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[Frontal dysfunction in idiopathic Parkinson's disease]. / Disfunción frontal en la enfermedad de Parkinson idiopática.
Vera-Cuesta, H; Vera-Acosta, H; Alvarez-González, L; Fernández-Maderos, I; Casabona-Fernández, E.
Afiliação
  • Vera-Cuesta H; Centro Internacional de Restauracion Neurologica (CIREN), Ciudad Habana, Cuba. verac@neuro.ciren.cu
Rev Neurol ; 42(2): 76-84, 2006.
Article em Es | MEDLINE | ID: mdl-16450321
INTRODUCTION: In his description of the disease in his original work, James Parkinson claimed that the 'senses remained intact', but later reports began to identify cognitive impairment that ranged from dementia to barely identifiable subclinical deteriorations. Research carried out in recent decades has revealed that cognitive disorders form part of the clinical symptoms of Parkinson's disease (PD) and point to the frontal lobes as being the most affected areas; a great deal of controversy, however, still surrounds their definition, epidemiology and pathology. AIM: To determine and classify the frontal deficits associated to this disease and to relate this cognitive performance with certain characteristics of the disease. SUBJECTS AND METHODS: The sample utilised in the study was made up of 222 subjects divided into two groups according to their diagnosis: 111 subjects with idiopathic PD and 111 control subjects. The neuropsychological examination was performed using the Frontal Assessment Battery, the copy of the Rey-Osterrieth complex figure and the digit test for determining frontal functioning. RESULTS AND CONCLUSIONS: We prove the existence of a frontal dysfunction that is characterised by impaired working memory, with visuospatial and executive dysfunction, which suggests greater involvement of the dorsolateral prefrontal cortex and cingulate. According to our findings, because working memory and visuospatial functioning are correlated to the motor status and the time elapsed since the onset of the disease, they could share the same underlying neuroanatomical foundations--the nigrostriatal denervation. This is not the case of executive function, which was not found to be related to the characteristics of the disease under study.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Transtornos Cognitivos / Demência / Lobo Frontal Tipo de estudo: Prognostic_studies Limite: Female / Humans / Male Idioma: Es Revista: Rev Neurol Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Cuba País de publicação: Espanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Transtornos Cognitivos / Demência / Lobo Frontal Tipo de estudo: Prognostic_studies Limite: Female / Humans / Male Idioma: Es Revista: Rev Neurol Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Cuba País de publicação: Espanha