Getting around and communicating with the environment: visual cognition and language in Parkinson's disease

[A core deficit in Parkinson disease?]

INTRODUCTION

Parkinson disease is a neurodegenerative condition involving motor, cognitive, and linguistic deficits. It is important to know why all these different deficits co-occur in the affected people. This paper aims to clarify whether these comorbid deficits result from the selective impairment of a computational primitive, namely, a context-sensitive computational ability according to Chomsky's Hierarchy (a well-established research tool in comparative neuroscience).

PATIENTS AND METHODS

A total of 15 medicated subjects with Parkinson disease and 15 controls were selected. They were matched in age and education. A battery of tasks was designed to test 3 different domains (motor capacities, cognition, and language) and 2 different computational abilities (context-free and context-sensitive operations).

RESULTS

Significant differences between groups were observed only regarding the linguistic task involving context-sensitive computations (correferences).

CONCLUSIONS

The observed deficits in our patients with Parkinson disease cannot be explained in terms of the selective impairment of one only unspecific, low-level computational process. At the same time, differences between patients and controls are expected to be greater if the former are not medicated. Moreover, we should pursue in the search of (this kind of) computational primitives than can be selectively impaired in people with Parkinson disease, because they may help to achieve an earlier diagnosis of this condition.

Task-dependent postural control throughout the lifespan

Routine activities performed while standing and walking require the ability to appropriately and continuously modulate postural movements as a function of a concurrent task. Changes in task-dependent postural control contribute to the emergence, maturation, and decline of complex motor skills and stability throughout the lifespan.

Current aspects of cognitive neurophysiology of Parkinson disease: an introduction

Parkinson Disease (PD) is the second most common neurodegenerative disorder after Alzheimer's disease. With increased longevity and improved health care, our society is experiencing an unprecedented challenge posed by neurodegenerative disorders. Alzheimer's disease alone is now the third most expensive disease to treat in the U.S., costing close to $100 billion annually. While treatment of the motor manifestations of PD has advanced much, the treatment of its non-motor features, in particular mental dysfunction remain as unresolved problems in PD. Electrophysiological and imaging studies in this issue are providing new information on the roles of the frontal cortex, pedunculopontine nucleus, dopaminergic mesolimbic system and thalamocortical circuits on cognitive and mental dysfunction in PD.