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The study population will include 100 parkinsonian patients in early stage of disease, with total duration not exeeding 5 years.
The patients will undergo neurologic examination and evaluation of disease severity using the unified PD rating scale. Subsequently a brain SPECT will be performed using Tc-99m-Trodat1.
The study sample will include 100 Israeli Jewish patients with early idiopathic PD who were not treated with anti-parkinson drugs. The clinical diagnosis will be based on the criteria of the United Kingdom Parkinson Disease Society Brain Bank.5 All patients will undergo Tc-99m-Trodat1 SPECT. The severity of the motor symptoms will be assessed with the Unified PD Rating Scale (UPDRS). Genomic DNA is extracted from peripheral blood leukocytes for genetic analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parkinson | Early onset of disease |
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| Measure | Description | Time Frame |
|---|---|---|
| Disease severity versus genetic polymorphism | Correlation of disease severity with polymorphism and with striatal affinity to the DAT ligand. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Severity of PD compared to specific striatal DAT activity as measures by Tc-99m Trodat SPECT. | For each striatal ROI, mean counts will be measured, and specific TRODAT uptake will be calculated, according to the following formula: Specific TRODAT uptake = (mean activity in ROI - mean Activity in occipital cortex) / mean Activity in occipital cortex). | 1 year |
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Inclusion Criteria:
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Exclusion Criteria:
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100 early Israeli PD patients Of jewish origin, males or females Undergoing DAT-scan examination in Wolfson medical center at early stage of disease, accompanied by a UPDRS evaluation at that stage,performed by a trained neurologist
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| Name | Affiliation | Role |
|---|---|---|
| Mordechai Lorberboym, MD | Edith Wolfson Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Edith Wolfson Medical Center | Holon | Israel | 58100 | Israel | ||
| Edith Wolfson medical Center |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Blood samples with DNA
| Holon |
| 58100 |
| Israel |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |