Hui You1, Yan-Ping Zhao, Han Wang2, Bo Hou, Feng Feng
1Department of Radiology, Peking Union Medical College Hospital, Beijing, China; 2Department of Neurology, Peking Union Medical College Hospital
The aim of this study is to assess the brain metabolic changes in patients with parkinsonian multiple system atrophy (MSA-P) parkinsons disease (PD). The subjects, including 45 controls, 27 PD and 40 clinically probable MSA-P patients, underwent MR spectroscopy in pons, basal ganglia and motor cortex. Our results suggest creatine concentration in MSA-P is not stable as presumed previously. Absolute concentration demonstrates metabolite changes more intuitively than concentration ratios. According to changes of individual metabolite, more sensitive concentration ratios may be defined. The metabolite concentration changes, especially in pons, may be valuable for differential diagnosis of MSA-P and PD.