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The frontostriatal subtype of mild cognitive impairment in Parkinson's disease, but not the posterior cortical one, is associated with specific EEG alterations.

Title: The frontostriatal subtype of mild cognitive impairment in Parkinson's disease, but not the posterior cortical one, is associated with specific EEG alterations.
Authors: Betrouni, Nacim; Devignes, Quentin; Bayot, Madli; Derambure, Philippe; Defebvre, Luc; Leentjens, Albert F.; Delval, Arnaud; Dujardin, Kathy
Contributors: Université de Lille; Inserm; CHU Lille; Lille Neurosciences & Cognition (LilNCog) - U 1172; Lille Neurosciences & Cognition - U 1172 LilNCog; Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer JPArc - U1172 Inserm
Publication Year: 2024
Collection: LillOA (Lille Open Archive - Université de Lille)
Subject Terms: PD-MCI; Dual syndrome hypothesis; Spectral decomposition; Functional connectivity; Cognition
Description: Background The ‘dual syndrome’ hypothesis states that two cognitive subtypes can be distinguished in mild cognitive impairment in Parkinson's disease (PD-MCI): a frontostriatal one, characterized by attentional and/or executive deficits, and a posterior cortical one, characterized by visuospatial, memory and/or language deficits. The latter type has been associated with a higher risk of earlier development of PD dementia. The functional bases of these subtypes remain partly unknown. Objective To identify EEG modifications associated with PD-MCI subtypes. Methods 75 non-demented PD patients underwent a comprehensive neuropsychological assessment and a high-density EEG. They were classified as having normal cognition (PD-NC; n = 37), PD-MCI with a frontostriatal subtype (PD-FS; n = 11) or PD-MCI with a posterior cortical subtype (PD-PC; n = 27). Two EEG analyses were performed: (a) spectral powers quantification and (b) functional connectivity analysis. Results PD-FS patients displayed spectral and functional EEG alterations, namely (a) higher powers in the theta and delta bands, (b) lower powers in the beta2 band and (c) lower functional connectivity in the beta2 band compared to PD-NC and PD-PC patients. These alterations were mainly located in the frontal, limbic and parietal regions. There were no significant differences between PD-NC and PD-PC. Conclusion EEG alterations previously reported in PD-MCI may only concern the frontostriatal subtype, and not the posterior-cortical subtype. This provides evidence for the dual syndrome hypothesis and emphasizes the importance of identifying PD-MCI subtypes. It also shows the promising potential of EEG to discriminate between PD-MCI subtypes. ; 153
Document Type: article in journal/newspaper
File Description: application/octet-stream
Language: English
Relation: Cortex; http://hdl.handle.net/20.500.12210/101988
Availability: https://hdl.handle.net/20.500.12210/101988
Accession Number: edsbas.D53B74B7
Database: BASE