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This title appears in the Scientific Report : 2022 

Clinical and imaging evidence of brain-first and body-first Parkinson's disease

Clinical and imaging evidence of brain-first and body-first Parkinson's disease

Braak's hypothesis has been extremely influential over the last two decades. However, neuropathological and clinical evidence suggest that the model does not conform to all patients with Parkinson's disease (PD). To resolve this controversy, a new model was recently proposed; in brain-firs...

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Personal Name(s): Horsager, Jacob (Corresponding author)
Knudsen, Karoline / Sommerauer, Michael
Contributing Institute: Kognitive Neurowissenschaften; INM-3
Published in: Neurobiology of disease, 164 (2022) S. 105626 -
Imprint: Orlando, Fla. Academic Press 2022
DOI: 10.1016/j.nbd.2022.105626
Document Type: Journal Article
Research Program: Brain Dysfunction and Plasticity
Link: OpenAccess
Publikationsportal JuSER
Please use the identifier: http://dx.doi.org/10.1016/j.nbd.2022.105626 in citations.
Please use the identifier: http://hdl.handle.net/2128/31815 in citations.

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Braak's hypothesis has been extremely influential over the last two decades. However, neuropathological and clinical evidence suggest that the model does not conform to all patients with Parkinson's disease (PD). To resolve this controversy, a new model was recently proposed; in brain-first PD, the initial α-synuclein pathology arise inside the central nervous system, likely rostral to the substantia nigra pars compacta, and spread via interconnected structures – eventually affecting the autonomic nervous system; in body-first PD, the initial pathological α-synuclein originates in the enteric nervous system with subsequent caudo-rostral propagation to the autonomic and central nervous system.

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