Evidence map›Paper›PMID 37263767›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2023

Evoked mid-frontal activity predicts cognitive dysfunction in Parkinson's disease.

Arun Singh, Rachel C Cole, Arturo I Espinoza, Jan R Wessel, James F Cavanagh, Nandakumar S Narayanan

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06984757 (Mid-frontal Delta/Theta and Cognitive Control), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06984757 naenrolling by invitationnot on this map

Mid-frontal Delta/Theta and Cognitive Control

TypeinterventionalSponsorNandakumar NarayananRan2017 to 2029Enrolled635ConditionsParkinson&Amp, Amp, #39, s Disease (PD)ArmsDeep-brain Stimulation, Transcranial Magnetic Stimulation, Transcranial Alternating Current Stimulation
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

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  12. Cognition falters at ~4 Hz in Parkinson's disease.Trends in cognitive sciences · 2024
    Article
  13. Article
  14. Review
  15. Review
  16. Salience network and cognitive impairment in Parkinson's disease.medRxiv : the preprint server for health sciences · 2023
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Arun SinghDivision of Basic Biomedical Sciences, University of South Dakota, Vermillion, South Dakota, USA arun.singh@usd.edu.ORCID 0000-0003-4273-542X
Rachel C ColeDepartment of Neurology, University of Iowa, Iowa City, Iowa, USA.
Arturo I EspinozaDepartment of Neurology, University of Iowa, Iowa City, Iowa, USA.
Jan R WesselDepartment of Neurology, University of Iowa, Iowa City, Iowa, USA.
James F CavanaghPsychology Department, University of New Mexico, Albuquerque, New Mexico, USA.
Nandakumar S NarayananDepartment of Neurology, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0002-0427-0003
University of Iowa · USUniversity of New Mexico · USUniversity of South Dakota · US

Funding

Mid-frontal delta/theta rhythms and cognitive control in PDR01NS100849 · NINDS · UNIVERSITY OF IOWA · PI JAMES F CAVANAGH, Nandakumar Narayanan · 2017 to 2026
$3.6M
The Administrative Core of Prefrontal Cortex, Cognition, and Speech Symptoms in Parkinson’s disease (PRECIS-PD)P20NS123151 · NINDS · UNIVERSITY OF IOWA · PI ALDRIDGE, GEORGINA · 2021 to 2022
$890k
Frontal theta as a mechanism of aging-related differences in cognitive controlF32AG069445 · NIA · UNIVERSITY OF IOWA · PI COLE, RACHEL AMELIA CLARK · 2020 to 2022
$171k
NIA NIH HHS F32 AG069445NINDS NIH HHS P20 NS123151NINDS NIH HHS R01 NS100849
6 · The paper itself

Abstract

backgroundCognitive dysfunction is a major feature of Parkinson's disease (PD), but the pathophysiology remains unknown. One potential mechanism is abnormal low-frequency cortical rhythms which engage cognitive functions and are deficient in PD. We tested the hypothesis that mid-frontal delta/theta rhythms predict cognitive dysfunction in PD.

methodWe recruited 100 patients with PD and 49 demographically similar control participants who completed a series of cognitive control tasks, including the Simon, oddball and interval-timing tasks. We focused on cue-evoked delta (1-4 Hz) and theta (4-7 Hz) rhythms from a single mid-frontal EEG electrode (cranial vertex (Cz)) in patients with PD who were either cognitively normal, with mild-cognitive impairments (Parkinson's disease with mild-cognitive impairment) or had dementia (Parkinson's disease dementia).

resultsWe found that PD-related cognitive dysfunction was associated with increased response latencies and decreased mid-frontal delta power across all tasks. Within patients with PD, the first principal component of evoked electroencephalography features from a single electrode (Cz) strongly correlated with clinical metrics such as the Montreal Cognitive Assessment score (r=0.34) and with National Institutes of Health Toolbox Executive Function score (r=0.46).

conclusionsThese data demonstrate that cue-evoked mid-frontal delta/theta rhythms directly relate to cognition in PD. Our results provide insight into the nature of low-frequency frontal rhythms and suggest that PD-related cognitive dysfunction results from decreased delta/theta activity. These findings could facilitate the development of new biomarkers and targeted therapies for cognitive symptoms of PD.

Indexed as

Cognitive DysfunctionDementiaParkinson DiseaseElectroencephalographyHumansTheta RhythmCOGNITIONEEGPARKINSON'S DISEASE

Identifiers

PMID37263767
PMCPMC10592174
OpenAlexW4378977619

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.