Structural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.

Visual hallucinations (VH) represent one of the core features in discriminating dementia with Lewy bodies (DLB) from Alzheimer's Disease (AD). Previous studies reported that in DLB patients functional alterations of the parieto-occipital regions were correlated with the presence of VH. The aim...

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Autores principales: Stefano Delli Pizzi, Raffaella Franciotti, Armando Tartaro, Massimo Caulo, Astrid Thomas, Marco Onofrj, Laura Bonanni
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Publicado: Public Library of Science (PLoS) 2014
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Acceso en línea:https://doaj.org/article/140bdc0239234aceb73d0e964bf72acb
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spelling oai:doaj.org-article:140bdc0239234aceb73d0e964bf72acb2021-11-18T08:36:06ZStructural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.1932-620310.1371/journal.pone.0086624https://doaj.org/article/140bdc0239234aceb73d0e964bf72acb2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24466177/?tool=EBIhttps://doaj.org/toc/1932-6203Visual hallucinations (VH) represent one of the core features in discriminating dementia with Lewy bodies (DLB) from Alzheimer's Disease (AD). Previous studies reported that in DLB patients functional alterations of the parieto-occipital regions were correlated with the presence of VH. The aim of our study was to assess whether morphological changes in specific cortical regions of DLB could be related to the presence and severity of VH. We performed a cortical thickness analysis on magnetic resonance imaging data in a cohort including 18 DLB patients, 15 AD patients and 14 healthy control subjects. Relatively to DLB group, correlation analysis between the cortical thickness and the Neuropsychiatric Inventory (NPI) hallucination item scores was also performed. Cortical thickness was reduced bilaterally in DLB compared to controls in the pericalcarine and lingual gyri, cuneus, precuneus, superior parietal gyrus. Cortical thinning was found bilaterally in AD compared to controls in temporal cortex including the superior and middle temporal gyrus, part of inferior temporal cortex, temporal pole and insula. Inferior parietal and supramarginal gyri were also affected bilaterally in AD as compared to controls. The comparison between DLB and AD evidenced cortical thinning in DLB group in the right posterior regions including superior parietal gyrus, precuneus, cuneus, pericalcarine and lingual gyri. Furthermore, the correlation analysis between cortical thickness and NPI hallucination item scores showed that the structural alteration in the dorsal visual regions including superior parietal gyrus and precuneus closely correlated with the occurrence and severity of VH. We suggest that structural changes in key regions of the dorsal visual network may play a crucial role in the physiopathology of VH in DLB patients.Stefano Delli PizziRaffaella FranciottiArmando TartaroMassimo CauloAstrid ThomasMarco OnofrjLaura BonanniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e86624 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Stefano Delli Pizzi
Raffaella Franciotti
Armando Tartaro
Massimo Caulo
Astrid Thomas
Marco Onofrj
Laura Bonanni
Structural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.
description Visual hallucinations (VH) represent one of the core features in discriminating dementia with Lewy bodies (DLB) from Alzheimer's Disease (AD). Previous studies reported that in DLB patients functional alterations of the parieto-occipital regions were correlated with the presence of VH. The aim of our study was to assess whether morphological changes in specific cortical regions of DLB could be related to the presence and severity of VH. We performed a cortical thickness analysis on magnetic resonance imaging data in a cohort including 18 DLB patients, 15 AD patients and 14 healthy control subjects. Relatively to DLB group, correlation analysis between the cortical thickness and the Neuropsychiatric Inventory (NPI) hallucination item scores was also performed. Cortical thickness was reduced bilaterally in DLB compared to controls in the pericalcarine and lingual gyri, cuneus, precuneus, superior parietal gyrus. Cortical thinning was found bilaterally in AD compared to controls in temporal cortex including the superior and middle temporal gyrus, part of inferior temporal cortex, temporal pole and insula. Inferior parietal and supramarginal gyri were also affected bilaterally in AD as compared to controls. The comparison between DLB and AD evidenced cortical thinning in DLB group in the right posterior regions including superior parietal gyrus, precuneus, cuneus, pericalcarine and lingual gyri. Furthermore, the correlation analysis between cortical thickness and NPI hallucination item scores showed that the structural alteration in the dorsal visual regions including superior parietal gyrus and precuneus closely correlated with the occurrence and severity of VH. We suggest that structural changes in key regions of the dorsal visual network may play a crucial role in the physiopathology of VH in DLB patients.
format article
author Stefano Delli Pizzi
Raffaella Franciotti
Armando Tartaro
Massimo Caulo
Astrid Thomas
Marco Onofrj
Laura Bonanni
author_facet Stefano Delli Pizzi
Raffaella Franciotti
Armando Tartaro
Massimo Caulo
Astrid Thomas
Marco Onofrj
Laura Bonanni
author_sort Stefano Delli Pizzi
title Structural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.
title_short Structural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.
title_full Structural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.
title_fullStr Structural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.
title_full_unstemmed Structural alteration of the dorsal visual network in DLB patients with visual hallucinations: a cortical thickness MRI study.
title_sort structural alteration of the dorsal visual network in dlb patients with visual hallucinations: a cortical thickness mri study.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/140bdc0239234aceb73d0e964bf72acb
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