Movement Disorders (revue)

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Rivastigmine is Associated with Restoration of Left Frontal Brain Activity in Parkinson’s Disease

Identifieur interne : 000789 ( Main/Exploration ); précédent : 000788; suivant : 000790

Rivastigmine is Associated with Restoration of Left Frontal Brain Activity in Parkinson’s Disease

Auteurs : Katherine L. Possin ; Gail A. Kang ; Christine Guo ; Eric M. Fine ; Andrew J. Trujillo ; Caroline A. Racine ; Reva Wilheim ; Erica T. Johnson ; Jennifer L. Witt ; William W. Seeley ; Bruce L. Miller ; Joel H. Kramer

Source :

RBID : PMC:4001926

English descriptors

Abstract

Objective

To investigate how acetylcholinesterase inhibitor (ChEI) treatment impacts brain function in Parkinson’s disease (PD).

Methods

Twelve patients with PD and either dementia or mild cognitive impairment underwent task-free functional magnetic resonance imaging before and after three months of ChEI treatment and were compared to 15 age and sex matched neurologically healthy controls. Regional spontaneous brain activity was measured using the fractional amplitude of low frequency fluctuations.

Results

At baseline, patients showed reduced spontaneous brain activity in regions important for motor control (e.g., caudate, supplementary motor area, precentral gyrus, thalamus), attention and executive functions (e.g., lateral prefrontal cortex), and episodic memory (e.g., precuneus, angular gyrus, hippocampus). After treatment, the patients showed a similar but less extensive pattern of reduced spontaneous brain activity relative to controls. Spontaneous brain activity deficits in the left premotor cortex, inferior frontal gyrus, and supplementary motor area were restored such that the activity was increased post-treatment compared to baseline and was no longer different from controls. Treatment-related increases in left premotor and inferior frontal cortex spontaneous brain activity correlated with parallel reaction time improvement on a test of controlled attention.

Conclusions

PD patients with cognitive impairment show numerous regions of decreased spontaneous brain function compared to controls, and rivastigmine is associated with performance-related normalization in left frontal cortex function.


Url:
DOI: 10.1002/mds.25575
PubMed: 23847120
PubMed Central: 4001926


Affiliations:


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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Arousal (drug effects)</term>
<term>Attention (drug effects)</term>
<term>Cholinesterase Inhibitors (therapeutic use)</term>
<term>Cues</term>
<term>Executive Function (drug effects)</term>
<term>Female</term>
<term>Frontal Lobe (drug effects)</term>
<term>Functional Laterality</term>
<term>Head Movements (physiology)</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuroprotective Agents (therapeutic use)</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Phenylcarbamates (therapeutic use)</term>
<term>Psychomotor Performance (drug effects)</term>
<term>Recovery of Function</term>
<term>Treatment Outcome</term>
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<term>Cholinesterase Inhibitors</term>
<term>Neuroprotective Agents</term>
<term>Phenylcarbamates</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Arousal</term>
<term>Attention</term>
<term>Executive Function</term>
<term>Frontal Lobe</term>
<term>Psychomotor Performance</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Head Movements</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
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<term>Cues</term>
<term>Female</term>
<term>Functional Laterality</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuropsychological Tests</term>
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<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objective</title>
<p id="P1">To investigate how acetylcholinesterase inhibitor (ChEI) treatment impacts brain function in Parkinson’s disease (PD).</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">Twelve patients with PD and either dementia or mild cognitive impairment underwent task-free functional magnetic resonance imaging before and after three months of ChEI treatment and were compared to 15 age and sex matched neurologically healthy controls. Regional spontaneous brain activity was measured using the fractional amplitude of low frequency fluctuations.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">At baseline, patients showed reduced spontaneous brain activity in regions important for motor control (e.g., caudate, supplementary motor area, precentral gyrus, thalamus), attention and executive functions (e.g., lateral prefrontal cortex), and episodic memory (e.g., precuneus, angular gyrus, hippocampus). After treatment, the patients showed a similar but less extensive pattern of reduced spontaneous brain activity relative to controls. Spontaneous brain activity deficits in the left premotor cortex, inferior frontal gyrus, and supplementary motor area were restored such that the activity was increased post-treatment compared to baseline and was no longer different from controls. Treatment-related increases in left premotor and inferior frontal cortex spontaneous brain activity correlated with parallel reaction time improvement on a test of controlled attention.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">PD patients with cognitive impairment show numerous regions of decreased spontaneous brain function compared to controls, and rivastigmine is associated with performance-related normalization in left frontal cortex function.</p>
</sec>
</div>
</front>
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<name sortKey="Miller, Bruce L" sort="Miller, Bruce L" uniqKey="Miller B" first="Bruce L." last="Miller">Bruce L. Miller</name>
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