Department of Neurology, Nagasaki Kita Hospital Nagasaki, Japan
Mitsuhiro Tsujihata is at Nagasaki Kita Hospital in Nagasaki, Japan. Dr. Tsujihata is highly rated in 1 condition, according to our data. Their top areas of expertise are Agnosia, Myasthenia Gravis, Congenital Myasthenic Syndrome, and Corticobasal Degeneration.Their clinical research consists of co-authoring 18 peer reviewed articles in the past 15 years.
Research Article
Reduced Cardiac 123I-MIBG Scintigraphy and Olfactory Impairment in Idiopathic REM Sleep Behavior Disorder
Author(s): Makiko Seto, Akira Satoh and Mitsuhiro Tsujihata*
Cardiac 123I-MIBG scintigraphy (cMIBG) and an olfactory function test using the Odor Stick Identification Test for Japanese (OSIT-J) were performed for 46 patients with idiopathic REM behavior disorder (iRBD). The H/M ratio on cMIBG of iRBD patients was classified according to the Hoehn-Yahr's (H-Y) stages of Parkinson's disease (PD) as follows: early images, normal range, 11(23.9%); H-YI, 3 (6.5%); H-YII, 5 (10.9%); ≥ H-YIII, 27 (58.7%); and delayed images, normal range, 9 (19.6%); H-YI, 3 (6.5%); H-YII, 1 (2.2%); ≥ H-YIII, 33 (71.7%). The OSIT-J scores decreased in 76.2% of iRBD patients, and 20.5% of Normal subjects. The OSIT-J scores in iRBD patients were strongly correlated with the H/M ratio on early and delayed cMIBG images (p<0.001, Pearson correlation coefficient). PD progresses from H-Y stage I to V, with the H/M ratio on cMIBG decreasing as the H-Y stage pr.. View more»