MDS Task Force on Mild Cognitive Impairment in Parkinson’s disease: Critical Review of PD-MCI
Identifieur interne : 000181 ( Pmc/Corpus ); précédent : 000180; suivant : 000182MDS Task Force on Mild Cognitive Impairment in Parkinson’s disease: Critical Review of PD-MCI
Auteurs : I. Litvan ; D. Aarsland ; Ch Adler ; Jg Goldman ; J. Kulisevsky ; B. Mollenhauer ; Mc Rodriguez-Oroz ; Ai Tröster ; D. WeintraubSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2011.
Abstract
There is controversy regarding the definition and characteristics of mild cognitive impairment in Parkinson’s disease.
The Movement Disorders Society commissioned a Task Force to critically evaluate the literature and determine the frequency and characteristics of Parkinson’s disease-mild cognitive impairment and its association with dementia.
Comprehensive PubMed literature review using systematic inclusion and exclusion criteria.
A mean of 26.7% (range, 18.9–38.2%) of non-demented Parkinson’s disease patients have mild cognitive impairment. The frequency of Parkinson’s disease mild cognitive impairment increases with age, disease duration, and disease severity. Impairments occur in a range of cognitive domains, but single domain impairment is more common than multiple domain impairment, and within single domain impairment, non-amnestic is more common than amnestic impairment. A high proportion of patients with Parkinson’s disease-mild cognitive impairment progress to dementia in a relatively short period of time.
The primary conclusions of the Task Force are that: (1) Parkinson’s disease-mild cognitive impairment is common; (2) there is significant heterogeneity within Parkinson’s disease-mild cognitive impairment in the number and types of cognitive domain impairments; (3) Parkinson’s disease-mild cognitive impairment appears to place patients at risk of progressing to dementia; and (4) formal diagnostic criteria for Parkinson’s disease-mild cognitive impairment are needed.
Url:
DOI: 10.1002/mds.23823
PubMed: 21661055
PubMed Central: 3181006
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