a Department of Neurology , University of Utah , Salt Lake City , UT, USA.
b Memory and Aging Center, Department of Neurology , University of California , San Francisco , CA, USA.
J Clin Exp Neuropsychol. 2019 Jul;41(5):469-475. doi: 10.1080/13803395.2019.1572073. Epub 2019 Feb 4.
Progressive supranuclear palsy (PSP) is associated with a variety of cognitive deficits, as well as motor and psychiatric disturbances. As clinical trials for PSP evolve, briefer screening instruments will be needed to determine cognitive effects of interventions. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) may fill this gap. Three hundred four participants diagnosed with Richardson's syndrome of PSP were evaluated with the RBANS, as well as other scales typically used in PSP. RBANS performances for these participants fell significantly below expectations for the Total Scale score and all five Indexes. Cognitive scores on the RBANS were also significantly related to other markers of PSP (e.g., motor and functional abilities, depression, global cognition). Compared to other clinical conditions from the literature, patients with PSP show impairment on tests of visuospatial perception and construction and attention. Although additional research is needed, the current study supports the clinical applicability of the RBANS in patients with PSP, as well as its potential for future clinical trials.
进行性核上性麻痹(PSP)与多种认知缺陷、运动和精神障碍有关。随着 PSP 的临床试验不断发展,需要更简短的筛选工具来确定干预措施对认知的影响。可重复的神经心理状态评估测试(RBANS)可能会填补这一空白。对 304 名被诊断为 PSP 的 Richardson 综合征患者进行了 RBANS 评估,以及 PSP 常用的其他量表。这些参与者的 RBANS 表现明显低于总量表评分和五个指数的预期。RBANS 的认知评分也与 PSP 的其他标志物(如运动和功能能力、抑郁、整体认知)显著相关。与文献中的其他临床情况相比,PSP 患者在视空间感知和注意力测试中表现出障碍。尽管还需要进一步的研究,但目前的研究支持 RBANS 在 PSP 患者中的临床适用性,以及它在未来临床试验中的潜力。