机构:[a]Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China[b]Department of Neurobiology and Neurology, Xuanwu Hospital of Capital MedicalUniversity, Beijing, China神经内科首都医科大学宣武医院[c]National Clinical Research Center for Geriatric Disorders, Beijing, China
Objectives: Visual dysfunctions are frequent and have several manifestations in idiopathic Parkinson's disease (PD). However, the characteristics of these complications in LRRK2 (leucine-rich kinase 2)-associated PD patients still lack systematic research. The purpose of this study is to assess visual functions of LRRK2-associated PD patients. Patients and methods: Twenty-five (25) PD patients with LRRK2 R1628P and G2385R variants were included in the study and compared to 28 PD patients without these variants and 28 age-matched healthy controls. The genotypes of PD patients were kept double-blinded. Information on age, sex, disease duration, the movement disorder society-unified Parkinson's disease rating scale (MDS-UPDRS), Hoehn and Yahr staging scale (H&Y), Mini-Mental Examination (MMSE) and Montreal Cognitive Assessment (MoCA) were included. Visual functions assessment included color perception, contrast sensitivity and stereopsis. Results: PD patients with or without LRRK2 R1628P and G2385R variants have declined contrast sensitivity, diminished color discrimination and damaged stereopsis. There was no significant difference in retinal level visual deficiency (color discrimination and contrast sensitivity) between PD with LRRK2 variants and those without, but cortex level visual function, i.e. stereopsis is better in PD with LRRK2 variants than non-carrier PD patients. The associated factors of stereopsis are different. The stereopsis is associated with MoCA scores independently in non-carrier PD patients, but with UPDRSIII scores in LRRK2-associated PD patients. Conclusions: Visual functions are similarly affected in PD patients with and without LRRK2 R1628P and G2385R variants, but LRRK2-associated PD patients have better stereopsis than idiopathic PD patients.
基金:
the Ministry of Science and Technology of China (2012AA02A514, 2011CB504101),
the Ministry of Health of China (201002011),
the Beijing High Standard Health Human Resource Cultural Program in Health System (2009-1-12).
第一作者机构:[a]Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing, China[b]Department of Neurobiology and Neurology, Xuanwu Hospital of Capital MedicalUniversity, Beijing, China
通讯作者:
通讯机构:[*1]Department of Neurobiology and Neurology, Xuanwu Hospital of Capital Medical University, #45 Changchun Street, 100053 Beijing, China.
推荐引用方式(GB/T 7714):
Liang Sun,Piu Chan.LRRK2-associated Parkinson's disease patients have better stereopsis than idiopathic Parkinson disease[J].CLINICAL NEUROLOGY AND NEUROSURGERY.2018,169:174-177.doi:10.1016/j.clineuro.2018.04.016.
APA:
Liang Sun&Piu Chan.(2018).LRRK2-associated Parkinson's disease patients have better stereopsis than idiopathic Parkinson disease.CLINICAL NEUROLOGY AND NEUROSURGERY,169,
MLA:
Liang Sun,et al."LRRK2-associated Parkinson's disease patients have better stereopsis than idiopathic Parkinson disease".CLINICAL NEUROLOGY AND NEUROSURGERY 169.(2018):174-177