Which factors predict cognitive decline in Parkinson's disease?
Identifieur interne : 001C84 ( Ncbi/Curation ); précédent : 001C83; suivant : 001C85Which factors predict cognitive decline in Parkinson's disease?
Auteurs : D. Caparros-Lefebvre ; N. Pécheux ; V. Petit ; A. Duhamel ; H. PetitSource :
- Journal of Neurology, Neurosurgery, and Psychiatry [ 0022-3050 ] ; 1995.
English descriptors
- KwdEn :
- Activities of Daily Living, Age of Onset, Aged, Cognition Disorders (diagnosis), Cognition Disorders (etiology), Depressive Disorder (etiology), Depressive Disorder (psychology), Educational Status, Humans, Levodopa (therapeutic use), Middle Aged, Movement Disorders (etiology), Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (drug therapy), Prognosis, Severity of Illness Index, Task Performance and Analysis, Tremor (etiology).
- MESH :
- chemical , therapeutic use : Levodopa.
- complications : Parkinson Disease.
- diagnosis : Cognition Disorders.
- drug therapy : Parkinson Disease.
- etiology : Cognition Disorders, Depressive Disorder, Movement Disorders, Tremor.
- psychology : Depressive Disorder.
- Activities of Daily Living, Age of Onset, Aged, Educational Status, Humans, Middle Aged, Neuropsychological Tests, Prognosis, Severity of Illness Index, Task Performance and Analysis.
Abstract
The study assessed cognitive decline in non-demented, non-depressed patients with well defined Parkinson's disease and determined the predictive value for cognitive decline of different motor symptoms. Motor disability was measured with the Unified Parkinson's disease rating scale, impairment in activities of daily living, levodopa test, and long term clinical follow up. Neuropsychological evaluations included modified mini mental state, fluency, Wechsler logical memory, Wisconsin card sorting test, and the Montgomery and Asberg depression rating scale. Fifty three patients fulfilling clinical criteria for idiopathic Parkinson's disease were studied. Cognitive performance on initial testing was significantly correlated with education and disease duration but not with age at disease onset. Cognitive performance on retesting after three years of follow up was significantly reduced. This reduction was significantly greater in the late onset group, in patients with isolated dystonic dyskinesiae, and in patients with a lower percentage of motor improvement on levodopa. Cognitive decline in idiopathic Parkinson's disease may depend on both the prevalence of non-dopaminergic lesions and the topography of dopaminergic denervation. Predictive factors for cognitive decline, especially in executive tasks, relate more to non-dopaminergic than to dopaminergic lesions.
Url:
PubMed: 7823067
PubMed Central: 1073268
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Caparros-Lefebvre</name></author><author><name sortKey="Pecheux, N" sort="Pecheux, N" uniqKey="Pecheux N" first="N" last="Pécheux">N. Pécheux</name></author><author><name sortKey="Petit, V" sort="Petit, V" uniqKey="Petit V" first="V" last="Petit">V. Petit</name></author><author><name sortKey="Duhamel, A" sort="Duhamel, A" uniqKey="Duhamel A" first="A" last="Duhamel">A. Duhamel</name></author><author><name sortKey="Petit, H" sort="Petit, H" uniqKey="Petit H" first="H" last="Petit">H. Petit</name></author></analytic><series><title level="j">Journal of Neurology, Neurosurgery, and Psychiatry</title><idno type="ISSN">0022-3050</idno><idno type="eISSN">1468-330X</idno><imprint><date when="1995">1995</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living</term><term>Age of Onset</term><term>Aged</term><term>Cognition Disorders (diagnosis)</term><term>Cognition Disorders (etiology)</term><term>Depressive Disorder (etiology)</term><term>Depressive Disorder (psychology)</term><term>Educational Status</term><term>Humans</term><term>Levodopa (therapeutic use)</term><term>Middle Aged</term><term>Movement Disorders (etiology)</term><term>Neuropsychological Tests</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (drug therapy)</term><term>Prognosis</term><term>Severity of Illness Index</term><term>Task Performance and Analysis</term><term>Tremor (etiology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cognition Disorders</term><term>Depressive Disorder</term><term>Movement Disorders</term><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Depressive Disorder</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Age of Onset</term><term>Aged</term><term>Educational Status</term><term>Humans</term><term>Middle Aged</term><term>Neuropsychological Tests</term><term>Prognosis</term><term>Severity of Illness Index</term><term>Task Performance and Analysis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The study assessed cognitive decline in non-demented, non-depressed patients with well defined Parkinson's disease and determined the predictive value for cognitive decline of different motor symptoms. Motor disability was measured with the Unified Parkinson's disease rating scale, impairment in activities of daily living, levodopa test, and long term clinical follow up. Neuropsychological evaluations included modified mini mental state, fluency, Wechsler logical memory, Wisconsin card sorting test, and the Montgomery and Asberg depression rating scale. Fifty three patients fulfilling clinical criteria for idiopathic Parkinson's disease were studied. Cognitive performance on initial testing was significantly correlated with education and disease duration but not with age at disease onset. Cognitive performance on retesting after three years of follow up was significantly reduced. This reduction was significantly greater in the late onset group, in patients with isolated dystonic dyskinesiae, and in patients with a lower percentage of motor improvement on levodopa. Cognitive decline in idiopathic Parkinson's disease may depend on both the prevalence of non-dopaminergic lesions and the topography of dopaminergic denervation. Predictive factors for cognitive decline, especially in executive tasks, relate more to non-dopaminergic than to dopaminergic lesions.</p></div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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