Evidence map›Paper›PMID 41952856›Full record

ArticleFrontiers in neurology

Differential brain iron deposition in Parkinson's disease subtypes: a comparative quantitative susceptibility mapping study of tremor-dominant versus postural instability/gait difficulty phenotypes.

Yiting Chen, Zengrui Zhang, Lifeng He, Ying Tan, Dan Wu, Xinyu Wang, Yang Li

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Article in Frontiers in neurology. 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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5 · Who and what money

Authors and funding

7 authors.

Yiting ChenClinical Nursing Office, Department of Nursing, Changzhou Hygiene Vocational Technology College, Changzhou, China.
Zengrui ZhangDepartment of Neurology, Huzhou Central Hospital, Huzhou, China.
Lifeng HeDepartment of Neurology, Huzhou Central Hospital, Huzhou, China.
Ying TanDepartment of Neurology, Huzhou Central Hospital, Huzhou, China.
Dan WuDepartment of Radiology, Huzhou Central Hospital, Huzhou, China.
Xinyu WangClinical Nursing Office, Department of Nursing, Changzhou Hygiene Vocational Technology College, Changzhou, China.
Yang LiDepartment of Neurology, Huzhou Central Hospital, Huzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study used quantitative susceptibility mapping (QSM) to investigate brain iron deposition patterns in different motor subtypes of Parkinson's disease (PD). We compared tremor-dominant (TD) and postural instability/gait difficulty (PIGD) patients, analyzed the association between iron deposition and core motor symptoms, and further explored its potential as an imaging feature associated with clinical subtypes. Methods: The study included 45 PD patients (25 TD-PD, 20 PIGD-PD) and 23 healthy controls. QSM values were measured in the bilateral caudate nucleus (CN), dentate nucleus (DN), globus pallidus (GP), putamen (PUT), red nucleus (RN), substantia nigra (SN), and thalamus (TH). Results: Compared to controls, both PD groups showed elevated iron levels in multiple brain regions. Notably, TD patients exhibited significantly higher magnetic susceptibility in the DN than both PIGD patients and controls, and DN susceptibility also showed a positive correlation with tremor severity in the overall PD cohort (rs = 0.339, Discussion: These findings suggest that the motor subtypes of Parkinson's disease exhibit distinct brain iron distribution patterns, with the TD subtype showing increased DN iron deposition. This supports the role of the cerebello-thalamo-cortical (CTC) circuit in tremor and highlights dentate nucleus iron deposition as a potential imaging feature associated with the tremor-dominant phenotype.

Indexed as

dentate nucleusiron depositionmotor subtypesParkinson’s diseasequantitative susceptibility mapping

Identifiers

PMID41952856
PMCPMC13053287

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