Neural correlates of visual hallucinations in dementia with Lewy bodies
Identifieur interne : 000571 ( Main/Exploration ); précédent : 000570; suivant : 000572Neural correlates of visual hallucinations in dementia with Lewy bodies
Auteurs : Camille Heitz [France] ; Vincent Noblet [France] ; Benjamin Cretin [France] ; Nathalie Philippi [France] ; Laurent Kremer [France] ; Mélanie Stackfleth [France] ; Fabrice Hubele [France] ; Jean Paul Armspach [France] ; Izzie Namer [France] ; Frédéric Blanc [France]Source :
- Alzheimer's Research & Therapy [ 1758-9193 ] ; 2015.
Abstract
The aim of this study was to investigate the association between visual hallucinations in dementia with Lewy bodies (DLB) and brain perfusion using single-photon emission computed tomography.
We retrospectively included 66 patients with DLB, 36 of whom were having visual hallucinations (DLB-hallu) and 30 of whom were not (DLB-c). We assessed visual hallucination severity on a 3-point scale of increasing severity: illusions, simple visual hallucinations and complex visual hallucinations. We performed voxel-level comparisons between the two groups and assessed correlations between perfusion and visual hallucinations severity.
We found a significant decrease in perfusion in the left anterior cingulate cortex, the left orbitofrontal cortex and the left cuneus in the DLB-hallu group compared with the DLB-c group. We also found a significant correlation between decreased bilateral anterior cingulate cortex, left orbitofrontal cortex, right parahippocampal gyrus, right inferior temporal cortex and left cuneus perfusion with the severity of hallucinations.
Visual hallucinations seem to be associated with the impairment of anterior and posterior regions (secondary visual areas, orbitofrontal cortex and anterior cingulate cortex) involved in a top-down and bottom-up mechanism, respectively. Furthermore, involvement of the bilateral anterior cingulate cortex and right parahippocampal gyrus seems to lead to more complex hallucinations.
Url:
DOI: 10.1186/s13195-014-0091-0
PubMed: 25717349
PubMed Central: 4339752
Affiliations:
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Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff4">Department of Nuclear Medicine, University Hospital of Strasbourg, 1, avenue Molière, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Nuclear Medicine, University Hospital of Strasbourg, 1, avenue Molière, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement 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type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Noblet, Vincent" sort="Noblet, Vincent" uniqKey="Noblet V" first="Vincent" last="Noblet">Vincent Noblet</name><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Cretin, Benjamin" sort="Cretin, Benjamin" uniqKey="Cretin B" first="Benjamin" last="Cretin">Benjamin Cretin</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Philippi, Nathalie" sort="Philippi, Nathalie" uniqKey="Philippi N" first="Nathalie" last="Philippi">Nathalie Philippi</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Kremer, Laurent" sort="Kremer, Laurent" uniqKey="Kremer L" first="Laurent" last="Kremer">Laurent Kremer</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Stackfleth, Melanie" sort="Stackfleth, Melanie" uniqKey="Stackfleth M" first="Mélanie" last="Stackfleth">Mélanie Stackfleth</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Hubele, Fabrice" sort="Hubele, Fabrice" uniqKey="Hubele F" first="Fabrice" last="Hubele">Fabrice Hubele</name><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff4">Department of Nuclear Medicine, University Hospital of Strasbourg, 1, avenue Molière, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Nuclear Medicine, University Hospital of Strasbourg, 1, avenue Molière, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Armspach, Jean Paul" sort="Armspach, Jean Paul" uniqKey="Armspach J" first="Jean Paul" last="Armspach">Jean Paul Armspach</name><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Namer, Izzie" sort="Namer, Izzie" uniqKey="Namer I" first="Izzie" last="Namer">Izzie Namer</name><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff4">Department of Nuclear Medicine, University Hospital of Strasbourg, 1, avenue Molière, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Nuclear Medicine, University Hospital of Strasbourg, 1, avenue Molière, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Neuropsychology Unit, Neurology Department, University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CMRR (Memory Resource and Research Center), University Hospital of Strasbourg, 1, avenue Molière, 67098 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff3">University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Strasbourg and CNRS, ICube Laboratory UMR 7357, IMIS team and FMTS (Strasbourg Federation of Translational Medicine), 1, place de l’Hôpital, 67000 Strasbourg</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author></analytic><series><title level="j">Alzheimer's Research & Therapy</title><idno type="eISSN">1758-9193</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>The aim of this study was to investigate the association between visual hallucinations in dementia with Lewy bodies (DLB) and brain perfusion using single-photon emission computed tomography.</p></sec><sec><title>Methods</title><p>We retrospectively included 66 patients with DLB, 36 of whom were having visual hallucinations (DLB-hallu) and 30 of whom were not (DLB-c). We assessed visual hallucination severity on a 3-point scale of increasing severity: illusions, simple visual hallucinations and complex visual hallucinations. We performed voxel-level comparisons between the two groups and assessed correlations between perfusion and visual hallucinations severity.</p></sec><sec><title>Results</title><p>We found a significant decrease in perfusion in the left anterior cingulate cortex, the left orbitofrontal cortex and the left cuneus in the DLB-hallu group compared with the DLB-c group. We also found a significant correlation between decreased bilateral anterior cingulate cortex, left orbitofrontal cortex, right parahippocampal gyrus, right inferior temporal cortex and left cuneus perfusion with the severity of hallucinations.</p></sec><sec><title>Conclusions</title><p>Visual hallucinations seem to be associated with the impairment of anterior and posterior regions (secondary visual areas, orbitofrontal cortex and anterior cingulate cortex) involved in a top-down and bottom-up mechanism, respectively. 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sortKey="Jicha, Ga" uniqKey="Jicha G">GA Jicha</name></author><author><name sortKey="Kryscio, Rj" uniqKey="Kryscio R">RJ Kryscio</name></author><author><name sortKey="Abner, El" uniqKey="Abner E">EL Abner</name></author><author><name sortKey="Schmitt, Fa" uniqKey="Schmitt F">FA Schmitt</name></author><author><name sortKey="Cooper, G" uniqKey="Cooper G">G Cooper</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Handley, R" uniqKey="Handley R">R Handley</name></author><author><name sortKey="Zelaya, Fo" uniqKey="Zelaya F">FO Zelaya</name></author><author><name sortKey="Reinders, Aa" uniqKey="Reinders A">AA Reinders</name></author><author><name sortKey="Marques, Tr" uniqKey="Marques T">TR Marques</name></author><author><name sortKey="Mehta, Ma" uniqKey="Mehta M">MA Mehta</name></author><author><name sortKey="O Orman, R" uniqKey="O Orman R">R O’Gorman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pardo, Bm" uniqKey="Pardo B">BM Pardo</name></author><author><name sortKey="Garolera, M" uniqKey="Garolera M">M Garolera</name></author><author><name sortKey="Ariza, M" uniqKey="Ariza M">M Ariza</name></author><author><name sortKey="Pareto, D" uniqKey="Pareto D">D Pareto</name></author><author><name sortKey="Salamero, M" uniqKey="Salamero M">M Salamero</name></author><author><name sortKey="Valles, V" uniqKey="Valles V">V Valles</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li></region><settlement><li>Strasbourg</li></settlement></list><tree><country name="France"><region name="Grand Est"><name sortKey="Heitz, Camille" sort="Heitz, Camille" uniqKey="Heitz C" first="Camille" last="Heitz">Camille Heitz</name></region><name sortKey="Armspach, Jean Paul" sort="Armspach, Jean Paul" uniqKey="Armspach J" first="Jean Paul" last="Armspach">Jean Paul Armspach</name><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><name sortKey="Blanc, Frederic" sort="Blanc, Frederic" uniqKey="Blanc F" first="Frédéric" last="Blanc">Frédéric Blanc</name><name sortKey="Cretin, Benjamin" sort="Cretin, Benjamin" uniqKey="Cretin B" first="Benjamin" last="Cretin">Benjamin Cretin</name><name sortKey="Cretin, Benjamin" sort="Cretin, Benjamin" uniqKey="Cretin B" first="Benjamin" last="Cretin">Benjamin Cretin</name><name sortKey="Cretin, Benjamin" sort="Cretin, Benjamin" uniqKey="Cretin B" first="Benjamin" last="Cretin">Benjamin Cretin</name><name sortKey="Heitz, Camille" sort="Heitz, Camille" uniqKey="Heitz C" first="Camille" last="Heitz">Camille Heitz</name><name sortKey="Hubele, Fabrice" sort="Hubele, Fabrice" uniqKey="Hubele F" first="Fabrice" last="Hubele">Fabrice Hubele</name><name sortKey="Hubele, Fabrice" sort="Hubele, Fabrice" uniqKey="Hubele F" first="Fabrice" last="Hubele">Fabrice Hubele</name><name sortKey="Kremer, Laurent" sort="Kremer, Laurent" uniqKey="Kremer L" first="Laurent" last="Kremer">Laurent Kremer</name><name sortKey="Namer, Izzie" sort="Namer, Izzie" uniqKey="Namer I" first="Izzie" last="Namer">Izzie Namer</name><name sortKey="Namer, Izzie" sort="Namer, Izzie" uniqKey="Namer I" first="Izzie" last="Namer">Izzie Namer</name><name sortKey="Noblet, Vincent" sort="Noblet, Vincent" uniqKey="Noblet V" first="Vincent" last="Noblet">Vincent Noblet</name><name sortKey="Philippi, Nathalie" sort="Philippi, Nathalie" uniqKey="Philippi N" first="Nathalie" last="Philippi">Nathalie Philippi</name><name sortKey="Philippi, Nathalie" sort="Philippi, Nathalie" uniqKey="Philippi N" first="Nathalie" last="Philippi">Nathalie Philippi</name><name sortKey="Philippi, Nathalie" sort="Philippi, Nathalie" uniqKey="Philippi N" first="Nathalie" last="Philippi">Nathalie Philippi</name><name sortKey="Stackfleth, Melanie" sort="Stackfleth, Melanie" uniqKey="Stackfleth M" first="Mélanie" last="Stackfleth">Mélanie Stackfleth</name><name sortKey="Stackfleth, Melanie" sort="Stackfleth, Melanie" uniqKey="Stackfleth M" first="Mélanie" last="Stackfleth">Mélanie Stackfleth</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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