1992
DOI: 10.1007/bf02245167
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l-Dopa withdrawal in Parkinson's disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction

Abstract: Abstract.A group of ten patients with idiopathic Parkinson's disease (PD) was tested on a series of automated tests of learning, memory, planning and attention whilst either on or off L-dopa medication. Controlled withdrawal of L-dopa interfered with aspects of performance on three of the tests that had previously been shown to be sensitive to frontal lobe dysfunction; a spatial working memory task, the Tower of London planning test, and a visual discrimination paradigm that also included intra-and extra-dimen… Show more

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Cited by 565 publications
(302 citation statements)
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References 31 publications
(53 reference statements)
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“…Several lines of evidence suggest that dopamine neuron activity may be reproduced more accurately by using such an extended TD model as the Critic than by using the standard TD model (Suri, 2001). This hypothesis is consistent with experimental evidence suggesting that dopamine neuron activity may not only be involved in sensorimotor learning but also in planning (Lange et al, 1992).…”
supporting
confidence: 91%
See 1 more Smart Citation
“…Several lines of evidence suggest that dopamine neuron activity may be reproduced more accurately by using such an extended TD model as the Critic than by using the standard TD model (Suri, 2001). This hypothesis is consistent with experimental evidence suggesting that dopamine neuron activity may not only be involved in sensorimotor learning but also in planning (Lange et al, 1992).…”
supporting
confidence: 91%
“…First, as striatal dopamine concentration is influenced by the formation of novel associative chains in the sensory preconditioning experiment (Young, Ahier, Upton, Joseph, & Gray, 1998), dopamine concentration reflects the use of an internal model, suggesting that dopamine neuron activity may be the output of an internal model. Second, since Parkinsonian patients seem to be impaired in planning tasks, dopamine may be involved in planning (Lange et al, 1992;Wallesch et al, 1990). Third, reward-specific and event-specific anticipatory neural activities in cortex and striatum represent the outcome of their actions already at the time of the behavior towards the outcome, which is typical for internal model approaches and not required for the standard TD model (Hassani et al, 2001;Schultz, 2000).…”
Section: Internal Model Approachesmentioning
confidence: 99%
“…Planning was simulated with Actor-Critic models for which the action selection of the Actor is guided by transient influences of the Critic (Sutton and Barto, 1981). Since dopamine bursts transiently influence striatal activity (Gonon, 1997) and dopamine is involved in planning tasks (Wallesch et al, 1990;Salamone, 1992;Lange et al, 1992;Talor and Saint-Cyr, 1995), dopamine may guide action selection in such planning tasks. To test this hypothesis, we simulate interactions between the anatomical structures shown in Fig.…”
Section: Introductionmentioning
confidence: 99%
“…While most of the motor symptoms of PD can be related to a nigrostriatal dopaminergic defect, the relationship between the dopaminergic defect and cognitive deficits in PD is less clear. Some cognitive deficits in PD may be dopa-responsive but others are not (Cooper et al 1992;Lange et al 1992). Some cognitive problems in PD patients are even exacerbated by dopaminergic therapy (Gotham et al 1988).…”
mentioning
confidence: 99%