Brain atrophy predicts Parkinson's disease dementia

People with Parkinson’s disease have a six times greater risk of developing dementia than the general population. A new study points to a way of picking out those who are at risk of dementia.

The 20-month study involved 32 patients in the first stages of Parkinson's disease and 18 healthy controls. It found thinning in certain cortical areas (temporal, occipital, parietal and supplementary motor area) as well as subcortical atrophy (amygdala and nucleus accumbens) in the grey matter of those Parkinson’s sufferers with mild cognitive impairments. The rate of cortical thinning mirrored growth in cognitive problems. This pattern of brain degradation associated with the early presence of mild cognitive impairment might serve as a marker for the development of dementia. Parkinson's patients without mild cognitive impairment had only one lateral occipital and one fusiform cluster with increased rate of thinning compared to healthy individuals.

http://www.eurekalert.org/pub_releases/2014-03/uom-pd031014.php

[3575] Hanganu, A., Bedetti C., Degroot C., Mejia-Constain B., Lafontaine A-L., Soland V., et al.
(2014).  Mild cognitive impairment is linked with faster rate of cortical thinning in patients with Parkinson’s disease longitudinally.
Brain. 137(4), 1120 - 1129.

Related News

Analysis of data from 237 patients with mild cognitive impairment (mean age 79.9) has found that, compared to those carrying the ‘normal’ ApoE3 gene (the most common variant of the ApoE gene), the ApoE4 carriers showed markedly greater rates of shrinkage in 13 of 15 brain regions thought to be k

A multi-year study involving 207 healthy older adults, in which their spinal fluids were repeatedly sampled and their brains repeatedly scanned, has found that disruptions in the default mode network emerges about the same time as chemical markers of Alzheimer’s appear in the spinal fluid (decre

A study involving 614 patients with type 2 diabetes (mean age 62) has found that longer duration of diabetes was associated with more brain volume loss, particularly in the gray matter.

Recent research has suggested that sleep problems might be a risk factor in developing Alzheimer’s, and in mild cognitive impairment.

A study using data from the Lothian Birth Cohort (people born in Scotland in 1936) has analyzed brain scans of 638 participants when they were 73 years old.

A study involving those with a strong genetic risk of developing Alzheimer’s has found that the first signs of the disease can be detected 25 years before symptoms are evident.

I’ve reported before on the evidence suggesting that carriers of the ‘Alzheimer’s gene’, APOE4, tend to have smaller brain volumes and perform worse on cognitive tests, despite being cognitively ‘normal’.

Damage to the retina (retinopathy) doesn’t produce noticeable symptoms in the early stages, but a new study indicates it may be a symptom of more widespread damage. In the ten-year study, involving 511 older women (average age 69), 7.6% (39) were found to have retinopathy.

Data from the very large and long-running Cognitive Function and Ageing Study, a U.K. study involving 13,004 older adults (65+), from which 329 brains are now available for analysis, has found that cognitive lifestyle score (CLS) had no effect on Alzheimer’s pathology.

A four-year study involving 716 elderly (average age 82) has revealed that those who were most physically active were significantly less likely to develop Alzheimer’s than those least active.

Pages

Subscribe to Latest newsSubscribe to Latest newsSubscribe to Latest health newsSubscribe to Latest news