Summary
Investigations concerning cogmnve function s in early PD have revealed memory and executive function deficits related to dysfunction of fronto-striatal circuitry. Despite the range of data base, many previous investigations are limited because of methodological questions and inconsistencies. Thus the pattern of executive function impairments in early PD is far from being established. In the present investigation, twenty PD patients in early stages of the disease were compared to control subjects on a comprehen sive neuropsychological test battery, aiming to explore their cognitive profile across a range of executive subcomponents. Results revealed impairments with respect to initiation, reasoning and planning. In summary, the present investigation shows that PD is associated with a differential executive impairment pattern which is (partly) related to disease characteristics and affective variables.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Aarsland D, Laake K, Larsen JP, Janvin C (2002) Donepezil for cognitive impairment in Parkinson’s disease: a randomised controlled study. J Neurol Neurosurg Psychiatry 72(6): 708–712
Alevriadou A, Katsarou Z, Bostantjopoulou S, Kiosseoglou G, Mentenopoulos G (1999) Wisconsin Card Sorting Test variables in relation to motor symptoms in Parkinson’s disease. Percept Mot Skills 89(3 Pt I): 824–830
Artieda J, Pastor MA, Lacruz F, Obeso JA (1992) Temporal discrimination is abnormal in Parkinson’s disease. Brain 115: 199–210
Beck AT (1987) Beck Depression Inventory. The Psychological Corporation, San Antonio, TX
Bradley VA, Welch JL, Dick DJ (1989) Visuospatial working memory in Parkinson’s disease. J Neurol Neurosurg Psychiatry 52(11): 1228–1235
Brown RG, Marsden CD (1990) Cognitive function in Parkinson’s disease: from description to theory. Trends Neurosci 13(1): 21–29
Brown RG, Marsden CD (1991) Dual task performance and processing resources in normal subjects and patients with Parkinson’s disease. Brain 114(Pt lA): 215–231
Bruck A, Portin R, Lindell A, Laihinen A, Bergman J, Haaparanta M, Solin O, Rinne JO (2001) Positron emission tomography shows that impaired frontal lobe functioning in Parkinson’s disease is related to dopaminergic hypofunction in the caudate nucleus. Neurosci Lett 311(2): 81–84
Brücke T, Asenbaum S, Pirker W, Djamshidian S, Wenger S, Wober C, Muller C, Podreka I (1997) Measurement of the dopaminergic degeneration in Parkinson’s disease with [1231] beta-CIT and SPECT. Correlation with clinical findings and comparison with multiple system atrophy and progressive supranuclear palsy. J Neural Transm [Suppl] 50: 9–24
Burgess PW, Shallice T (1997) The Hayling and Brixton Tests. Thame s Valley Test Company Bury St. Edmunds, England
Claus JJ, Mohr E (1996) Attentional deficits in Alzheimer’s, Parkinson’s, and Huntington’s diseases. Acta Neurol Scand 93(5): 346–351
Cooper JA, Sagar HJ, Jordan N, Harvey NS, Sullivan EV (1991) Cognitive impairment in early, untreated Parkinson’s disease and its relationship to motor disability. Brain 114(Pt 5): 2095–2122
Dalrymple-Alford JC, Kalders AS, Jones RD, Watson RW (1994) A central executive deficit in patients with Parkinson’s disease. J Neurol Neurosurg Psychiatry 57(3): 360–367
Daum I (unpublished) German version of the cognitive estimates test
Dubois B, Pillon B (1997) Cognitive deficits in Parkinson’s disease. J Neurol 244(1): 2–8
Dubois B, Pillon B, Lhermitte F, Agid Y (1990) Cholinergic deficiency and frontal dysfunction in Parkinson’s disease. Ann Neurol 28(2): 117–121
Dubois B, Boiler F, Pillon B, Agid Y (1991) Cognitive deficits in Parkinson’s disease. In: Boiler F, Grafman X (ed) Handbook of neuropsychology, vol5. Elsevier Amsterdam, pp 195–240
Dujardin K, Defebvre L, Krystkowiak P, Degreef JF, Destee A (2003) Executive function differences in multiple system atrophy and Parkinson’s disease. Parkinsonism Relat Disord 9(4): 205–211
Eslinger PJ, Grattan LM (1993) Frontal lobe and frontal-striatal substrates for different forms of human cognitive flexibility. Neuropsychologia 31(1): 17–28
Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state: a practical method for grading the mental state of patients for the clinican. J Psychiatr Res 12: 189–198
Foumet N, Moreaud O, Roulin JL, Naegele B, Pellat J (1996) Working memory in medicated patients with Parkinson’s disease: the central executive seems to work. J Neurol Neurosurg Psychiatry 60(3): 313–317
Foumet N, Moreaud O, Roulin JL, Naegele B, Pellat J (2000) Working memory functioning in medicated Parkinson’s disease patients and the effect of withdrawal of dopaminergic medication. Neuropsychology 14(2): 247–253
Frahn S, Elton RL, members of the UPDRS Developing Committee (1987) Unified Disease Parkinson’s Disease Rating Scale. In: Frahn S, Marsden CD, Calne DB, Lieberman A (eds) Recent development in Parkinson’s disease. Macmillan Health Care Information Florham Park, NJ, pp 153–163
Graham JM, Sagar HJ (1999) A data-driven approach to the study of heterogeneity in idiopathic Parkinson’s disease: identification of three distinct subtypes. Mov Disord 14(1): 10–20
Hoehn MM, Yahr MD (1967) Parkinsonism: onset, progre ssion and mortality. Neurology 17: 427–442
Kuzis G, Sabe L, Tiberti C, Leiguarda R, Starkstein SE (1997) Cognitive functions in major depression and Parkinson disease. Arch Neurol 54(8): 982–986
Lalonde R, Botez-Marquard T (1997) The neurobiological basis of movement initiation. Rev Neurosci 8(1): 35–54
Lange KW, Robbins TW, Marsden CD, James M, Owen AM, Paul GM (1992) L-dopa withdrawal in Parkinson’s disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction. Psychopharmacology 107(2-3): 394–404
Lee C, Grossman M, Morris J, Stem MB, Hurtig HI (2003) Attentional resource and processing speed limitations during sentence processing in Parkinson’s disease. Brain Lang 85(3): 347–356
Levy G, Jacobs DM, Tang MX, Cote LJ, Louis ED, Alfaro B, Mejia H, Stem Y, Marder K (2002) Memory and executive function impairment predict dementia in Parkinson’s disease. Mov Disord 17(6): 1221–1226
Lewis SJ, Cools R, Robbins TW, Dove A, Barker RA, Owen AM (2003) Using executive heterogeneity to explore the nature of working memory deficits in Parkinson’s disease. Neuropsychologia 41(6): 645–654
Luria AR (1980) Higher cortical functions in man. Basic Books New York
Meco G, Gasparini M, Doricchi F (1996) Attentional functions in multiple system atrophy and Parkinson’s disease. J Neurol Neurosurg Psychiatry 60(4): 393–398
Milner B, Petrides M, Smith ML (1985) Frontal lobes and the temporal organization of memory. Hum Neurobiol 4(3): 137–142
Monza D, Soliveri P, Radice D, Fetoni V, Testa D, Caffarra P, Caraceni T, Girotti F (1998) Cognitive dysfunction and impaired organization of complex motility in degenerative parkinsonian syndromes. Arch Neurol 55(3): 372–378
Owen AM, James M, Leigh PN, Summers BA, Marsden CD, Quinn NP, Lange KW, Robbins TW (1992) Fronto-striatal cognitive deficits at different stages of Parkinson’ s disease. Brain 115(Pt 6): 1727–1751
Owen AM, Sahakian BJ, Hodges JR, Summers BA, Polkey CE, Robbins TW (1995) Dopamine-dependent frontostriatal deficits in early Parkinson’s disease. Neuropsychology 9(1): 126–140
Pillon B, Gouider-Khouja N, Deweer B, Vidailhet M, Malapani C, Dubois B, Agid Y (1995) Neuropsychological pattern of striatonigral degeneration: comparison with Parkinson’s disease and progressive supranuclear palsy. J Neurol Neurosurg Psychiatry 58(2): 174–179
Rinne JO, Portin R, Ruottinen H, Nurmi E, Bergman J, Haaparanta M, Solin O (2000) Cognitive impairment and the brain dopaminergic system in Parkinson disease: [18F]fluorodopa positron emission tomographic study. Arch Neurol 57(4): 470–475
Robbins TW, James M, Owen AM, Lange KW, Lees AJ, Leigh PN, Marsden CD, Quinn NP, Summers BA (1994) Cognitive deficits in progressive supranuclear palsy, Parkinson’s disease, and multiple system atrophy in tests sensitive to frontal lobe dysfunction. J Neurol Neurosurg Psychiatry 57(1): 79–88
Rogers RD, Sahakian BJ, Hodges JR, Polkey CE, Kennard C, Robbins TW (1998) Dissociating executive mechanisms of task control following frontallobe damage and Parkinson’s disease. Brain 121(Pt 5): 815–842
Sahakian BJ, Owen AM (1992) Computerized assessment in neuropsychiatry using CANTAB: discussion paper. J R Soc Med 115: 271–291
Shallice T, Evans ME (1978) The involvement of the frontal lobes in cognitive estimation. Cortex 14(2): 294–303
Smith EE, Jonides J (1999) Storage and executive processes in the frontal lobes. Science 283(5408): 1657–1661
Starkstein SE, Preziosi TJ, Berthier ML, Bolduc PL, Mayberg HS, Robinson RG (1989) Depression and cognitive impairment in Parkinson’s disease. Brain 112(Pt 5): 1141–1153
Stocchi F, Brusa L (2000) Cognition and emotion in different stages and subtypes of Parkinson’s disease. J Neurol 247[Suppl] 2: 114–121
Taylor AE, Saint-Cyr JA, Lang AE (1986) Frontal lobe dysfunction in Parkinson’s disease. The cortical focus of neostriatal outflow. Brain 109: 845–883
Tomer R, Fisher T, Giladi N, Aharon-Peretz J (2002) Dissociation between spontaneous and reactive flexibility in early Parkinson’s disease. Neuropsychiatry Neuropsychol Behav Neurol 15(2): 106–112
Troster AI, Paolo AM, Lyons KE, Glatt SL, Hubble JP, Koller WC (1995) The influence of depression on cognition in Parkinson’s disease: a pattern of impairment distinguishable from Alzheimer’s disease. Neurology 45(4): 672–676
Van Spaendonck KP, Berger HJ, Horstink MW, Buytenhuijs EL, Cools AR (1996) Executive function s and disease characteristics in Parkinson’s disease. Neuropsychologia 34(7): 617–626
Vingerhoets G, Verleden S, Santens P, Miatton M, De Reuck J (2003) Predictors of cognitive impairment in advanced Parkinson’s disease. J Neurol Neurosurg Psychiatry 74(6): 793–796
Wechsler O (1981) Wechsler Adult Intelligence Scale — Revised. Psychological Corporation, San Antonio, TX
Wilson BA, Alderman N, Burgess P, Emslie H, Evans JJ (1996) Behavioural Assessment of the Oysexecutive Syndrome (BADS). Thames Valley Test Company Bury St Edmunds, England
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2004 Springer-Verlag Wien
About this chapter
Cite this chapter
Uekermann, J. et al. (2004). Differential executive control impairments in early Parkinson’s disease. In: Müller, T., Riederer, P. (eds) Focus on Extrapyramidal Dysfunction. Journal of Neural Transmission. Supplementa, vol 68. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0579-5_5
Download citation
DOI: https://doi.org/10.1007/978-3-7091-0579-5_5
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-21114-4
Online ISBN: 978-3-7091-0579-5
eBook Packages: Springer Book Archive