ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026
Optical coherence tomography findings in multiple system atrophy: insights into disease diagnosis, clinical correlations, and dopaminergic degeneration.
Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDifferentiating multiple system atrophy (MSA) from Parkinson’s disease (PD) and progressive supranuclear palsy (PSP) remains challenging. Retinal optical coherence tomography (OCT) offers noninvasive insights into neurodegeneration but remains underexplored in MSA.
objectivesTo compare OCT-derived retinal parameters in MSA, PD, PSP, and healthy controls (HCs), evaluate associations with clinical features and dopaminergic degeneration.
methodsWe enrolled 21 MSA, 22 PD, and 23 PSP patients, plus 23 HCs. OCT measured macular and retinal nerve fiber layer thicknesses. Clinical assessments and 11C-CFT PET evaluated motor/non-motor symptoms and presynaptic dopaminergic integrity.
resultsMSA exhibited significant retinal differences compared to HCs and PSP, with subtler distinctions observed when compared to PD. Retinal thickness correlated with axial motor impairments, dysphagia, and dopaminergic uptake in the caudate nucleus.
conclusionsOCT parameters may aid in differentiating MSA from other parkinsonian syndromes and serve as a indicator linked to disease severity and dopaminergic dysfunction.
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