Predictors of Cognitive Decline in the Early Stages of Parkinson's Disease: A Brief Cognitive Assessment Longitudinal Study
Identifieur interne : 000436 ( Ncbi/Checkpoint ); précédent : 000435; suivant : 000437Predictors of Cognitive Decline in the Early Stages of Parkinson's Disease: A Brief Cognitive Assessment Longitudinal Study
Auteurs : Paulo Bugalho [Portugal] ; Miguel Viana [Portugal]Source :
- Parkinson's Disease [ 2090-8083 ] ; 2013.
Abstract
Our objectives were to perform a longitudinal assessment of mental status in early stage Parkinson's disease (PD) patients, with brief neuropsychological tests, in order to find predictive factors for cognitive decline. Sixty-one, early stage, and nondemented patients were assessed twice, over a 2-year interval, with a global cognitive test (mini-mental state examination (MMSE)) and a frontal function test (frontal assessment battery (FAB)) and motor function scales. Dementia and hallucinations were diagnosed according to the DSM-IV criteria. Cognitive function scores did not decrease significantly, except for FAB lexical fluency score. Four patients presented with dementia at followup. The MMSE score below cut-off, worse gait dysfunction, the nontremor motor subtype, and hallucinations were significantly related to dementia. Rigidity and speech dysfunction were related to dementia and a decrease in FAB scores. We can conclude that decline in the MMSE and FAB scores is small and heterogeneous in the early stages of PD. Scores below cut-off in the MMSE could be helpful to predict dementia. Nontremor motor deficits could be predictive factors for frontal cognitive decline and dementia.
Url:
DOI: 10.1155/2013/912037
PubMed: 24303226
PubMed Central: 3835472
Affiliations:
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type="main">Predictors of Cognitive Decline in the Early Stages of Parkinson's Disease: A Brief Cognitive Assessment Longitudinal Study</title><author><name sortKey="Bugalho, Paulo" sort="Bugalho, Paulo" uniqKey="Bugalho P" first="Paulo" last="Bugalho">Paulo Bugalho</name><affiliation wicri:level="1"><nlm:aff id="I1">Neurology Department, Hospital de Egas Moniz, CHLO, Rua da Junqueira 126, 1349-019 Lisbon, Portugal</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>Neurology Department, Hospital de Egas Moniz, CHLO, Rua da Junqueira 126, 1349-019 Lisbon</wicri:regionArea><wicri:noRegion>1349-019 Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">CEDOC and Neurology Department, Faculdade de Ciências Médicas (FCM), Universidade Nova de Lisboa (UNL), Campo dos Mártires da Pátria, 130, 1169-056 Lisbon, Portugal</nlm:aff><country xml:lang="fr">Portugal</country><wicri:regionArea>CEDOC and Neurology Department, Faculdade de Ciências Médicas 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xml:lang="fr">Portugal</country><wicri:regionArea>CEDOC and Neurology Department, Faculdade de Ciências Médicas (FCM), Universidade Nova de Lisboa (UNL), Campo dos Mártires da Pátria, 130, 1169-056 Lisbon</wicri:regionArea><wicri:noRegion>1169-056 Lisbon</wicri:noRegion></affiliation></author></analytic><series><title level="j">Parkinson's Disease</title><idno type="ISSN">2090-8083</idno><idno type="e-ISSN">2042-0080</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Our objectives were to perform a longitudinal assessment of mental status in early stage Parkinson's disease (PD) patients, with brief neuropsychological tests, in order to find predictive factors for cognitive decline. Sixty-one, early stage, and nondemented patients were assessed twice, over a 2-year interval, with a global cognitive test (mini-mental state examination (MMSE)) and a frontal function test (frontal assessment battery (FAB)) and motor function scales. Dementia and hallucinations were diagnosed according to the DSM-IV criteria. Cognitive function scores did not decrease significantly, except for FAB lexical fluency score. Four patients presented with dementia at followup. The MMSE score below cut-off, worse gait dysfunction, the nontremor motor subtype, and hallucinations were significantly related to dementia. Rigidity and speech dysfunction were related to dementia and a decrease in FAB scores. We can conclude that decline in the MMSE and FAB scores is small and heterogeneous in the early stages of PD. Scores below cut-off in the MMSE could be helpful to predict dementia. 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K">KS Marder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fenelon, G" uniqKey="Fenelon G">G Fénelon</name></author><author><name sortKey="Mahieux, F" uniqKey="Mahieux F">F Mahieux</name></author><author><name sortKey="Huon, R" uniqKey="Huon R">R Huon</name></author><author><name sortKey="Ziegler, M" uniqKey="Ziegler M">M Ziégler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ibarretxe Bilbao, N" uniqKey="Ibarretxe Bilbao N">N Ibarretxe-Bilbao</name></author><author><name sortKey="Ramirez Ruiz, B" uniqKey="Ramirez Ruiz B">B Ramirez-Ruiz</name></author><author><name sortKey="Junque, C" uniqKey="Junque C">C Junque</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alves, G" uniqKey="Alves G">G Alves</name></author><author><name sortKey="Larsen, Jp" uniqKey="Larsen J">JP Larsen</name></author><author><name sortKey="Emre, M" uniqKey="Emre M">M Emre</name></author><author><name sortKey="Wentzel Larsen, T" uniqKey="Wentzel Larsen T">T Wentzel-Larsen</name></author><author><name sortKey="Aarsland, D" uniqKey="Aarsland D">D Aarsland</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pagonabarraga, J" uniqKey="Pagonabarraga J">J Pagonabarraga</name></author><author><name sortKey="Kulisevsky, J" uniqKey="Kulisevsky J">J Kulisevsky</name></author><author><name sortKey="Llebaria, G" uniqKey="Llebaria G">G Llebaria</name></author><author><name sortKey="Garcia Sanchez, C" uniqKey="Garcia Sanchez C">C García-Sánchez</name></author><author><name sortKey="Pascual Sedano, B" uniqKey="Pascual Sedano B">B Pascual-Sedano</name></author><author><name sortKey="Gironell, A" uniqKey="Gironell A">A Gironell</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Portugal</li></country></list><tree><country name="Portugal"><noRegion><name sortKey="Bugalho, Paulo" sort="Bugalho, Paulo" uniqKey="Bugalho P" first="Paulo" last="Bugalho">Paulo Bugalho</name></noRegion><name sortKey="Bugalho, Paulo" sort="Bugalho, Paulo" uniqKey="Bugalho P" first="Paulo" last="Bugalho">Paulo Bugalho</name><name sortKey="Viana Baptista, Miguel" sort="Viana Baptista, Miguel" uniqKey="Viana Baptista M" first="Miguel" last="Viana">Miguel Viana</name><name sortKey="Viana Baptista, Miguel" sort="Viana Baptista, Miguel" uniqKey="Viana Baptista M" first="Miguel" last="Viana">Miguel Viana</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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