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Target Concepts:
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Query: UMLS:C0752347 (
Dementia with Lewy bodies
)
1,653
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Lewy bodies (LB) are characteristic pathological findings for idiopathic Parkinson disease, and extracranial organs have also been known to exhibit these structures. Clinically, the possible involvement of LB in cardiac dysfunction has attracted attention based on the findings of studies using [123I] metaiodobenzyl guanidine (MIBG) scintigraphy. The purpose of the present study was to investigate the possible involvement of LB in heart disease. A total of 40 autopsy cases consisting of
Lewy body disease
and Parkinson syndrome were examined. The former were cases with intracranial LB regardless of clinical symptoms, and the latter were cases with parkinsonism but without intracranial LB. The presence of heart disease or an atrial arrhythmia and the results of an MIBG scintigraphy study were clinically examined. The sinoatrial node was examined microscopically and immunohistochemically. The results showed that heart disease and atrial arrhythmia complications were more frequent in cases with
Lewy body disease
than in cases with Parkinson syndrome and that LB were frequently found in extracranial organs, especially in the sinoatrial
nodal
ganglion, in cases with
Lewy body disease
. In the current report, we hypothesized that neuronal changes involving LB in the sinoatrial
nodal
ganglion may cause arrhythmia and ischemic heart disease as a result of vasoconstriction.
...
PMID:Lewy bodies in the sinoatrial nodal ganglion: clinicopathological studies. 1536 36