Cognitive deficits in Parkinson's disease: A cognitive neuroscience perspective

被引:203
作者
Robbins, Trevor W. [1 ,2 ]
Cools, Roshan [3 ,4 ]
机构
[1] Univ Cambridge, Dept Psychol, Cambridge CB2 3EB, England
[2] Univ Cambridge, Behav & Clin Neurosci Inst, Cambridge CB2 3EB, England
[3] Radboud Univ Nijmegen Med Ctr, Donders Inst Brain Cognit & Behav, Dept Psychiat, Nijmegen, Netherlands
[4] Radboud Univ Nijmegen Med Ctr, Ctr Cognit Neuroimaging, Nijmegen, Netherlands
基金
英国惠康基金;
关键词
striatum; prefrontal cortex; executive function; attention; dopamine; memory; cognition; FRONTAL-LOBE DYSFUNCTION; BASAL GANGLIA; PREFRONTAL CORTEX; DOPAMINERGIC MEDICATION; VISUOSPATIAL MEMORY; NUCLEUS-ACCUMBENS; ACTION SELECTION; WORKING-MEMORY; ALZHEIMER-TYPE; DEMENTIA;
D O I
10.1002/mds.25853
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
Progress in characterization of the nature, neural basis, and treatment of cognitive deficits in Parkinson's disease is reviewed from the perspective of cognitive neuroscience. An initial emphasis on fronto-striatal executive deficits is surveyed along with the discoveries of disruption as well as remediation of certain impairments by dopaminergic mediation and their association with theories of reinforcement learning. Subsequent focus on large cohorts has revealed considerable heterogeneity in the cognitive impairments as well as a suggestion of at least two distinct syndromes, with the dopamine-dependent fronto-striatal deficits being somewhat independent of other signs commonly associated with Parkinson's disease dementia. The utility is proposed of a new, integrated cognitive neuroscience approach based on combining genetic and neuroimaging methodologies with neuropsychological and, ultimately, psychopharmacological approaches. (c) 2014 International Parkinson and Movement Disorder Society
引用
收藏
页码:597 / 607
页数:11
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