Prevalence of cerebrovascular lesions in Parkinson's disease. A postmortem study.

Abstract:

:Data on the relationship between Parkinson's disease (PD) and stroke have been conflicting, some studies showing a reduced risk of stroke during life, and others indicating an increased risk of stroke-related death. Consecutive cases (n=617) of autopsy-proven idiopathic PD (Lewy body disease of the brain stem type) and age-matched controls (n=535) were compared using current routine and immunohistochemical methods. The total frequency of cerebrovascular lesions (lacunes, amyloid angiopathy, white matter lesions, old and recent ischemic infarcts and hemorrhages) in PD (44.0%) was higher than in controls (32.8%), while acute, often fatal ischemic or hemorrhagic strokes were less frequent in parkinsonian patients (1.8% vs 2.6%). Like previous postmortem findings in a smaller cohort, these findings neither indicate a protective effect against stroke nor a greater susceptibility to death from stroke in the populations studied. Cognitive impairment in PD appears to be largely independent from coexistent vascular pathology except in cases with severe cerebrovascular lesions.

journal_name

Acta Neuropathol

journal_title

Acta neuropathologica

authors

Jellinger KA

doi

10.1007/s00401-003-0676-3

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

415-9

issue

5

eissn

0001-6322

issn

1432-0533

journal_volume

105

pub_type

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