1982
DOI: 10.1212/wnl.32.9.1039
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Dopamine deficiency in the cerebral cortex in Parkinson disease

Abstract: We measured the concentrations of dopamine, 3,4-dihydroxyphenylacetic acid, and homovanillic acid in several cortical areas from controls and parkinsonian patients. Substantial amounts of dopamine and its metabolites were detected in hippocampus and entorhinal, cingulate, and frontal cortex of controls. In parkinsonian patients the levels of dopamine and its metabolites were reduced in these neocortical areas and hippocampus. Diminution of cortical dopaminergic transmission may play a role in the mental impair… Show more

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Cited by 176 publications
(51 citation statements)
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“…Our observations are in accordance with postmortem studies that have reported only mild depletion of DA in the prefrontal cortex in PD. 31,32 Studies in vivo with 18 F-dopa PET also have shown either a small decline 33 or no changes in prefrontal tracer uptake in advanced PD patients in comparison with controls. 20 Prefrontal deficits of executive functions, such as planning and spatial working memory, have been reported in PD 34 -36 even early in the disease process.…”
Section: Discussionmentioning
confidence: 99%
“…Our observations are in accordance with postmortem studies that have reported only mild depletion of DA in the prefrontal cortex in PD. 31,32 Studies in vivo with 18 F-dopa PET also have shown either a small decline 33 or no changes in prefrontal tracer uptake in advanced PD patients in comparison with controls. 20 Prefrontal deficits of executive functions, such as planning and spatial working memory, have been reported in PD 34 -36 even early in the disease process.…”
Section: Discussionmentioning
confidence: 99%
“…Six-hydroxydopamine lesions within the principal sulcus, for example, produce deficits in monkeys performing working memory tasks comparable to surgical lesions (Brozoski et al, 1979), while local infusion of selective dopamine antagonists disrupts performance in oculomotor delayed response tasks Goldman-Rakic, 1991, 1994). In man, hypoactivity of prefrontal dopamine has also been linked to cognitive disturbances in schizophrenia and Parkinson's disease, including substandard performance on frontal lobe tasks such as the Wisconsin Card Sorting Test (e.g., Scatton et al, 1982;Weinberger, 1987;Goldman-Rakic, 1991). Dopamine levels also drop sharply and, among catecholamines, with some selectivity in the prefrontal cortex of aged primates (Goldman-Rakic and Brown, 1981).…”
Section: Indexing Terms: Schizophrenia; Association Cortex; Estrogen;mentioning
confidence: 99%
“…PD's signature lesion is loss of neurons in the pars compacta of the substantia nigra and consequent dopamine depletion in the striatum (49). In addition, there is damage to the mesocortical dopaminergic projection from the ventral tegmental area to the frontal lobes (50,51). PD patients in even the earliest stages of the disease exhibit a pattern of intact and impaired cognition and memory that is strikingly similar to that shown by patients with frontal-lobe lesions (reviewed in ref.…”
Section: Pd and Strategic Memorymentioning
confidence: 99%