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PITTSBURGH, April 2 – A University of Pittsburgh neurologist has used an
advanced form of brain imaging to identify changes in small regions of
the brains of living Parkinson's disease patients for the first time.
These results were presented today at the American Academy of Neurology
meeting being held in Honolulu, Hawaii. 
Robert Y. Moore, M.D., Ph.D., Love Family Professor and professor of
neurology and neuroscience and co-director of the National Parkinson
Foundation Center of Excellence at the University of Pittsburgh,
analyzed positron emission tomography (PET) scans of the brains of 41
Parkinson's patients and 16 normal individuals obtained at the
Hammersmith Hospital, part of the Imperial College of Medicine in
London, England. The scans focused on two small areas found deep in the
brain called the locus coeruleus and raphe, areas that control attention
and wakefulness. His analysis found positive evidence of degeneration of
nerve cells in these areas. 

"We were able to see changes in these areas for the very first time,"
Dr. Moore said. "Before now, we could only see these changes on
post-mortem examinations. The implications of this are enormous because
it shows that we can now begin to gain a better understanding of the
progression of this disease and treatment using PET." 

PET is an imaging method that provides high-resolution pictures of the
chemistry of the brain by measuring the concentration of
positron-emitting radioisotopes. An individual undergoing a PET scan is
administered a radiopharmaceutical – a drug containing a radioactive
isotope specifically formulated to be taken up by specific groups of
nerve cells – intravenously. 

"PET scans are important in helping us develop methods to make an
earlier diagnosis of Parkinson's disease and even to identify people who
have no symptoms but are at risk of developing the disease so that we
can begin treatment and prevent severe disability from occurring," he
said. "There are several drugs now in FDA phase I and II trials that
hold promise for this." 

An estimated one million people in the United States suffer from
Parkinson's, a degenerative neurological disease that selectively
affects nerve cells producing the chemical dopamine that are important
in the control of movement. The major early signs of Parkinson's disease
include slowness of movement, an abnormal increase in muscle tone and
tremor. Many patients also experience disruptions of the sleep/wake
cycle and their ability to mentally focus attention. 

It is believed that the loss of nerve cells usually begins 5 to 7 years
before symptoms develop and the disease is most common in people over 50
but, in recent years, much younger, high-profile patients have included
actor Michael J. Fox and television talk show host Montel Williams, who
have brought more public attention to the disease. 

Dr. Moore said that while a cure may be years away, a number of recent
advances have improved the treatment of Parkinson's and give hope for
"neuroprotective" therapies that would delay the progression of the
disease. 

The University of Pittsburgh has one of the most active research efforts
in Parkinson's disease in the country, with a number of faculty
conducting ongoing 

Tom Berdine
President
Young Onset Parkinson's Association(YOPA)
www.yopa.org

Founder
YoungParkinsons.com
www.YoungParkinsons.com

Diagnosed in 2000 @ 33


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