Distinct patterns of regional cerebral glucose metabolism in Parkinson's disease with and without mild cognitive impairment

Authors

  • Yoshiyuki Hosokai MS,

    1. Department of Radiological Technology and Science, School of Health Science, Tohoku University, Sendai, Japan
    2. Department of Behavioral Neurology and Cognitive Neuroscience, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Yoshiyuki Nishio MD, PhD,

    Corresponding author
    1. Department of Behavioral Neurology and Cognitive Neuroscience, Graduate School of Medicine, Tohoku University, Sendai, Japan
    • Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai 980-8575, Japan
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  • Kazumi Hirayama MD, PhD,

    1. Department of Behavioral Neurology and Cognitive Neuroscience, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Atsushi Takeda MD, PhD,

    1. Department of Neurology, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Toshiyuki Ishioka MS,

    1. Department of Behavioral Neurology and Cognitive Neuroscience, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Yoichi Sawada MS,

    1. Department of Behavioral Neurology and Cognitive Neuroscience, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Kyoko Suzuki MD, PhD,

    1. Department of Behavioral Neurology and Cognitive Neuroscience, Graduate School of Medicine, Tohoku University, Sendai, Japan
    2. Department of Clinical Neuroscience, Graduate School of Medicine, Yamagata University, Yamagata, Japan
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  • Yasuto Itoyama MD, PhD,

    1. Department of Neurology, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Shoki Takahashi MD, PhD,

    1. Department of Diagnostic Radiology, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Hiroshi Fukuda MD, PhD,

    1. Department of Radiology and Nuclear Medicine, Institute of Development, Aging, and Cancer, Tohoku University, Sendai, Japan
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  • Etsuro Mori MD, PhD

    1. Department of Behavioral Neurology and Cognitive Neuroscience, Graduate School of Medicine, Tohoku University, Sendai, Japan
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  • Potential conflict of interest: None reported.

Abstract

There is no consensus with regard to the clinical and neuroimaging characteristics of prodromal dementia in Parkinson's disease (PD). To delineate functional neuroimaging features of PD with mild cognitive impairment (PDMCI) and with no cognitive impairment (PDNC), we compared regional cerebral glucose metabolism (CMRglc) amongst 13 patients with PDMCI, 27 with PDNC, and 13 healthy controls. The PDNC patients had limited areas of hypometabolism in the frontal and occipital cortices. In the PDMCI patients, there were extensive areas of hypometabolism in the posterior cortical regions, including the temporo-parieto-occipital junction, medial parietal, and inferior temporal cortices. The present results suggest that posterior cortical dysfunction is the primary neuroimaging feature of PD patients at risk for dementia. © 2009 Movement Disorder Society

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