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Cortical Thinning and Cognitive Impairment in Parkinson's Disease without Dementia

Published: 01 March 2018 Publication History

Abstract

Parkinson's disease PD is a progressive neurodegenerative disorder characterized clinically by motor dysfunction bradykinesia, rigidity, tremor, and postural instability, and pathologically by the loss of dopaminergic neurons in the substantia nigra of the basal ganglia. Growing literature supports that cognitive deficits may also be present in PD, even in non-demented patients. Gray matter GM atrophy has been reported in PD and may be related to cognitive decline. This study investigated cortical thickness in non-demented PD subjects and elucidated its relationship to cognitive impairment using high-resolution T1-weighted brain MRI and comprehensive cognitive function scores from 71 non-demented PD and 48 control subjects matched for age, gender, and education. Cortical thickness was compared between groups using a flexible hierarchical multivariate Bayesian model, which accounts for correlations between brain regions. Correlation analyses were performed among brain areas and cognitive domains as well, which showed significant group differences in the PD population. Compared to Controls, PD subjects demonstrated significant age-adjusted cortical thinning predominantly in inferior and superior parietal areas and extended to superior frontal, superior temporal, and precuneus areas posterior probability >0.9. Cortical thinning was also found in the left precentral and lateral occipital, and right postcentral, middle frontal, and fusiform regions posterior probability >0.9. PD patients showed significantly reduced cognitive performance in executive function, including set shifting p = 0.005 and spontaneous flexibility p = 0.02, which were associated with the above cortical thinning regions p < 0.05.

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cover image IEEE/ACM Transactions on Computational Biology and Bioinformatics
IEEE/ACM Transactions on Computational Biology and Bioinformatics  Volume 15, Issue 2
March 2018
142 pages

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IEEE Computer Society Press

Washington, DC, United States

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Published: 01 March 2018
Published in TCBB Volume 15, Issue 2

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  • (2016)cuARTProceedings of the 16th IEEE/ACM International Symposium on Cluster, Cloud, and Grid Computing10.1109/CCGrid.2016.96(165-168)Online publication date: 16-May-2016

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