Effect of clinical autonomic dysfunction on cognitive functions in Parkinson’s disease
Öz
Objective: Parkinson’s disease (PD) is a chronic progressive neurodegenerative disorder characterized by tremor, rigidity, bradykinesia, and postural instability. PD also involves nonmotor manifestations such as autonomic failure, cognitive disorders, and sleep disorders. These clinical characteristics are not identical in severity, frequency, and onset time in all PD patients. We assessed whether there is a negative effect on cognition of clinical autonomic dysfunction in PD patients.
Methods: This prospective study includes 37 PD patients with autonomic failure. From each patient, a questionnaire (SCOPA-AUT) including symptoms associated with clinical autonomic dysfunction such as constipation, urinary incontinence, orthostatic hypotension, and hyperhydrosis was obtained and the patient’s clinical condition was rated on the Hoehn and Yahr (H-Y) scale in the ON-medication state. The patients’ cognitive function was assessed by the Mini-Mental State Examination (MMSE), Blessed score, Frontal Assessment Battery (FAB), and Digid Span Test (DST) (forward, reverse). Cognitive test scores were compared with SCOPA-OUT scores.
Results: Mean age was 66,5±11.2 years. There was no correlation between cognitive test scores and SCOPA -OUT scores (p>0.05). However, H-Y scores were negatively correlated with the DSTf, DSTr, FAB, and MMSE scores (p50.005, r:-0.451; p50.025, r: -0.367; p50.040, r: -0.340; p50.044, r5-0.333, respectively).
Conclusions: According to our results, clinical autonomic dysfunction did not seem to ha ve an effect on cognition. In addition, severity of cognitive dysfunction showed a strong negative correlation with the stage of disease.
Anahtar Kelimeler
Kaynakça
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Ayrıntılar
Birincil Dil
İngilizce
Konular
-
Bölüm
Araştırma Makalesi
Yazarlar
Dursun Aygun
Bu kişi benim
Türkiye
Cetin Kursad Akpinar
Türkiye
Serpil Yon
Bu kişi benim
Türkiye
Musa Kazım Onar
Bu kişi benim
Türkiye
Yayımlanma Tarihi
20 Eylül 2017
Gönderilme Tarihi
20 Eylül 2017
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2017 Cilt: 44 Sayı: 3
Cited By
ASSOCIATION BETWEEN SEVERITY AND DEPRESSION IN PARKINSON'S PATIENTS
International journal of Research science and Management
https://doi.org/10.29121/ijrsm.v7.i8.2020.12Parkinson Hastalığında Motor Semptomların Tiroid Hormon Seviyeleri ile İlişkisi
Düzce Tıp Fakültesi Dergisi
https://doi.org/10.18678/dtfd.1068664