Movement Disorders (revue)

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Frontal and Associative Visual Areas Related to Visual Hallucinations in Dementia with Lewy Bodies and Parkinson's Disease with Dementia

Identifieur interne : 001F49 ( Main/Exploration ); précédent : 001F48; suivant : 001F50

Frontal and Associative Visual Areas Related to Visual Hallucinations in Dementia with Lewy Bodies and Parkinson's Disease with Dementia

Auteurs : Cristina Sanchez-Castaneda [Espagne] ; Ramon Rene [Espagne] ; Blanca Ramirez-Ruiz [Espagne] ; Jaume Campdelacreu [Espagne] ; Jordi Gascon [Espagne] ; Carles Falcon [Espagne] ; Matilde Calopa [Espagne] ; Serge Jauma [Espagne] ; Montserrat Juncadella [Espagne] ; Carme Junque [Espagne]

Source :

RBID : Pascal:10-0233225

Descripteurs français

English descriptors

Abstract

Visual Hallucinations (VH) are among the core features of Dementia with Lewy Bodies (DLB), but are also very frequent in demented patients with Parkinson's Disease (PDD). The purpose of this study was to investigate the pattern of gray matter and cognitive impairment underlying VH in DLB and PDD. We applied voxel-based morphometry and behavioral assessment to 12 clinically diagnosed DLB patients and 15 PDD patients. Subjects with VH showed greater gray matter loss than non-hallucinators, specifically in the right inferior frontal gyrus (BA 45) in the DLB patients and in the left orbitofrontal lobe (BA 10) in the PDD patients. Comparing the two subgroups with VH, DLB patients had greater decrease of the bilateral premotor area (BA 6) than PDD patients. Furthermore, decreased volume in associative visual areas, namely left precuneus and inferior frontal lobe, correlated with VH in the DLB but not in PDD patients. VH were related to impaired verbal fluency, inhibitory control of attention and visuoperception in the DLB group and to visual memory in the PDD group. In conclusion, DLB and PDD patients with VH had more frontal gray matter atrophy than non-hallucinators, the impairment being greater in the DLB group. The patterns of structural and functional correlations were different in both pathologies.


Affiliations:


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Le document en format XML

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<term>Frontal</term>
<term>Lewy body dementia</term>
<term>Lewy body disease</term>
<term>Nervous system diseases</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Parkinson disease</term>
<term>Visual hallucination</term>
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<keywords scheme="Pascal" xml:lang="fr">
<term>Hallucination visuelle</term>
<term>Démence à corps de Lewy</term>
<term>Maladie de Parkinson</term>
<term>Pathologie du système nerveux</term>
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<div type="abstract" xml:lang="en">Visual Hallucinations (VH) are among the core features of Dementia with Lewy Bodies (DLB), but are also very frequent in demented patients with Parkinson's Disease (PDD). The purpose of this study was to investigate the pattern of gray matter and cognitive impairment underlying VH in DLB and PDD. We applied voxel-based morphometry and behavioral assessment to 12 clinically diagnosed DLB patients and 15 PDD patients. Subjects with VH showed greater gray matter loss than non-hallucinators, specifically in the right inferior frontal gyrus (BA 45) in the DLB patients and in the left orbitofrontal lobe (BA 10) in the PDD patients. Comparing the two subgroups with VH, DLB patients had greater decrease of the bilateral premotor area (BA 6) than PDD patients. Furthermore, decreased volume in associative visual areas, namely left precuneus and inferior frontal lobe, correlated with VH in the DLB but not in PDD patients. VH were related to impaired verbal fluency, inhibitory control of attention and visuoperception in the DLB group and to visual memory in the PDD group. In conclusion, DLB and PDD patients with VH had more frontal gray matter atrophy than non-hallucinators, the impairment being greater in the DLB group. The patterns of structural and functional correlations were different in both pathologies.</div>
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<name sortKey="Rene, Ramon" sort="Rene, Ramon" uniqKey="Rene R" first="Ramon" last="Rene">Ramon Rene</name>
<name sortKey="Sanchez Castaneda, Cristina" sort="Sanchez Castaneda, Cristina" uniqKey="Sanchez Castaneda C" first="Cristina" last="Sanchez-Castaneda">Cristina Sanchez-Castaneda</name>
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   |wiki=    Wicri/Santé
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   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:10-0233225
   |texte=   Frontal and Associative Visual Areas Related to Visual Hallucinations in Dementia with Lewy Bodies and Parkinson's Disease with Dementia
}}

Wicri

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