Multiple System Atrophy Clinical Trial
Official title:
Comparison of Cognitive and Behavioral Dysexecutive Syndrome Between Parkinsonian Form and Cerebellar Form of Multiple System Atrophy and Analysis of Correlates With an Imaging Study.
The main objective of the study is to compare the score to the Behavioral Dysexecutive Syndrome Inventory (BDSI) between Parkinsonian Multiple system Atrophy MSA-P patients and cerebellar Multiple System Atrophy (MSA-C) patients matched on disease duration, age (± 7 years) and sex .
Multiple system atrophy (MSA) is a rare neurodegenerative disorder which is characterized by
a variable combination of parkinsonism, cerebellar dysfunction, autonomic failure, and
additional signs. According to the consensus criteria for the diagnosis of MSA, the presence
of dementia is considered an exclusion criteria. However, several studies have reported
cognitive impairment in patients with MSA, dominated by a dysexecutive syndrome. Some studies
have compared the cognitive profile of MSA-P patients and MSA-C but any have studied the
behavioral dysexecutive syndrome in this population. In 2010, the GREFFEX has established
criteria for dysexecutive syndrome and described two distinct parts: the dysexecutive
syndrome and cognitive behavioral dysexecutive syndrome. Our clinical impression is that
according to the type of MSA, the dysexecutive syndrome seems to be different : the MSA-P
patients seem to have a cognitive dysexecutive syndrome and the MSA-C patients a behavioral
dysexecutive syndrome.
We want to compare the BDSI score between MSA-P patients and MSA-C patients matched on
disease duration, age and sex The specific involvement of the cerebellum in behavioral
disorders could explain the behavioral differences experienced by clinicians caring for these
patients but never demonstrated. The presence of these disorders could have an impact on the
relationship between the patient and the caregiver. In addition, few studies have correlated
with cognitive imagery data. Therefore, the exact areas involved in cognitive and behavioral
MSApatients remain poorly understood.
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