AUTHOR=Fedtke Nadin , Witte Otto W. , Prell Tino TITLE=Ultrasonography of the Vagus Nerve in Parkinson's Disease JOURNAL=Frontiers in Neurology VOLUME=Volume 9 - 2018 YEAR=2018 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2018.00525 DOI=10.3389/fneur.2018.00525 ISSN=1664-2295 ABSTRACT=Based on the topographic distribution of α-synuclein-enriched Lewy bodies, it has been hypothesized that Parkinson´s disease may start in the gastrointestinal tract and gain access to the central nervous system via the vagus nerve. Since ultrasonography is a powerful tool to study peripheral nerve disturbances, we conducted ultrasonography of the vagus nerve in 32 patients with Parkinson´s disease, 15 disease controls and 15 healthy controls. The cross-sectional area and echogenicity measured on transverse scans of the vagal nerve did not differ significantly between these groups. Therefore, the observed intraneuronal changes in Parkinson´s disease are not associated with ultrasonographic disruptions of the vagus nerve integrity.