ArticleThe Clinical neuropsychologist2017
Marked brain asymmetry with intact cognitive functioning in idiopathic Parkinson's disease: a longitudinal analysis.
Article in The Clinical neuropsychologist, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Freezing of Gait: A Tribute to Nir Giladi.The European journal of neuroscience · 2026Article
- Resting-State EEG Alpha Asymmetry as a Potential Marker of Clinical Features in Parkinson's Disease.Journal of personalized medicine · 2025Article
- Motor Asymmetry and Interocular Retinal Thickness in Parkinson's Disease.Journal of Korean medical science · 2021Article
- The enigma and implications of brain hemispheric asymmetry in neurodegenerative diseases.Brain communications · 2021Review
- Structural brain correlates of fatigue in older adults with and without Parkinson's disease.NeuroImage. Clinical · 2019Article
- Cognition and connectomes in nondementia idiopathic Parkinson's disease.Network neuroscience (Cambridge, Mass.) · 2018Article
- Selection Processing in Noun and Verb Production in Left- and Right-Sided Parkinson's Disease Patients.Frontiers in psychology · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveA 71-year-old (MN) with an 11-year history of left onset tremor diagnosed as Parkinson's disease (PD) completed longitudinal brain magnetic resonance imaging (MRI) and neuropsychological testing. MRI scans showed an asymmetric caudate nucleus (right < left volume). We describe this asymmetry at baseline and the progression over time relative to other subcortical gray, frontal white matter, and cortical gray matter regions of interest. Isolated structural changes are compared to MN's cognitive profiles.
methodMN completed yearly MRIs and neuropsychological assessments. For comparison, left onset PD (n = 15) and non-PD (n = 43) peers completed the same baseline protocol. All MRI scans were processed with FreeSurfer and the FMRIB Software Library to analyze gray matter structures and frontal fractional anisotropy (FA) metrics. Processing speed, working memory, language, verbal memory, abstract reasoning, visuospatial, and motor functions were examined using reliable change methods.
resultsAt baseline, MN had striatal volume and frontal lobe thickness asymmetry relative to peers with mild prefrontal white matter FA asymmetry. Over time only MN's right caudate nucleus showed accelerated atrophy. Cognitively, MN had slowed psychomotor speed and visuospatial-linked deficits with mild visuospatial working memory declines longitudinally.
conclusionsThis is a unique report using normative neuroimaging and neuropsychology to describe an individual diagnosed with PD who had striking striatal asymmetry followed secondarily by cortical thickness asymmetry and possible frontal white matter asymmetry. His decline and variability in visual working memory could be linked to ongoing atrophy of his right caudate nucleus.
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