Evidence map›Paper›PMID 37476309›Full record

ArticleMovement disorders clinical practice2023

Cognitive Deficits in Parkinson's Disease Are Associated with Neuronal Dysfunction and Not White Matter Lesions.

Nils Schröter, Tobias Bormann, Michel Rijntjes, Ganna Blazhenets, Raissa Berti, Bastian E A Sajonz, Horst Urbach, Cornelius Weiller, Philipp T Meyer, Alexander Rau and 1 more

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
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

11 authors.

Nils SchröterDepartment of Neurology and Clinical Neuroscience, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.ORCID https://orcid.org/0000-0002-3833-9822
Tobias BormannDepartment of Neurology and Clinical Neuroscience, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.
Michel RijntjesDepartment of Neurology and Clinical Neuroscience, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.
Ganna BlazhenetsDepartment of Nuclear Medicine, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.
Raissa BertiDepartment of Nuclear Medicine, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.
Bastian E A SajonzDepartment of Stereotactic and Functional Neurosurgery, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.ORCID https://orcid.org/0000-0002-2836-0046
Horst UrbachDepartment of Neuroradiology, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.
Cornelius WeillerDepartment of Neurology and Clinical Neuroscience, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.
Philipp T MeyerDepartment of Nuclear Medicine, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.
Alexander RauDepartment of Neuroradiology, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.ORCID https://orcid.org/0000-0001-5881-6043
Lars FringsDepartment of Nuclear Medicine, Medical Center, Faculty of Medicine University of Freiburg Freiburg Germany.ORCID https://orcid.org/0000-0001-9377-8935

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cognitive deficits considerably contribute to the patient's burden in Parkinson's disease (PD). While cognitive decline is linked to neuronal dysfunction, the additional role of white matter lesions (WML) is discussed controversially. Objective: To investigate the influence of WML, in comparison to neuronal dysfunction, on cognitive deficits in PD. Methods: We prospectively recruited patients with PD who underwent neuropsychological assessment using the Mattis Dementia Rating Scale 2 (DRS-2) or Parkinson Neuropsychometric Dementia Assessment (PANDA) and both MRI and PET with [ Results: Inclusion criteria were met by 76 patients with a mean (± SD) age of 63.5 ± 9.0 years and disease duration of 10.7 ± 5.4 years. Neuropsychological testing revealed front executive and parietal deficits and a median DRS-2 score of 137 (range 119-144)/144 and PANDA score of 22 (range 3-30)/30. No association between WML and cognition was observed, whereas PDCP subject scores showed a trend-level negative correlation with the DRS-2 ( Conclusion: The present study indicates that microangiopathic WML do not have a relevant impact on neurocognitive performance in PD whereas neuronal dysfunction does.

Indexed as

cognitioncognitive declineneurodegenerationParkinson's diseasewhite matter hyperintensitieswhite matter lesion

Identifiers

PMID37476309
PMCPMC10354622

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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.