Anatomical correlates of cognitive functions in early Parkinson's disease patients.

<h4>Background</h4>Cognitive deficits may occur early in Parkinson's disease (PD) but the extent of cortical involvement associated with cognitive dysfunction needs additional investigations. The aim of our study is to identify the anatomical pattern of cortical thickness alteration...

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Autores principales: Roberta Biundo, Massimiliano Calabrese, Luca Weis, Silvia Facchini, Gianluigi Ricchieri, Paolo Gallo, Angelo Antonini
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Publicado: Public Library of Science (PLoS) 2013
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Acceso en línea:https://doaj.org/article/1e37875e9ae3438d98682efa71e89821
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spelling oai:doaj.org-article:1e37875e9ae3438d98682efa71e898212021-11-18T07:44:35ZAnatomical correlates of cognitive functions in early Parkinson's disease patients.1932-620310.1371/journal.pone.0064222https://doaj.org/article/1e37875e9ae3438d98682efa71e898212013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23717572/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Cognitive deficits may occur early in Parkinson's disease (PD) but the extent of cortical involvement associated with cognitive dysfunction needs additional investigations. The aim of our study is to identify the anatomical pattern of cortical thickness alterations in patients with early stage PD and its relationship with cognitive disability.<h4>Methods</h4>We recruited 29 PD patients and 21 healthy controls. All PD patients performed an extensive neuropsychological examination and 14 were diagnosed with mild cognitive impairment (PD-MCI). Surface-based cortical thickness analysis was applied to investigate the topographical distribution of cortical and subcortical alterations in early PD compared with controls and to assess the relationship between cognition and regional cortical changes in PD-MCI.<h4>Results</h4>Overall PD patients showed focal cortical (occipital-parietal areas, orbito-frontal and olfactory areas) and subcortical thinning when compared with controls. PD-MCI showed a wide spectrum of cognitive deficits and related significant regional thickening in the right parietal-frontal as well as in the left temporal-occipital areas.<h4>Conclusion</h4>Our results confirm the presence of changes in grey matter thickness at relatively early PD stage and support previous studies showing thinning and atrophy in the neocortex and subcortical regions. Relative cortical thickening in PD-MCI may instead express compensatory neuroplasticity. Brain reserve mechanisms might first modulate cognitive decline during the initial stages of PD.Roberta BiundoMassimiliano CalabreseLuca WeisSilvia FacchiniGianluigi RicchieriPaolo GalloAngelo AntoniniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e64222 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Roberta Biundo
Massimiliano Calabrese
Luca Weis
Silvia Facchini
Gianluigi Ricchieri
Paolo Gallo
Angelo Antonini
Anatomical correlates of cognitive functions in early Parkinson's disease patients.
description <h4>Background</h4>Cognitive deficits may occur early in Parkinson's disease (PD) but the extent of cortical involvement associated with cognitive dysfunction needs additional investigations. The aim of our study is to identify the anatomical pattern of cortical thickness alterations in patients with early stage PD and its relationship with cognitive disability.<h4>Methods</h4>We recruited 29 PD patients and 21 healthy controls. All PD patients performed an extensive neuropsychological examination and 14 were diagnosed with mild cognitive impairment (PD-MCI). Surface-based cortical thickness analysis was applied to investigate the topographical distribution of cortical and subcortical alterations in early PD compared with controls and to assess the relationship between cognition and regional cortical changes in PD-MCI.<h4>Results</h4>Overall PD patients showed focal cortical (occipital-parietal areas, orbito-frontal and olfactory areas) and subcortical thinning when compared with controls. PD-MCI showed a wide spectrum of cognitive deficits and related significant regional thickening in the right parietal-frontal as well as in the left temporal-occipital areas.<h4>Conclusion</h4>Our results confirm the presence of changes in grey matter thickness at relatively early PD stage and support previous studies showing thinning and atrophy in the neocortex and subcortical regions. Relative cortical thickening in PD-MCI may instead express compensatory neuroplasticity. Brain reserve mechanisms might first modulate cognitive decline during the initial stages of PD.
format article
author Roberta Biundo
Massimiliano Calabrese
Luca Weis
Silvia Facchini
Gianluigi Ricchieri
Paolo Gallo
Angelo Antonini
author_facet Roberta Biundo
Massimiliano Calabrese
Luca Weis
Silvia Facchini
Gianluigi Ricchieri
Paolo Gallo
Angelo Antonini
author_sort Roberta Biundo
title Anatomical correlates of cognitive functions in early Parkinson's disease patients.
title_short Anatomical correlates of cognitive functions in early Parkinson's disease patients.
title_full Anatomical correlates of cognitive functions in early Parkinson's disease patients.
title_fullStr Anatomical correlates of cognitive functions in early Parkinson's disease patients.
title_full_unstemmed Anatomical correlates of cognitive functions in early Parkinson's disease patients.
title_sort anatomical correlates of cognitive functions in early parkinson's disease patients.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/1e37875e9ae3438d98682efa71e89821
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