Yıl: 2021 Cilt: 46 Sayı: 1 Sayfa Aralığı: 233 - 239 Metin Dili: İngilizce DOI: 10.17826/cumj.794256 İndeks Tarihi: 30-06-2021

Cognitive profile in early stage Parkinson disease

Öz:
Purpose: Parkinson’s disease (PD) is a neurodegenerativedisorder characterized by both motor and nonmotorsymptoms mainly due to striatal dopamine deficiency.Cognitive dysfunction is one of nonmotor symptoms. Thepurpose of this study is to determine the cognitivedysfunction with practical screening tests and toinvestigate relationship between cognitive dysfunction andclinical severity in early stage of PD (EPD)Materials and Methods: EPD patients and healthycontrol group were included into the study. Mıni mentalstate examination (MMSE), digit span (DS), clock drawing(CD), verbal and visual memory tests were applied to allcases. Unified Parkinson’s Disease Rating Scale (UPDRS)and Hoehn & Yahr Staging (H&Y) tests were performedto EPD patients. Correlation of neurocognitive tests withUPDRS and H&Y scores were examined in EPD patients.Results: There were 30 EPD patients (11 female/19 male)and 20 healthy controls (10 female/10 male). There was asignificant difference only in CD test between EPD andhealthy controls. EPD with H&Y stage 1. group hadhigher score on backward DS, CD, and visual memorytests than EPD with H&Y stage 2. Verbal memory testscores had negatively correlated with UPDRS scores.Conclusion: The first impaired test was CD in EPDcompared to control group. Other cognitive tests(backward DS, verbal and visual memory tests) were alsoimpaired with increasing severity of disease. MMSE wasnot different from the control group and did not changewith increasing severity of disease. MMSE alone is notenough for evaluating of EPD, other cognitive tests haveto be used.
Anahtar Kelime:

Erken evre Parkinson hastalığında kognitif profil

Öz:
Purpose: Parkinson’s disease (PD) is a neurodegenerative disorder characterized by both motor and nonmotor symptoms mainly due to striatal dopamine deficiency. Cognitive dysfunction is one of nonmotor symptoms. The purpose of this study is to determine the cognitive dysfunction with practical screening tests and to investigate relationship between cognitive dysfunction and clinical severity in early stage of PD (EPD) Materials and Methods: EPD patients and healthy control group were included into the study. Mıni mental state examination (MMSE), digit span (DS), clock drawing (CD), verbal and visual memory tests were applied to all cases. Unified Parkinson’s Disease Rating Scale (UPDRS) and Hoehn & Yahr Staging (H&Y) tests were performed to EPD patients. Correlation of neurocognitive tests with UPDRS and H&Y scores were examined in EPD patients. Results: There were 30 EPD patients (11 female/19 male) and 20 healthy controls (10 female/10 male). There was a significant difference only in CD test between EPD and healthy controls. EPD with H&Y stage 1. group had higher score on backward DS, CD, and visual memory tests than EPD with H&Y stage 2. Verbal memory test scores had negatively correlated with UPDRS scores. Conclusion: The first impaired test was CD in EPD compared to control group. Other cognitive tests (backward DS, verbal and visual memory tests) were also impaired with increasing severity of disease. MMSE was not different from the control group and did not change with increasing severity of disease. MMSE alone is not enough for evaluating of EPD, other cognitive tests have to be used.
Anahtar Kelime:

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  • 1. De Lau LM, Breteler MM. Epidemiology of Parkinson’s disease. Lancet Neurol. 2006;5:525–35.
  • 2. Kalaitzakis ME, Pearce RK. The morbid anatomy of dementia in Parkinson's disease.. Acta Neuropathol. 2009;118:587-98.
  • 3. Barone P, Antonini A, Colosimo C, Marconi R, Morgante L, Avarello TP. The PRIAMO study: A multicenter assessment of nonmotor symptoms and their impact on quality of life in Parkinson’s disease. Mov Disord. 2009;24:1641–9.
  • 4. Prince M, Guerchet M, Prina M, Alzheimer’s Disease International. Policy Brief for Heads of Government: The Global Impact of Dementia. London, Alzheimer’s Disease International, 2013.
  • 5. Aarsland D, Larsen JP, Tandberg E, Laake K. Predictors of nursing home placement in Parkinson’s disease: a population-based, prospective study. J Am Geriatr Soc. 2000;48:938–42.
  • 6. Zgaljardic DJ, Borod JC, Foldi NS, Mattis PJ, Gordon MF, Feigin A et al. An examination of executive dysfunction associated with frontostriatal circuitry in Parkinson's disease. J Clin Exp Neuropsychol. 2006;28:1127-44.
  • 7. Dalrymple-Alford JC, Kalders AS, Jones RD, Watson RW. A central executive deficit in patients with Parkinson's disease. J Neurol Neurosurg Psychiatry. 1994;57:360-7.
  • 8. Litvan I, Bhatia KP, Burn DJ, Goetz CG, Lang AE et al. Movement Disorders Society Scientific Issues Committee. Movement Disorders Society Scientific Issues Committee report: SIC Task Force appraisal of clinical diagnostic criteria for Parkinsonian disorders. Mov Disord. 2003;18:467-86.
  • 9. Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-98.
  • 10. Keskinoglu P, Ucku R, Yener G, Yaka E, Kurt P, Tunca Z. Reliability and validity of revised Turkish version of Mini Mental State Examination (RMMSET) in community-dwelling educated and uneducated elderly. Int J Geriatr Psychiatry. 2009;24:1242-50.
  • 11. Banken JA. Clinical utility of considering digits forward and digits backward as separate components of the Wechsler Adult Intelligence Scale-Revised. J Clin Psychol. 1985;41:686-691.
  • 12. Manos PJ, Wu R. The ten point clock test: a quick screen and grading method for cognitive impairment in medical and surgical patients. Int J Psychiatry Med. 1994;24:229-44.
  • 13. Dubois B, Touchon J, Portet F, Ousset PJ, Vellas B, Michel B. The “5 words”: a simple and sensitive test for the diagnosis of Alzheimer’s disease. Presse Med. 2002;31:1696-1699.
  • 14. Weintraub S, Peavy GM, O'Connor M, Johnson NA, Acar D, Sweeney J et al.Three words three shapes: A clinical test of memory. J Clin Exp Neuropsychol. 2000;22:267-78.
  • 15. Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease. The Unified Parkinson's Disease Rating Scale (UPDRS): status and recommendations. Review. Mov Disord. 2003;18:738- 50.
  • 16. Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17:427– 42.
  • 17. Silbert LC, Kaye J. Neuroimaging and cognition in Parkinson's disease dementia. Review. Brain Pathol. 2010;20:646-53.
  • 18. Brown RG, Marsden CD. 'Subcortical dementia': the neuropsychological evidence. Neuroscience. 1988;25:363-87.
  • 19. Riedel O, Klotsche J, Förstl H, Wittchen HU. GEPAD Study Group. Clock drawing test: is it useful for dementia screening in patients having Parkinson disease with and without depression. J Geriatr Psychiatry Neurol. 2013;26:151-7.
  • 20. Saur R, Maier C, Milian M, Riedel E, Berg D, LiepeltScarfone I et al. Clock test deficits related to the global cognitive state in Alzheimer's and Parkinson's disease. Dement Geriatr Cogn Disord. 2012;33:59-72.
  • 21. Saka E, Elibol B. Enhanced cued recall and clock drawing test performances differ in Parkinson's and Alzheimer's disease-related cognitive dysfunction. Parkinsonism Relat Disord. 2009;15:688-91.
  • 22. Whittington CJ, Podd J, Stewart-Williams S. Memory deficits in Parkinson's disease. J Clin Exp Neuropsychol. 2006;28:738-54.
  • 23. Brown RG, Marsden CD, Quinn N, Wyke MA. Alterations in cognitive performance and affectarousal state during fluctuations in motor function in Parkinson's disease. J Neurol Neurosurg Psychiatry. 1984;47:454-65.
  • 24. Hughes TA, Ross HF, Musa S, Bhattacherjee S, Nathan RN, Mindham RH et al. A 10-year study of the incidence of and factors predicting dementia in Parkinson's disease. Neurology. 2000;54:1596-602.
APA evlice a, ERDEM M, DEMIRKIRAN D (2021). Cognitive profile in early stage Parkinson disease. , 233 - 239. 10.17826/cumj.794256
Chicago evlice ahmet,ERDEM Miray,DEMIRKIRAN DURUHAN MELTEM Cognitive profile in early stage Parkinson disease. (2021): 233 - 239. 10.17826/cumj.794256
MLA evlice ahmet,ERDEM Miray,DEMIRKIRAN DURUHAN MELTEM Cognitive profile in early stage Parkinson disease. , 2021, ss.233 - 239. 10.17826/cumj.794256
AMA evlice a,ERDEM M,DEMIRKIRAN D Cognitive profile in early stage Parkinson disease. . 2021; 233 - 239. 10.17826/cumj.794256
Vancouver evlice a,ERDEM M,DEMIRKIRAN D Cognitive profile in early stage Parkinson disease. . 2021; 233 - 239. 10.17826/cumj.794256
IEEE evlice a,ERDEM M,DEMIRKIRAN D "Cognitive profile in early stage Parkinson disease." , ss.233 - 239, 2021. 10.17826/cumj.794256
ISNAD evlice, ahmet vd. "Cognitive profile in early stage Parkinson disease". (2021), 233-239. https://doi.org/10.17826/cumj.794256
APA evlice a, ERDEM M, DEMIRKIRAN D (2021). Cognitive profile in early stage Parkinson disease. Cukurova Medical Journal, 46(1), 233 - 239. 10.17826/cumj.794256
Chicago evlice ahmet,ERDEM Miray,DEMIRKIRAN DURUHAN MELTEM Cognitive profile in early stage Parkinson disease. Cukurova Medical Journal 46, no.1 (2021): 233 - 239. 10.17826/cumj.794256
MLA evlice ahmet,ERDEM Miray,DEMIRKIRAN DURUHAN MELTEM Cognitive profile in early stage Parkinson disease. Cukurova Medical Journal, vol.46, no.1, 2021, ss.233 - 239. 10.17826/cumj.794256
AMA evlice a,ERDEM M,DEMIRKIRAN D Cognitive profile in early stage Parkinson disease. Cukurova Medical Journal. 2021; 46(1): 233 - 239. 10.17826/cumj.794256
Vancouver evlice a,ERDEM M,DEMIRKIRAN D Cognitive profile in early stage Parkinson disease. Cukurova Medical Journal. 2021; 46(1): 233 - 239. 10.17826/cumj.794256
IEEE evlice a,ERDEM M,DEMIRKIRAN D "Cognitive profile in early stage Parkinson disease." Cukurova Medical Journal, 46, ss.233 - 239, 2021. 10.17826/cumj.794256
ISNAD evlice, ahmet vd. "Cognitive profile in early stage Parkinson disease". Cukurova Medical Journal 46/1 (2021), 233-239. https://doi.org/10.17826/cumj.794256