EEG Slowing and Axial Motor Impairment Are Independent Predictors of Cognitive Worsening in a Three-Year Cohort of Patients With Parkinson's Disease

Frontiers in Aging Neuroscience

Menorca Chaturvedi¹  Volker Roth¹  Antonia Meyer²  Peter Fuhr²  Florian Hatz²  Ute Gschwandtner²  Vitalii V. Kozak² 

[1] Mathematics and Computer Science, University of Basel, Basel, Switzerland;Neurology and Neurophysiology, University Hospital of Basel, Basel, Switzerland;

关键词: EEG;    Parkinson's disease;    cognitive impairment;    prediction;    axial motor impairment;   

DOI  :  10.3389/fnagi.2020.00171

来源: DOAJ

【 摘 要 】

Objective: We aimed to determine whether the combination of two parameters: (a) score of axial impairment and limb rigidity (SAILR) with (b) EEG global relative median power in the frequency range theta 4–8 Hz (GRMPT) predicted cognitive outcome in patients with Parkinson's disease (PD) better than each of these measures alone.Methods: 47 non-demented patients with PD were examined and re-examined after 3 years. At both time-points, the patients underwent a comprehensive neuropsychological and neurological assessment and EEG in eyes-closed resting-state condition. The results of cognitive tests were normalized and individually summarized to obtain a “global cognitive score” (GCS). Change of GCS was used to represent cognitive changes over time. GRMPT and SAILR was used for further analysis. Linear regression models were calculated.Results: GRMPT and SAILR independently predicted cognitive change. Combination of GRMPT and SAILR improved the significance of the regression model as compared to using each of these measures alone. GRMPT and SAILR only slightly correlate between each other.Conclusion: The combination of axial signs and rigidity with quantitative EEG improves early identification of patients with PD prone to severe cognitive decline. GRMPT and SAILR seem to reflect different disease mechanisms.Significance Combination of EEG and axial motor impairment assessment may be a valuable marker in the cognitive prognosis of PD.

【 授权许可】

Unknown