帕金森病伴轻度认知障碍的语义流畅性缺陷及相关脑活动。
Semantic fluency deficits and associated brain activity in Parkinson's disease with mild cognitive impairment.
机构信息
UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Herston, Queensland, Australia.
School of Clinical Sciences and Centre for Biomedical Technologies, Queensland University of Technology, Brisbane, Queensland, Australia.
出版信息
Brain Imaging Behav. 2022 Dec;16(6):2445-2456. doi: 10.1007/s11682-022-00698-7. Epub 2022 Jul 16.
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.
患有帕金森病 (PD) 且语言流畅性差的患者发生痴呆的风险增加。本研究比较了轻度认知障碍 (PD-MCI) 与无认知障碍 (PD-NC) 的 PD 患者以及无 PD 的对照组参与者 (非 PD) 之间语义流畅性缺陷的神经机制。37 名 (37) 名 PD 患者完成了认知评估测试,以确定 MCI(13 名 PD-MCI)。20 名年龄和性别相匹配的非 PD 患者也参加了。参与者在执行语义流畅性、语义转换和自动语音任务时接受了扫描 (3T 西门子 PRISMA)。分析了语义生成和语义转换的响应数量和 fMRI 数据。参与者还在扫描仪外完成了一系列言语流畅性测试,包括字母流畅性。在语义流畅性和语义转换任务中,PD-MCI 患者的表现明显差于 PD-NC 和非 PD 患者。PD-MCI 患者在语义转换期间的右角回活动比 PD-NC 和非 PD 患者更活跃。右角回活动的增加与扫描仪外言语流畅性表现更差相关。我们的研究表明,PD-MCI 组在语义流畅性方面的表现明显差于 PD-NC 组或非 PD 组。PD-MCI 患者在语义转换过程中右角回活动增加表明存在早期代偿机制,预示着 PD 患者未来发生痴呆的风险。
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