xRead - Olfactory Disorders (September 2023)
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449
PATEL et al.
TABLE VII.12 (Continued)
Study design Study groups
Clinical end point Discrimination and ID thresholds MRI volume measures
Topic
Study
Year LOE
Conclusions
Wuet al 783
12 of 26 PD (46%) had OD Function normal in HCs No meaningful correlations of smell tests with disease duration, UPDRS score part III, and disease stage Atrophy present in piriform and orbitofrontal cortices inPD PD with PARK2 mutations had higher average odor thresholds than the 10 controls. No differences in IDorD. Fractional anisotropy values in the white matter of the left cerebellum correlated positively with odor ID negatively correlated with mean diffusivity values in the white matter of the right cerebellum 10 of the 44 PD developed dementia over a 3-year period; all had baseline hyposmia Those with severe hyposmia had an 18.7-fold increase in their risk of dementia for each 1-standard deviation (2.8) decrease in the OSID-J score Severe hyposmics exhibited a characteristic distribution of cerebral Olfactory test discriminated PD from non-PD parkinsonism at a moderate level Hyposmia less apparent in tremor-dominant PD than in akinetic-rigid and mixed type PD (55% vs 76%) Hyposmia mildly progressed from baseline to 5-year follow-up Highest diagnostic accuracy when olfaction, SN echogenicity, and motor function tests combined metabolic decline identical to that of dementia thresholds; such thresholds were
2011 4
Case
26PD 26HCs
control
Yoritaka et al 784
2011 4
Case
6PDwith PARK2
SS-TDI
control
mutations
10HCs
Zhanget al 785
2011 4
Case
25PD 25HCs
Discrimination and ID thresholds basedon
control
average among 5 different stimuli
Babaet al 786
2012 3
Cohort
44 PD without dementia
OSID-J Cognitive
measures PETandMRI
Busse et al 787
SS-ID (12 odors)
385 PD baseline 88 PD follow-up 132non-PD parkinsonism
2012 3
Case
control and cohort
(Continues)
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