Cognitive impairment in multiple system atrophy
Identifieur interne : 000395 ( Pmc/Corpus ); précédent : 000394; suivant : 000396Cognitive impairment in multiple system atrophy
Auteurs : Iva Stankovic ; Florian Krismer ; Aleksandar Jesic ; Angelo Antonini ; Thomas Benke ; Richard G. Brown ; David J. Burn ; Janice L. Holton ; Horacio Kaufmann ; Vladimir S. Kostic ; Helen Ling ; Wassilios G. Meissner ; Werner Poewe ; Marija Semnic ; Klaus Seppi ; Atsushi Takeda ; Daniel Weintraub ; Gregor K. WenningSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2014.
Abstract
Consensus diagnostic criteria for multiple system atrophy consider dementia as a non-supporting feature, despite emerging evidence demonstrating that cognitive impairments are an integral part of the disease. Cognitive disturbances in multiple system atrophy occur across a wide spectrum from mild single domain deficits to impairments in multiple domains and even to frank dementia in some cases. Frontal-executive dysfunction is the most common presentation, while memory and visuospatial functions may also be impaired. Imaging and neuropathological findings support the concept that cognitive impairments in MSA originate from striatofrontal deafferentation with additional contributions from intrinsic cortical degeneration and cerebellar pathology. Based on a comprehensive evidence-based review we here propose future avenues of research that may ultimately lead to diagnostic criteria for cognitive impairment and dementia associated with multiple system atrophy.
Url:
DOI: 10.1002/mds.25880
PubMed: 24753321
PubMed Central: 4175376
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