論文

査読有り
2021年6月6日

The cerebellum is a common key for visuospatial execution and attention in Parkinsons disease

Diagnostics
  • 佐光 亘
  • ,
  • Abe T
  • ,
  • Matsumoto Y
  • ,
  • Nakamura K
  • ,
  • 土師 正太郎
  • ,
  • 大崎 裕亮
  • ,
  • 原田 雅史
  • ,
  • 和泉 唯信

Vol.11
No.6
開始ページ
1042
終了ページ
1042
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3390/diagnostics11061042

Cognitive decline affects the clinical course in patients with Parkinson's disease (PD) and contributes to a poor prognosis. However, little is known about the underlying network-level abnormalities associated with each cognitive domain. We aimed to identify the networks related to each cognitive domain in PD using resting-state functional magnetic resonance imaging (MRI). Forty patients with PD and 15 normal controls were enrolled. All subjects underwent MRI and the Mini-Mental State Examination. Furthermore, the cognitive function of patients with PD was assessed using the Montreal Cognitive Assessment (MoCA). We used independent component analysis of the resting-state functional MRI for functional segmentation, followed by reconstruction to identify each domain-related network, to predict scores in PD using multiple regression models. Six networks were identified, as follows: the visuospatial-executive-domain-related network ( = 0.54, < 0.001), naming-domain-related network ( = 0.39, < 0.001), attention-domain-related network ( = 0.86, < 0.001), language-domain-related network ( = 0.64, < 0.001), abstraction-related network ( = 0.10, < 0.05), and orientation-domain-related network ( = 0.64, < 0.001). Cerebellar lobule VII was involved in the visuospatial-executive-domain-related and attention-domain-related networks. These two domains are involved in the first three listed nonamnestic cognitive impairment in the diagnostic criteria for PD with dementia (PDD). Furthermore, Brodmann area 10 contributed most frequently to each domain-related network. Collectively, these findings suggest that cerebellar lobule VII may play a key role in cognitive impairment in nonamnestic types of PDD.

リンク情報
DOI
https://doi.org/10.3390/diagnostics11061042
URL
https://repo.lib.tokushima-u.ac.jp/ja/116520
URL
https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=377400
URL
https://www.ncbi.nlm.nih.gov/pubmed/34204073
ID情報
  • DOI : 10.3390/diagnostics11061042
  • ISSN : 2075-4418

エクスポート
BibTeX RIS