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  • 1
    In: Movement Disorders Clinical Practice, Wiley, Vol. 4, No. 2 ( 2017-03), p. 237-244
    Abstract: The aim of the present study was to provide empirical evidence regarding the classification accuracy of the International Parkinson and Movement Disorder Society ( MDS ) neuropsychological battery ( NB ) in the determination of Parkinson's disease mild cognitive impairment ( PD ‐ MCI ). Methods The present cross‐sectional study included 106 PD patients subjected to PD ‐ MCI classification at Level I and 120 healthy controls ( HC s). All HC and PD subjects were then assessed with MDS ‐ NB at Level II and matched according to age and education using different thresholds (1.5 and 2.0 standard deviations [ SD s] below average). Results We found that Level I and II resulted in different classifications of PD ‐ MCI status. Detection thresholds of –1.5 SD and –2.0 SD s at Level II had also a significant impact on the discriminative validity of all measures in the MDS neuropsychological battery, based on area under the curve analyses. Overall, semantic fluency showed the highest potential in all comparisons not only between PD ‐ MCI and HC , but also between PD ‐ MCI and PD with no deficit ( PD ‐ ND ). Conclusions Our results show that the battery at Level II is applicable and that some measures, such as semantic fluency, have high discriminative validity in the detection of PD ‐ MCI versus PD ‐ ND and HC s.
    Type of Medium: Online Resource
    ISSN: 2330-1619 , 2330-1619
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2772809-2
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  • 2
    In: Journal of Neuropsychology, Wiley, Vol. 15, No. 1 ( 2021-03), p. 88-111
    Abstract: We sought to determine if Parkinson’s disease (PD) with mild cognitive impairment (MCI) is associated with a greater SERIAL‐ORDER (mental manipulation) than ANY‐ORDER (auditory span, storage) deficit in working memory (WM). We investigated WM combining neuropsychological measures with the study of brain functional connectivity. A cohort of 160 patients with idiopathic PD, classified as PD‐MCI ( n  = 87) or PD with normal cognition (PD‐NC; n  = 73), and 70 matched healthy controls were studied. Verbal WM was assessed with the Backward Digit Span Task (BDT; Lamar et al., 2007, Neuropsychologia , 45, 245), measuring SERIAL‐ORDER and ANY‐ORDER recall. Resting‐state MRI data were collected for 15 PD‐MCI, 15 PD‐NC and 30 controls. Hypothesis‐driven seed‐based functional connectivity of the dorsolateral prefrontal cortex (DLPFC) was compared between the three groups and correlated with BDT performance. We found the main effect of the test (impairment in SERIAL ORDER  〉  ANY ORDER) and group ((NC = PD‐NC)  〉  PD‐MCI) in BDT performance that was even more pronounced in SERIAL ORDER when controlling for ANY ORDER variability but not vice versa. Furthermore, PD‐MCI compared to other groups were characterized by the functional disconnection between the bilateral DLPFC and the cerebellum. In functional correlations, DLPFC connectivity was positively related to both SERIAL‐ and ANY‐ORDER performance. In conclusion, PD‐MCI patients evidenced greater SERIAL‐ORDER (manipulation and cognitive control) than ANY‐ORDER (storage) working memory impairment than PD‐NC and controls with a disrupted DLPFC resting‐state connectivity that was also related to the verbal WM performance.
    Type of Medium: Online Resource
    ISSN: 1748-6645 , 1748-6653
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2380753-2
    SSG: 5,2
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  • 3
    In: Journal of Sleep Research, Wiley, Vol. 28, No. 5 ( 2019-10)
    Abstract: Abnormalities of eye movements have been reported in patients with Parkinson's disease (PD). However, it is unclear if they occur in the prodromal stage of synucleinopathy represented by idiopathic rapid eye movement sleep behaviour disorder (iRBD). We thus aimed to study eye movements in subjects with iRBD and in de novo PD, to assess if their abnormalities may serve as a clinical biomarker of neurodegeneration. Fifty subjects with polysomnography‐confirmed iRBD (46 male, age 40–79 years), 18 newly diagnosed, untreated PD patients (13 male, age 43–75 years) and 25 healthy controls (20 male, age 42–79 years) were prospectively enrolled. Horizontal and vertical ocular prosaccades and antisaccades were investigated with video‐oculography. All patients completed the MDS‐UPDRS and the Montreal Cognitive Assessment. In addition, a neuropsychological battery was performed on iRBD subjects. When compared with healthy controls, both de novo PD patients and iRBD subjects showed increased error rates in the horizontal antisaccade task ( p   〈  0.01, p   〈  0.05 respectively). In the iRBD group, the error rates in horizontal and vertical antisaccades correlated with performances in the Prague Stroop Test and the Grooved Pegboard Test, as well as with motor scores of the MDS‐UPDRS. De novo PD patients showed a lower gain ( p   〈  0.01) compared with controls. In conclusion, the increased error rate in the antisaccade task of iRBD and PD patients reflects a dysfunction of the dorsolateral prefrontal cortex and is related to the impairment of executive functions and attention.
    Type of Medium: Online Resource
    ISSN: 0962-1105 , 1365-2869
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 2007459-1
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