2016
DOI: 10.4103/2231-4040.191416
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Neuroanatomical changes in Parkinson′s disease in relation to cognition: An update

Abstract: The pathophysiological changes underlying impairment of cognition in Parkinson's disease (PD) are complex and not fully understood till date. Hence, understanding the structural changes responsible for cognitive decline in PD is essential for early diagnosis and to offer effective treatment. In this review, we discuss the neuroanatomical changes in major brain structures responsible for cognition in PD. We have included the key findings of various studies to provide up-to-date information for better understand… Show more

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Cited by 36 publications
(36 citation statements)
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“…The analyses performed in this study were limited to the sensor-level (i.e., electrode data) and in the absence of subject-specific anatomical MRI data and care was taken not to over-stretch data interpretations towards the sources of neural activity. Future studies would benefit from anatomical MRI data for each subject or patient in order to reliably source the origins of neural activity especially as brain anatomy varies with age and stage of PD [ 61 ]. Lastly, both dual-task conditions required the subjects to share part of their attention to the ambulatory task with a second task, and difficulties in reallocating attentional resources could have contributed to the decrease in gait stability [ 39 ].…”
Section: Discussionmentioning
confidence: 99%
“…The analyses performed in this study were limited to the sensor-level (i.e., electrode data) and in the absence of subject-specific anatomical MRI data and care was taken not to over-stretch data interpretations towards the sources of neural activity. Future studies would benefit from anatomical MRI data for each subject or patient in order to reliably source the origins of neural activity especially as brain anatomy varies with age and stage of PD [ 61 ]. Lastly, both dual-task conditions required the subjects to share part of their attention to the ambulatory task with a second task, and difficulties in reallocating attentional resources could have contributed to the decrease in gait stability [ 39 ].…”
Section: Discussionmentioning
confidence: 99%
“…PD involves morphological alterations in different parts of the brain, including reduced volumes of the caudate nucleus, thalamus, and white matter, as well as atrophy of the basal ganglia, contraction in the left cerebellum, decreased gray matter in the right quadrangular lobe, reduced fractional anisotropy, neuromelanin pigmentation, neuronal loss within the SNC, and increased mean and radial diffusivity within the SNC and globus pallidus [ 108 ]. Experimental models indicate that RJ induces structural and symptomatic improvements in PD mice by protecting against the histomorphometrical dysfunctions caused by the disease.…”
Section: Mechanisms Of Action Of Propolis and Royal Jelly In Parkimentioning
confidence: 99%
“…α-synuclein is a protein which is found pre-synaptic ally, the accumulation of α-synuclein induce the formation of toxic oligomeric protein which can activate the immune system and lead to degeneration of the neurons (39). The etiology of PD remains to be elucidated and many factors such as aging, environmental and genetics contribute the neurodegeneration in PD, diffusion weighted MRI techniques may be able to efficiently track the pathological process.Many theories were postulated to explain the mechanism behind neuronal loss, such as oxidative stress, rise of iron content, pathological protein accumulation and neuroinflammation(40,41). One theory which describes the origin of idiopathic PD is the Braak's theory.…”
mentioning
confidence: 99%