Keywords: Parkinson's Disease, Diffusion/other diffusion imaging techniquesThe mechanism by which involvement of the cholinergic pathways underlies the non-motor manifestations of Parkinsonian disorders remains unclear. We mapped and investigated the pedunculopontine nucleus (PPN) projections that exhibit significant correlations with sleep disturbances in 80 Parkinson’s disease (PD) patients and 110 healthy controls (HC) using correlational tractography. Intracellular and extracellular diffusivity (RDI and NRDI metrics respectively) demonstrated significant correlations (r=0.06-0.14, FDR<0.05) with sleep abnormalities in the PPN projections of PD compared to HC. Our findings established non-motor markers of PPN system denervation with sleep disturbances to further understand the pathophysiology of non-motor symptoms in PD.
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