Semantic fluency deficits and associated brain activity in Parkinson's disease with mild cognitive impairment.

People living with Parkinson's disease (PD) with poor verbal fluency have an increased risk of developing dementia. This study examines the neural mechanisms underpinning semantic fluency deficits in patients with PD with mild cognitive impairment (PD-MCI) compared to those without MCI (PD-NC) and c...

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Publicado en:Brain Imaging & Behavior Vol. 16; no. 6; pp. 2445 - 2457
Autores principales: Yang, Jihyun, McMahon, Katie L, Copland, David A, Pourzinal, Dana, Byrne, Gerard J, Angwin, Anthony J, O'Sullivan, John D, Dissanayaka, Nadeeka N
Formato: Journal Article
Publicado: Springer Nature Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Semantic fluency deficits and associated brain activity in Parkinson's disease with mild cognitive impairment.
      aug:
        au:
          Yang, Jihyun
          McMahon, Katie L
          Copland, David A
          Pourzinal, Dana
          Byrne, Gerard J
          Angwin, Anthony J
          O'Sullivan, John D
          Dissanayaka, Nadeeka N
        affil: UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia
      sug:
        subj:
          Dementia
          Parkinson Disease Complications
          Parkinson Disease
          Semantics
          Magnetic Resonance Imaging
          Brain
          Neuropsychological Tests
      ab: People living with Parkinson's disease (PD) with poor verbal fluency have an increased risk of developing dementia. This study examines the neural mechanisms underpinning semantic fluency deficits in patients with PD with mild cognitive impairment (PD-MCI) compared to those without MCI (PD-NC) and control participants without PD (non-PD). Thirty-seven (37) participants with PD completed a cognitive assessment battery to identify MCI (13 PD-MCI). Twenty sex- and age-matched non-PD patients also participated. Participants were scanned (3T Siemens PRISMA) while performing semantic fluency, semantic switching, and automatic speech tasks. The number of responses and fMRI data for semantic generation and semantic switching were analyzed. Participants also completed a series of verbal fluency tests outside the scanner, including letter fluency. Participants with PD-MCI performed significantly worse than PD-NC and non-PD participants during semantic fluency and semantic switching tasks. PD-MCI patients showed greater activity in the right angular gyrus than PD-NC and non-PD patients during semantic switching. Increased right angular activity correlated with worse verbal fluency performance outside the scanner. Our study showed that the PD-MCI group performed worse on semantic fluency than either the PD-NC or non-PD groups. Increased right angular gyrus activity in participants with PD-MCI during semantic switching suggests early compensatory mechanisms, predicting the risk of future dementia in PD.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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