Skip to main content

Pattern of Midbrain Pathology in Different Parkinsonian Syndromes

  • Chapter

Part of the book series: Advances in Behavioral Biology ((ABBI,volume 47))

Abstract

It is well established that the pattern of cell loss in Parkinson’s disease (PD) is not uniform throughout the pigmented cell clusters of the substantia nigra. In fact the regional selectivity of degeneration of the pigmented cell clusters in the human substantia nigra is quite striking (Hassler, 1938; Greenfield and Bosanquet, 1953; Bernheimer et al., 1973; Fearnley and Lees, 1991; Gibb and Lees, 1991). Furthermore, the topography of cell loss in patients with different clinical presentations is reported to correlate with specific clinical symptoms (Rinne et al., 1989; Fearnley and Lees, 1991; Paulus and Jellinger, 1991), such that ventrolateral cell loss correlates with rigidity and akinesia while medial cell loss correlates with dementia. The present study extends these clinicopathological correlations by examining the topography of cell loss in patients with similar clinical presentations but varying courses of the disease.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bernheimer, H., Birkmayer, W., Hornykiewicz, O., Jellinger, K., and Seitelberger, F., 1973, Brain dopamine and the syndromes of Parkinson and Huntington. Clinical, morphological and neurochemical correlations, J. Neurol. Sci. 20: 415–455.

    Article  PubMed  CAS  Google Scholar 

  • Dubois, B., Pillon, B., Sternic, N., Lhermitte, F., and Agid, Y., 1990, Age-induced cognitive disturbances in Parkinson’s disease, Neurology 40: 38–41.

    Article  PubMed  CAS  Google Scholar 

  • Fearnley, J.M., and Lees, A.J., 1991, Ageing and Parkinson’s disease: Substantia nigra regional selectivity, Brain 114:2283–2301.

    Article  PubMed  Google Scholar 

  • Gibb, W.R.G., and Lees, A. J., 1991, Anatomy, pigmentation, ventral and dorsal subpopulations of the substantia nigra, and differential cell death in Parkinson’s disease, J. Neurol. Neurosurg. Psychiat. 54: 388–396.

    Article  PubMed  CAS  Google Scholar 

  • Greenfield, J.G., and Bosanquet, F.D., 1953, The brain-stem lesions in Parkinsonism, J. Neurol. Neurosurg. Psychiat. 16: 213–226.

    Article  PubMed  CAS  Google Scholar 

  • Halliday, G.M., McRitchie, D.A., Cartwright, H.R., Pamphlett, R.S., Hely, M.A., and Morris, J.G.L., 1996, Pattern of midbrain neuropathology in different Parkinsonian syndromes, J. Clin. Neurosci. (in press).

    Google Scholar 

  • Hassler, R., 1938, Zur Pathologie der Paralysis agitans und des postenzephalitischen Parkinsonismus, J. Psychol. Neurol. 48: 387–476.

    Google Scholar 

  • Kosaka, K., 1990, Diffuse Lewy body disease in Japan, J. Neurol. 237: 197–204.

    Article  PubMed  CAS  Google Scholar 

  • Lippa, CF., Smith, T.W., and Swearer, J.M., 1994, Alzheimer’s disease and Lewy body disease: A comparative clinicopathological study, Ann. Neurol. 35: 81–88.

    Article  PubMed  CAS  Google Scholar 

  • Mayeux, R., Denaro, J., Hemenegildo, N., Marder, K., Tang, M.-X., Cote, L.J., and Stern, Y., 1992, A population-based investigation of Parkinson’s disease with and without dementia, Arch. Neurol. 49: 492–497.

    Article  PubMed  CAS  Google Scholar 

  • McRitchie, D.A., Halliday, G.M., and Cartwright, H., 1995, Quantitative analysis of the variability of substantia nigra cell clusters in the human, Neuroscience 68: 539–551.

    Article  PubMed  CAS  Google Scholar 

  • Paulus, W., and Jellinger, K., 1991, The neuropathologic basis of different clinical subgroups of Parkinson’s disease, J. Neuropathol. Exp. Neurol. 50(6): 743–755.

    Article  PubMed  CAS  Google Scholar 

  • Reid, W.G.J., 1992, The evolution of dementia in idiopathic Parkinson’s disease: Neuropsychological and clinical evidence in support of subtypes, Int. Psychogeriat. 4 (Suppl. 2): 147–160.

    Google Scholar 

  • Reid, W.G.J., Broe, G.A., Hely, M.A., Morris, J.G.L., Williamson, P.M., O’Sullivan, DJ., Rail, D., Genge, S.A., and Moss, N.G., 1989, The neuropsychology of de novo patients with idiopathic Parkinson’s disease: The effects of age of onset, Int. J. Neurosci. 48: 205–217.

    Article  PubMed  CAS  Google Scholar 

  • Rinne, J.O., Rummukainen, J., Paljärvi, L., and Rinne, U.K., 1989, Dementia in Parkinson’s disease is related to neuronal loss in the medial substantia nigra, Ann. Neurol. 26: 47–50.

    Article  PubMed  CAS  Google Scholar 

  • Sugiyama, H., Hainfellner, J.A., Yoshimura, M., and Budka, H., 1994, Neocortical changes in Parkinson’s disease revisited, Clin. Neuropathol. 13: 55–59.

    PubMed  CAS  Google Scholar 

  • Yoshimura, M., 1988, Pathological basis for dementia in elderly patients with idiopathic Parkinson’s disease, Europ. Neurol. 28 (Suppl. 1): 29–35.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer Science+Business Media New York

About this chapter

Cite this chapter

McRitchie, D.A., Halliday, G.M., Cartwright, H., Hely, M.A., Morris, J.G.L. (1996). Pattern of Midbrain Pathology in Different Parkinsonian Syndromes. In: Ohye, C., Kimura, M., McKenzie, J.S. (eds) The Basal Ganglia V. Advances in Behavioral Biology, vol 47. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0194-1_53

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0194-1_53

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0196-5

  • Online ISBN: 978-1-4899-0194-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics