Bilişsel Eksiklik ve Aberrant İçsel Beyin İşlevsel Ağı Erken Dönem İlaç-Naif Parkinson Hastalığında.

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BackgroundAlthough cognitive deficit is a common non-motor symptom of Parkinson's disease (PD), the mechanism and valid biomarkers of it have not been identified. To our best knowledge, this was the first study to investigate the intrinsic dysconnectivity pattern of whole-brain functional networks in early-stage drug-naive (ESDN) PD patients and its association with cognitive deficit of PD using voxel-wise Degree Centrality (DC) approach.MethodsA total of 53 ESDN PD patients and 53 healthy controls (HC) were recruited. Resting-state fMRI (rs-fMRI) data were acquired, and voxel-wise DC approach was applied. Electrophysiological testing at P300 amplitude was recorded. The Montreal Cognitive Assessment (MoCA) was conducted to evaluate cognitive performance.ResultsESDN PD patients had lower MoCA scores and P300 amplitudes, but higher P300 latency, than HC (all p Bonferroni correction Bonferroni correction ConclusionsOur results indicate the cognitive deficit and abnormal intrinsic brain functional network in ESDN PD patients. The damage of Default Mode Network (DMN) may be contributes to the pathogenesis of cognitive dysfunction in ESDN PD.

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