The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?

Background: The mechanisms underlying extrapyramidal disorders and their anatomical substrate have been extensively investigated. Recently, the role of the claustrum in Parkinson’s disease and other neurodegenerative conditions has been better detailed. The main aim of this review was to summarize t...

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Main Authors: Marialuisa Zedde, Rocco Quatrale, Gianni Cossu, Massimo Del Sette, Rosario Pascarella
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/2/180
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author Marialuisa Zedde
Rocco Quatrale
Gianni Cossu
Massimo Del Sette
Rosario Pascarella
author_facet Marialuisa Zedde
Rocco Quatrale
Gianni Cossu
Massimo Del Sette
Rosario Pascarella
author_sort Marialuisa Zedde
collection DOAJ
description Background: The mechanisms underlying extrapyramidal disorders and their anatomical substrate have been extensively investigated. Recently, the role of the claustrum in Parkinson’s disease and other neurodegenerative conditions has been better detailed. The main aim of this review was to summarize the supporting evidence for the role of the claustrum in degenerative and vascular parkinsonism. Methods: The anatomy, biology, vascular supply, and connections of the claustrum in humans were identified and described, providing the substrate for the vascular involvement of the claustrum in large- and small-vessel disease. The vascular supply of the claustrum includes up to three different sources from a single artery, the middle cerebral artery, and it is known as territory with an intermediate hemodynamic risk. The connections of the claustrum make it a sensory integrator and a relevant point in several networks, from consciousness to movement planning. Conclusions: The claustrum is still an incompletely explained structure. However, recent description of its multiple connections indicate that it is involved in several diseases, including Parkinson’s disease. The evidence underlying its potential role in vascular parkinsonism is still scarce, but it might be a field warranting future investigations.
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spelling doaj-art-cfec47f11b53470b8913f0b097b06a702025-08-20T02:01:21ZengMDPI AGLife2075-17292025-01-0115218010.3390/life15020180The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?Marialuisa Zedde0Rocco Quatrale1Gianni Cossu2Massimo Del Sette3Rosario Pascarella4Neurology Unit, Stroke Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyDipartimento di Scienze Neurologiche, UOC di Neurologia—Ospedale dell’AngeloAULSS 3 Serenissima, 30174 Venice Mestre, ItalyNeurology Unit, Dept of Neuroscience, ARNAS Brotzu, 09047 Cagliari, ItalyNeurology Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genoa, ItalyNeuroradiology Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento 80, 42123 Reggio Emilia, ItalyBackground: The mechanisms underlying extrapyramidal disorders and their anatomical substrate have been extensively investigated. Recently, the role of the claustrum in Parkinson’s disease and other neurodegenerative conditions has been better detailed. The main aim of this review was to summarize the supporting evidence for the role of the claustrum in degenerative and vascular parkinsonism. Methods: The anatomy, biology, vascular supply, and connections of the claustrum in humans were identified and described, providing the substrate for the vascular involvement of the claustrum in large- and small-vessel disease. The vascular supply of the claustrum includes up to three different sources from a single artery, the middle cerebral artery, and it is known as territory with an intermediate hemodynamic risk. The connections of the claustrum make it a sensory integrator and a relevant point in several networks, from consciousness to movement planning. Conclusions: The claustrum is still an incompletely explained structure. However, recent description of its multiple connections indicate that it is involved in several diseases, including Parkinson’s disease. The evidence underlying its potential role in vascular parkinsonism is still scarce, but it might be a field warranting future investigations.https://www.mdpi.com/2075-1729/15/2/180claustrummiddle cerebral arteryParkinson’s diseaseneurodegenerativevascular parkinsonismstroke
spellingShingle Marialuisa Zedde
Rocco Quatrale
Gianni Cossu
Massimo Del Sette
Rosario Pascarella
The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?
Life
claustrum
middle cerebral artery
Parkinson’s disease
neurodegenerative
vascular parkinsonism
stroke
title The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?
title_full The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?
title_fullStr The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?
title_full_unstemmed The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?
title_short The Role of the Claustrum in Parkinson’s Disease and Vascular Parkinsonism: A Matter of Network?
title_sort role of the claustrum in parkinson s disease and vascular parkinsonism a matter of network
topic claustrum
middle cerebral artery
Parkinson’s disease
neurodegenerative
vascular parkinsonism
stroke
url https://www.mdpi.com/2075-1729/15/2/180
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