Parkinson' disease

Neurodegenerative diseases

General description

Parkinson's disease is a neurodegenerative disorder characterized by the degeneration of dopaminergic neurons in the substantia nigra. The disease typically follows a gradual progressive course, with cardinal motor manifestations including resting tremor, cogwheel rigidity, akinesia, and postural instability. Additionally, non-motor symptoms such as autonomic dysfunction and psychiatric disturbances may occur.

Neuromelanin imaging

  • Substantia nigra
  • Brainstem
    Pons
    Locus coeruleus
Bilateral
Neuromelanin
Hypointensity

On neuromelanin-sensitive magnetic resonance imaging sequences, a decrease in the physiological hyperintense signal is observed within the substantia nigra and locus coeruleus regions.

DAT scan

  • Caudate nucleus
  • Putamen
Contralateral to symptom
DaT Scan
Decreased uptake

In the early stages of Parkinson's disease, dopamine transporter (DAT) imaging typically demonstrates decreased and asymmetric striatal uptake in the contralateral striatum to the symptomatic side.