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Altered Cerebellar Resting-State Functional Connectivity in Early-Stage Parkinson's Disease Patients With Cognitive Impairment

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机构: [1]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China [2]Key Laboratory on Neurodegenerative Disorders of Ministry of Education, Key Laboratory on Parkinson’s Disease of Beijing, Beijing, China, [3]Laboratory of Psychological Health and Imaging, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China, [4]Department of Neurobiology, Xuanwu Hospital of Capital Medical University, Beijing, China, [5]Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, Montreal, QC, Canada, [6]National Clinical Research Center for Geriatric Disorders, Beijing, China [7]Advanced Innovation Center for Human Brain Protection, Beijing Institute for Brain Disorders Parkinson’s Disease Center, Capital Medical University, Beijing, China
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关键词: Parkinson's disease resting-state fMRI cognitive impairment cerebellum functional connectivity

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Background: Cognitive impairment is one of the most prominent non-motor symptoms in Parkinson's disease (PD), due in part to known cerebellar dysfunctions. Furthermore, previous studies have reported altered cerebellar functional connectivity (FC) in PD patients. Yet whether these changes are also due to the cognitive deficits in PD remain unclear. Methods: A total of 122 non-dementia participants, including 64 patients with early PD and 58 age-and gender-matched elderly controls were stratified into four groups based on their cognitive status (normal cognition vs. cognitive impairment). Cerebellar volumetry and FC were investigated by analyzing, respectively, structural and resting-state functional MRI data among groups using quality control and quantitative measures. Correlation analysis between MRI metrics and clinical features (motor and cognitive scores) were performed. Results: Compared to healthy control subjects with no cognitive deficits, altered cerebellar FC were observed in early PD participants with both motor and cognitive deficits, but not in PD patients with normal cognition, nor elderly subjects showing signs of a cognitive impairment. Moreover, connectivity between the "motor" cerebellum and SMA was positively correlated with motor scores, while intracerebellar connectivity was positively correlated with cognitive scores in PD patients with cognitive impairment. No cerebellar volumetric difference was observed between groups. Conclusions: These findings show that altered cerebellar FC during resting state in early PD patients may be driven not solely by the motor deficits, but by cognitive deficits as well, hence highlighting the interplay between motor and cognitive functioning, and possibly reflecting compensatory mechanisms, in the early PD.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
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出版当年[2019]版:
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES
最新[2023]版:
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China [2]Key Laboratory on Neurodegenerative Disorders of Ministry of Education, Key Laboratory on Parkinson’s Disease of Beijing, Beijing, China,
通讯作者:
通讯机构: [1]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China [2]Key Laboratory on Neurodegenerative Disorders of Ministry of Education, Key Laboratory on Parkinson’s Disease of Beijing, Beijing, China,
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