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The cortical excitability profile of patients with the G209A SNCA mutation versus patients with sporadic Parkinson's disease: A transcranial magnetic stimulation study.

TitleThe cortical excitability profile of patients with the G209A SNCA mutation versus patients with sporadic Parkinson's disease: A transcranial magnetic stimulation study.
Publication TypeJournal Article
Year of Publication2018
AuthorsKimiskidis, V. K., Papayiannopoulos S., Sotirakoglou K., Karakasis H., Katsarou Z., Kazis D. A., Papaliagkas V., Gatzonis S., Papadimitriou A., Hadjigeorgiou G., & Bostanjopoulou S.
JournalNeurophysiol Clin
Volume48
Issue4
Pagination203-206
Date Published2018 Sep
ISSN1769-7131
Abstract

Mutations in the α-synuclein gene are a rare cause of Parkinson's disease. We investigated, by single-pulse TMS, the cortical excitability profile of nine α-synuclein patients in comparison with 24 idiopathic PD patients, subdivided into "akinetic" (n=17) and "tremor-dominant" (n=7) subgroups. The comparative assessment of rest motor threshold, active MEP and Silent Period Input/Output curves indicated that the cortical excitability of α-Synuclein patients is similar to patients with the "akinetic" form of PD. Both groups of patients exhibited differences in excitatory and inhibitory brain circuits from "tremor-dominant" patients indicating that varying clinical phenotypes are associated with differential profiles of corticospinal excitability.

DOI10.1016/j.neucli.2018.04.002
Alternate JournalNeurophysiol Clin
PubMed ID29729894

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