@article{IsaiasBrumbergPozzietal.2020, author = {Isaias, Ioannis U. and Brumberg, Joachim and Pozzi, Nicol{\´o} G. and Palmisano, Chiara and Canessa, Andrea and Marotta, Giogio and Volkmann, Jens and Pezzoli, Gianni}, title = {Brain metabolic alterations herald falls in patients with Parkinson's disease}, series = {Annals of Clinical and Translational Neurology}, volume = {7}, journal = {Annals of Clinical and Translational Neurology}, number = {4}, doi = {10.1002/acn3.51013}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-235982}, pages = {579-583}, year = {2020}, abstract = {Pathophysiological understanding of gait and balance disorders in Parkinson's disease is insufficient and late recognition of fall risk limits efficacious followup to prevent or delay falls. We show a distinctive reduction of glucose metabolism in the left posterior parietal cortex, with increased metabolic activity in the cerebellum, in parkinsonian patients 6-8 months before their first fall episode. Falls in Parkinson's disease may arise from altered cortical processing of body spatial orientation, possibly predicted by abnormal cortical metabolism.}, language = {en} }