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Amnestic mild cognitive impairment in Parkinson's disease: A brain perfusion SPECT study

Identifieur interne : 001133 ( Main/Corpus ); précédent : 001132; suivant : 001134

Amnestic mild cognitive impairment in Parkinson's disease: A brain perfusion SPECT study

Auteurs : Flavio Nobili ; Giovanni Abbruzzese ; Silvia Morbelli ; Roberta Marchese ; Nicola Girtler ; Barbara Dessi ; Andrea Brugnolo ; Cinzia Canepa ; Giorgos Chr. Drosos ; Gianmario Sambuceti ; Guido Rodriguez

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RBID : ISTEX:8FA3710E7F523201F4933EE2C81D90BA25CD5E52

English descriptors

Abstract

The purpose of this study was to investigate cortical dysfunction in Parkinson's disease (PD) patients with amnestic deficit (PD‐MCI). Perfusion single photon emission computed tomography was performed in 15 PD‐MCI patients and compared (statistical parametric mapping [SPM2]) with three groups, i.e., healthy subjects (CTR), cognitively intact PD patients (PD), and common amnestic MCI patients (aMCI). Age, depression, and UPDRS‐III scores were considered as confounding variables. PD‐MCI group (P < 0.05, false discovery rate–corrected for multiple comparisons) showed relative hypoperfusion in bilateral posterior parietal lobe and in right occipital lobe in comparison to CTR. As compared to aMCI, MCI‐PD demonstrated hypoperfusion in bilateral posterior parietal and occipital areas, mainly right cuneus and angular gyrus, and left precuneus and middle occipital gyrus. With a less conservative threshold (uncorrected P < 0.01), MCI‐PD showed hypoperfusion in a left parietal region, mainly including precuneus and inferior parietal lobule, and in a right temporal‐parietal‐occipital region, including middle occipital and superior temporal gyri, and cuneus‐precuneus, as compared to PD. aMCI versus PD‐MCI showed hypoperfusion in bilateral medial temporal lobe, anterior cingulate, and left orbitofrontal cortex. PD‐MCI patients with amnestic deficit showed cortical dysfunction in bilateral posterior parietal and occipital lobes, a pattern that can be especially recognized versus both controls and common aMCI patients, and to a lesser extent versus cognitively intact PD. The relevance of this pattern in predicting dementia should be evaluated in longitudinal studies. © 2008 Movement Disorder Society

Url:
DOI: 10.1002/mds.22381

Links to Exploration step

ISTEX:8FA3710E7F523201F4933EE2C81D90BA25CD5E52

Le document en format XML

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<div type="abstract" xml:lang="en">The purpose of this study was to investigate cortical dysfunction in Parkinson's disease (PD) patients with amnestic deficit (PD‐MCI). Perfusion single photon emission computed tomography was performed in 15 PD‐MCI patients and compared (statistical parametric mapping [SPM2]) with three groups, i.e., healthy subjects (CTR), cognitively intact PD patients (PD), and common amnestic MCI patients (aMCI). Age, depression, and UPDRS‐III scores were considered as confounding variables. PD‐MCI group (P < 0.05, false discovery rate–corrected for multiple comparisons) showed relative hypoperfusion in bilateral posterior parietal lobe and in right occipital lobe in comparison to CTR. As compared to aMCI, MCI‐PD demonstrated hypoperfusion in bilateral posterior parietal and occipital areas, mainly right cuneus and angular gyrus, and left precuneus and middle occipital gyrus. With a less conservative threshold (uncorrected P < 0.01), MCI‐PD showed hypoperfusion in a left parietal region, mainly including precuneus and inferior parietal lobule, and in a right temporal‐parietal‐occipital region, including middle occipital and superior temporal gyri, and cuneus‐precuneus, as compared to PD. aMCI versus PD‐MCI showed hypoperfusion in bilateral medial temporal lobe, anterior cingulate, and left orbitofrontal cortex. PD‐MCI patients with amnestic deficit showed cortical dysfunction in bilateral posterior parietal and occipital lobes, a pattern that can be especially recognized versus both controls and common aMCI patients, and to a lesser extent versus cognitively intact PD. The relevance of this pattern in predicting dementia should be evaluated in longitudinal studies. © 2008 Movement Disorder Society</div>
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<note type="content">*Contributor Roles: Flavio Nobili: Conception and organization of the research project; writing the first manuscript draft. Giovanni Abruzzese: Conception and organization of the research project; review and critique of the manuscript draft. Silvia Morbelli: Design and execution of SPECT statistical analysis. Roberta Marchese: responsibility for patient selection, visit, interview and enrollment; review and critique of the manuscript draft. Nicola Girtler: methods: statistical analysis of neuropsychological data. Barbara Dessi: execution of the research project, mainly neuropsychological assessment. Andrea Brugnolo: review and critique of statistical analysis on neuropsychological data. Cinzia Canepa: patient salection, visit, interview and enrollment. Giorgos Chr. Drosos: review and critique of manuscript draft. Gianmario Sambuceti: supervising SPECT acquisition; SPECT technical quality control. Application of the EANM guidelines. Guido Rodriguez: Conception and organization of the research project; review and critique of the manuscript.</note>
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<abstract lang="en">The purpose of this study was to investigate cortical dysfunction in Parkinson's disease (PD) patients with amnestic deficit (PD‐MCI). Perfusion single photon emission computed tomography was performed in 15 PD‐MCI patients and compared (statistical parametric mapping [SPM2]) with three groups, i.e., healthy subjects (CTR), cognitively intact PD patients (PD), and common amnestic MCI patients (aMCI). Age, depression, and UPDRS‐III scores were considered as confounding variables. PD‐MCI group (P < 0.05, false discovery rate–corrected for multiple comparisons) showed relative hypoperfusion in bilateral posterior parietal lobe and in right occipital lobe in comparison to CTR. As compared to aMCI, MCI‐PD demonstrated hypoperfusion in bilateral posterior parietal and occipital areas, mainly right cuneus and angular gyrus, and left precuneus and middle occipital gyrus. With a less conservative threshold (uncorrected P < 0.01), MCI‐PD showed hypoperfusion in a left parietal region, mainly including precuneus and inferior parietal lobule, and in a right temporal‐parietal‐occipital region, including middle occipital and superior temporal gyri, and cuneus‐precuneus, as compared to PD. aMCI versus PD‐MCI showed hypoperfusion in bilateral medial temporal lobe, anterior cingulate, and left orbitofrontal cortex. PD‐MCI patients with amnestic deficit showed cortical dysfunction in bilateral posterior parietal and occipital lobes, a pattern that can be especially recognized versus both controls and common aMCI patients, and to a lesser extent versus cognitively intact PD. The relevance of this pattern in predicting dementia should be evaluated in longitudinal studies. © 2008 Movement Disorder Society</abstract>
<note type="content">*Contributor Roles: Flavio Nobili: Conception and organization of the research project; writing the first manuscript draft. Giovanni Abruzzese: Conception and organization of the research project; review and critique of the manuscript draft. Silvia Morbelli: Design and execution of SPECT statistical analysis. Roberta Marchese: responsibility for patient selection, visit, interview and enrollment; review and critique of the manuscript draft. Nicola Girtler: methods: statistical analysis of neuropsychological data. Barbara Dessi: execution of the research project, mainly neuropsychological assessment. Andrea Brugnolo: review and critique of statistical analysis on neuropsychological data. Cinzia Canepa: patient salection, visit, interview and enrollment. Giorgos Chr. Drosos: review and critique of manuscript draft. Gianmario Sambuceti: supervising SPECT acquisition; SPECT technical quality control. Application of the EANM guidelines. Guido Rodriguez: Conception and organization of the research project; review and critique of the manuscript.</note>
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