Evidence map›Paper›PMID 33688426›Full record

ArticleParkinson's disease2021

Abnormal Gray Matter Volume and Functional Connectivity in Parkinson's Disease with Rapid Eye Movement Sleep Behavior Disorder.

Xu Jiang, Zhuang Wu, Min Zhong, Bo Shen, Jun Zhu, Yang Pan, Jun Yan, Wenbin Zhang, Pingyi Xu, Chaoyong Xiao and 1 more

Open access · goldAbstract read
In one paragraph

Article in Parkinson's disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Altered topological properties in PD patients with probable REM sleep behavior disorder through fuctional MRI.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Investigation of total cerebellar and flocculonodular lobe volume in Parkinson's disease and healthy individuals: a brain segmentation study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. MRI findings in movement disorders and associated sleep disturbances.American journal of nuclear medicine and molecular imaging · 2023
    Review
  10. Article
  11. Article
  12. Neurochemical Features of Rem Sleep Behaviour Disorder.Journal of personalized medicine · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Xu JiangDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-3278-6883
Zhuang WuDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Min ZhongDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Bo ShenDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Jun ZhuDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Yang PanDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Jun YanDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Wenbin ZhangDepartment of Neurosurgery, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Pingyi XuDepartment of Neurology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Chaoyong XiaoDepartment of Radiology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.
Li ZhangDepartment of Geriatrics, Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0003-1092-7531
Nanjing Brain Hospital · CNFirst Affiliated Hospital of Guangzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRapid eye movement (REM) sleep behavior disorder (RBD) is a common symptom in Parkinson's disease (PD), and patients with PD-RBD tend to have an increased risk of cognitive decline and have the tendency to be akinetic/rigidity predominant. At the same time, the mechanisms of RBD in patients with PD remain unclear. Therefore, this study aimed to detect the structural and functional differences in patients with PD-RBD and PD without RBD (PD-nRBD).

methodsTwenty-four polysomnography-confirmed patients with PD-RBD, 26 patients with PD-nRBD, and 26 healthy controls were enrolled. Structural and functional patterns were analyzed based on voxel-based morphometry and seed-based functional connectivity (FC). Correlations between altered gray matter volume (GMV)/FC values and cognitive scores and motor impairment scores in PD subgroups were assessed.

resultsCompared with patients with PD-nRBD, patients with PD-RBD showed relatively high GMV in the cerebellar vermis IV/V and low GMV in the right superior occipital gyrus (SOG). For the FC, patients with PD-RBD displayed lower FC between the right SOG and the posterior regions (left fusiform gyrus, left calcarine sulcus, and left superior parietal gyrus) compared with the patients with PD-nRBD. The GMV values in the right SOG were negatively correlated with the Unified PD Rating Scale-III scores in patients with PD-RBD but positively correlated with delayed memory scores. The GMV values in the cerebellar vermis IV/V were positively correlated with the tonic chin EMG density scores. There were positive correlations between the FC values in the right SOG-left superior parietal gyrus and MoCA and visuospatial skills/executive function scores and in the right SOG-left calcarine sulcus and delayed memory scores.

conclusionHigher GMV in the cerebellum may be linked with the abnormal motor behaviors during REM sleep in patients with PD-RBD, and lower GMV and FC in the posterior regions may indicate that PD-RBD correspond to more serious neurodegeneration, especially the visuospatial-executive function impairment and delayed memory impairment. These findings provided new insights to learn more about the complicated characteristics in patients with PD-RBD.

Identifiers

PMID33688426
PMCPMC7920722
OpenAlexW3129307836

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.