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Neural and behavioral substrates of subtypes of Parkinson’s disease

机译:帕金森氏病亚型的神经和行为底物

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摘要

Parkinson’s disease (PD) is a neurological disorder, associated with rigidity, bradykinesia, and resting tremor, among other motor symptoms. In addition, patients with PD also show cognitive and psychiatric dysfunction, including dementia, mild cognitive impairment (MCI), depression, hallucinations, among others. Interestingly, the occurrence of these symptoms—motor, cognitive, and psychiatric—vary among individuals, such that a subgroup of PD patients might show some of the symptoms, but another subgroup does not. This has prompted neurologists and scientists to subtype PD patients depending on the severity of symptoms they show. Neural studies have also mapped different motor, cognitive, and psychiatric symptoms in PD to different brain networks. In this review, we discuss the neural and behavioral substrates of most common subtypes of PD patients, that are related to the occurrence of: (a) resting tremor (vs. nontremor-dominant); (b) MCI; (c) dementia; (d) impulse control disorders (ICD); (e) depression; and/or (f) hallucinations. We end by discussing the relationship among subtypes of PD subgroups, and the relationship among motor, cognitive, psychiatric factors in PD.
机译:帕金森氏病(PD)是一种神经系统疾病,与僵硬,运动迟缓和静息震颤以及其他运动症状有关。此外,PD患者还表现出认知和精神功能障碍,包括痴呆,轻度认知障碍(MCI),抑郁,幻觉等。有趣的是,这些症状的发生(运动,认知和精神病)在个体之间会有所不同,因此,PD患者的一个亚组可能显示某些症状,而另一亚组则没有。这促使神经病学家和科学家根据PD患者表现出的症状严重程度对其进行亚型化。神经研究还将PD中不同的运动,认知和精神症状映射到不同的大脑网络。在这篇综述中,我们讨论了PD患者最常见亚型的神经和行为底物,这些底物与以下情况的发生有关:(a)静息性震颤(相对于非震颤性主导); (b)MCI; (c)痴呆症; (d)冲动控制障碍(ICD); (e)抑郁症;和/或(f)幻觉。我们首先讨论PD亚组的亚型之间的关系,以及PD中运动,认知,精神因素之间的关系。

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