Nigrosomes

Changed by Rohit Sharma , 29 Mar 2024
Disclosures - updated 18 Aug 2023: Nothing to disclose

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Nigrosomes are small clusters of dopaminergic cells within the substantia nigra that that exhibit calbindin D28K negativity on immunohistochemistry. Five nigrosomes measuring up to a few millimetres in size have been described with the largest labelled as nigrosome-1 1.

Nigrosome-1

Nigrosome-1 within the posterior third of the substantia nigra is is able to be visualised on high resolution T2*/SWI weighted MRI, although its exact radiographic appearance is debated in the literature. It was initially thought that nigrosome-1 returns high signal on axial SWI in in a linear or comma shape, leading to the swallow tail sign in in the substantia nigra, however, this is not shown to be correct in more recentsubsequent autopsy studies where it was instead found that nigrosome-1 either only partially accounted for this swallow tail appearance or actually demonstrated low (rather than high) signal on axial SWI 3.

Nigrosome-1 contains the largest proportion of neurones affected in Parkinson disease1,3. It has been reported that in Parkinson disease that there is absence of the high SWI signal within the substantia nigra, known as the absent swallow tail sign 1. However, given findings of recentsubsequent studies, this absence likely correlates to more than just nigrosome-1 loss.

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