire T1-weighted images and
diffusion tensor images from 12 MSA-C patients, 31 SAOA
patients, and 55 healthy controls. Magnetic resonance
imaging data were analyzed with voxel-based-morphometry,
tract-based spatial statistics, and tractography-based
regional diffusion tensor images analysis.Whole-brain and
cerebellar-focused voxel-based-morphometry analysis showed
gray matter volume loss in both patient groups when compared
with healthy controls, specifically in the cerebellar areas
subserving sensorimotor functions. When compared with
controls, the SAOA and MSA-C patients showed white matter
loss in the cerebellum, whereas brainstem white matter was
reduced only in the MSA-C patients. The tract-based spatial
statistics revealed reduced fractional anisotropy within the
pons and cerebellum in the MSA-C patients both in comparison
with the SAOA patients and healthy controls. In addition,
tractography-based regional analysis showed reduced
fractional anisotropy along the corticospinal tracts in
MSA-C, but not SAOA.Although in our cohort extent and
distribution of gray and white matter loss were similar
between the MSA-C and SAOA patients, magnetic resonance
imaging data showed prominent microstructural white matter
involvement in the MSA-C patients that was not present in
the SAOA patients. Our findings highlight the significance
of microstructural white matter changes in the
differentiation between both conditions. © 2020 The
Authors. Movement Disorders published by Wiley Periodicals,
Inc. on behalf of International Parkinson and Movement
Disorder Society.},
keywords = {Adult / Atrophy: pathology / Cerebellum: diagnostic imaging
/ Cerebellum: pathology / Humans / Image Processing,
Computer-Assisted / Magnetic Resonance Imaging / Multiple
System Atrophy: diagnostic imaging / Multiple System
Atrophy: pathology / White Matter: diagnostic imaging /
White Matter: pathology},
cin = {Patient Studies Bonn / AG Nestor / AG Speck / AG Düzel /
AG Boecker},
ddc = {610},
cid = {I:(DE-2719)1011101 / I:(DE-2719)1310001 /
I:(DE-2719)1340009 / I:(DE-2719)5000006 /
I:(DE-2719)1011202},
pnm = {344 - Clinical and Health Care Research (POF3-344)},
pid = {G:(DE-HGF)POF3-344},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31994808},
doi = {10.1002/mds.27987},
url = {https://pub.dzne.de/record/145039},
}