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Details

Autor(en) / Beteiligte
Titel
Functional MRI in Parkinson’s disease with freezing of gait: a systematic review of the literature
Ist Teil von
  • Neurological sciences, 2021-05, Vol.42 (5), p.1759-1771
Ort / Verlag
Cham: Springer International Publishing
Erscheinungsjahr
2021
Quelle
EBSCOhost Psychology and Behavioral Sciences Collection
Beschreibungen/Notizen
  • Background Freezing of gait (FOG), a common and disabling symptom of Parkinson’s disease (PD), is characterized by an episodic inability to generate effective stepping. Functional MRI (fMRI) has been used to evaluate abnormal brain connectivity patterns at rest and brain activation patterns during specific tasks in patients with PD-FOG. This review has examined the existing functional neuroimaging literature in PD-FOG, including those with treatment. Summarizing these articles provides an opportunity for a better understanding of the underlying pathophysiology in PD-FOG. Methods According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we performed a literature review of studies using fMRI to investigate the underlying pathophysiological mechanisms of PD-FOG. Results We initially identified 201 documents. After excluding the duplicates, reviews, and other irrelevant articles, 39 articles were finally identified, including 18 task-based fMRI studies and 21 resting-state fMRI studies. Conclusions Studies using fMRI techniques to evaluate PD-FOG have found dysfunctional connectivity in widespread cortical and subcortical regions. Standardized imaging protocols and detailed subtypes of PD-FOG are furthered required to elucidate current findings.

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