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Cognitive correlates of visual hallucinations in dementia associated with Parkinson's disease

Identifieur interne : 002746 ( Main/Curation ); précédent : 002745; suivant : 002747

Cognitive correlates of visual hallucinations in dementia associated with Parkinson's disease

Auteurs : Kolbjorn Bronnick [Norvège] ; Murat Emre [Turquie] ; Sibel Tekin [États-Unis] ; Siri B. Haugen [Norvège] ; Dag Aarsland [Norvège]

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RBID : ISTEX:9B4059B09B7B00F11F2DF1CFD212DAB01789C6B3

English descriptors

Abstract

Background:: There may be a relationship between cognitive impairment and visual hallucinations (VHs) in patients with Parkinson's disease (PD). The objective of this study was to compare the cognitive profile of hallucinating vs. nonhallucinating patients with Parkinson's disease dementia (PDD). Methods:: The cognitive profile of 86 PDD patients with hallucinations was compared with that of a carefully matched PDD group without hallucinations, all drawn from the baseline assessments of the EXPRESS study with rivastigmine. Logistic regression analysis was employed to identify cognitive measures that have an independent relationship with presence of hallucinations. Results:: Worse choice reaction time was the only independent predictor of hallucinations in the logistic regression. A further analysis of the reaction time tasks showed that response selection deficit as opposed to stimulus discrimination deficit was the main difference between the groups. Discussion:: These results indicate that attentional control is an important cognitive correlate of VHs in patients with PDD. © 2011 Movement Disorder Society

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DOI: 10.1002/mds.23525

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ISTEX:9B4059B09B7B00F11F2DF1CFD212DAB01789C6B3

Le document en format XML

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<div type="abstract" xml:lang="en">Background:: There may be a relationship between cognitive impairment and visual hallucinations (VHs) in patients with Parkinson's disease (PD). The objective of this study was to compare the cognitive profile of hallucinating vs. nonhallucinating patients with Parkinson's disease dementia (PDD). Methods:: The cognitive profile of 86 PDD patients with hallucinations was compared with that of a carefully matched PDD group without hallucinations, all drawn from the baseline assessments of the EXPRESS study with rivastigmine. Logistic regression analysis was employed to identify cognitive measures that have an independent relationship with presence of hallucinations. Results:: Worse choice reaction time was the only independent predictor of hallucinations in the logistic regression. A further analysis of the reaction time tasks showed that response selection deficit as opposed to stimulus discrimination deficit was the main difference between the groups. Discussion:: These results indicate that attentional control is an important cognitive correlate of VHs in patients with PDD. © 2011 Movement Disorder Society</div>
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