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Tiedt HO, Ehlen F, Klostermann F. Dopamine-Related Reduction of Semantic Spreading Activation in Patients With Parkinson's Disease. Front Hum Neurosci 2022; 16:837122. [PMID: 35431839 PMCID: PMC9008217 DOI: 10.3389/fnhum.2022.837122] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 03/08/2022] [Indexed: 11/13/2022] Open
Abstract
Impaired performance in verbal fluency (VF) tasks is a frequent observation in Parkinson's disease (PD). As to the nature of the underlying cognitive deficit, it is commonly attributed to a frontal-type dysexecutive syndrome due to nigrostriatal dopamine depletion. Whereas dopaminergic medication typically improves VF performance in PD, e.g., by ameliorating impaired lexical switching, its effect on semantic network activation is unclear. Data from priming studies suggest that dopamine causes a faster decay of semantic activation spread. The aim of the current study was to examine the impact of dopaminergic medication on the dynamic change of word frequency during VF performance as a measure of semantic spreading activation. To this end, we performed a median split analysis of word frequency during phonemic and semantic VF task performance in a PD group tested while receiving dopaminergic medication (ON) as well as after drug withdrawal (i.e., OFF), and in a sample of age-matched healthy volunteers (both groups n = 26). Dopaminergic medication in the PD group significantly affected phonemic VF with improved word production as well as increased error-rates. The expected decrease of word frequency during VF task performance was significantly smaller in the PD group ON medication than in healthy volunteers across semantic and phonemic VF. No significant group-difference emerged between controls and the PD group in the OFF condition. The comparison between both treatment conditions within the PD group did not reach statistical significance. The observed pattern of results indicates a faster decay of semantic network activation during lexical access in PD patients on dopaminergic medication. In view of improved word generation, this finding is consistent with a concept of more focused neural activity by an increased signal-to-noise ratio due to dopaminergic neuromodulation. However, the effect of dopaminergic stimulation on VF output suggests a trade-off between these beneficial effects and increased error-rates.
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Affiliation(s)
- Hannes Ole Tiedt
- Department of Neurology, Motor and Cognition Group, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universitätzu Berlin, Berlin, Germany
| | - Felicitas Ehlen
- Department of Neurology, Motor and Cognition Group, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universitätzu Berlin, Berlin, Germany
- Department of Psychiatry, Jüdisches Krankenhaus Berlin, Berlin, Germany
| | - Fabian Klostermann
- Department of Neurology, Motor and Cognition Group, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universitätzu Berlin, Berlin, Germany
- Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
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Hyder R, Højlund A, Jensen M, Johnsen EL, Østergaard K, Shtyrov Y. STN-DBS affects language processing differentially in Parkinson's disease: Multiple-case MEG study. Acta Neurol Scand 2021; 144:132-141. [PMID: 33961289 DOI: 10.1111/ane.13423] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 03/02/2021] [Accepted: 03/10/2021] [Indexed: 12/01/2022]
Abstract
OBJECTIVES In this study, we investigated the effects of bilateral and unilateral deep brain stimulation of the subthalamic nucleus (STN-DBS) in PD patients on neural responses associated with two aspects of spoken language processing: semantics of action-related verbs and morphosyntactic processing. MATERIALS AND METHODS Using a passive unattended paradigm to present spoken linguistic stimuli, we recorded magnetoencephalographic (MEG) responses in three PD patients in four DBS conditions: left unilateral STN-DBS, right unilateral STN-DBS, bilateral STN-DBS, and no STN-DBS. To ensure that any observed effects of DBS on the neuromagnetic responses could be attributed to the linguistic context per se and were not merely induced by the electrical stimulation, we assessed the effects of STN-DBS on linguistic contrasts within each stimulation condition. Hence, we contrasted the processing of action vs. abstract verbs as well as the processing of correct vs. incorrect morphosyntactic inflections within each DBS condition. RESULTS The results revealed that, compared to the DBS-off state, both bilateral and right unilateral stimulation of the STN yielded significant dissociations in the processing of action and abstract verbs, with greater neuromagnetic responses for action verbs compared to abstract verbs. For morphosyntax processing, only left unilateral stimulation yielded significant dissociations (relative to the DBS-off state), with greater neuromagnetic responses to the incorrect inflections compared to the correct inflections. CONCLUSION The results reflect differential effects of unilateral and bilateral STN-DBS on neuromagnetic responses associated with the processing of spoken language. They suggest that different specific aspects of linguistic information processing in PD are affected differently by STN-DBS.
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Affiliation(s)
- Rasha Hyder
- Center of Functionally Integrative Neuroscience (CFIN) Department of Clinical Medicine Aarhus University Aarhus Denmark
- Institute of Clinical Neuroscience and Medical Psychology Medical Faculty Heinrich‐Heine University Düsseldorf Germany
| | - Andreas Højlund
- Center of Functionally Integrative Neuroscience (CFIN) Department of Clinical Medicine Aarhus University Aarhus Denmark
| | - Mads Jensen
- Center of Functionally Integrative Neuroscience (CFIN) Department of Clinical Medicine Aarhus University Aarhus Denmark
- Research Unit for Robophilosophy and Integrative Social Robotics Interacting Minds Centre Aarhus University Aarhus Denmark
| | - Erik L. Johnsen
- Department of Neurology Aarhus University Hospital Aarhus Denmark
| | - Karen Østergaard
- Department of Neurology Aarhus University Hospital Aarhus Denmark
- Sano Private Hospital Denmark
| | - Yury Shtyrov
- Center of Functionally Integrative Neuroscience (CFIN) Department of Clinical Medicine Aarhus University Aarhus Denmark
- Centre for Cognition and Decision Making Institute for Cognitive Neuroscience HSE University Moscow Russian Federation
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Ehlen F, Al-Fatly B, Kühn AA, Klostermann F. Impact of deep brain stimulation of the subthalamic nucleus on natural language in patients with Parkinson's disease. PLoS One 2020; 15:e0244148. [PMID: 33373418 PMCID: PMC7771859 DOI: 10.1371/journal.pone.0244148] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Accepted: 12/03/2020] [Indexed: 12/30/2022] Open
Abstract
Background In addition to the typical motor symptoms, a majority of patients suffering from Parkinson’s disease experience language impairments. Deep Brain Stimulation of the subthalamic nucleus robustly reduces motor dysfunction, but its impact on language skills remains ambiguous. Method To elucidate the impact of subthalamic deep brain stimulation on natural language production, we systematically analyzed language samples from fourteen individuals (three female / eleven male, average age 66.43 ± 7.53 years) with Parkinson’s disease in the active (ON) versus inactive (OFF) stimulation condition. Significant ON-OFF differences were considered as stimulation effects. To localize their neuroanatomical origin within the subthalamic nucleus, they were correlated with the volume of tissue activated by therapeutic stimulation. Results Word and clause production speed increased significantly under active stimulation. These enhancements correlated with the volume of tissue activated within the associative part of the subthalamic nucleus, but not with that within the dorsolateral motor part, which again correlated with motor improvement. Language error rates were lower in the ON vs. OFF condition, but did not correlate with electrode localization. No significant changes in further semantic or syntactic language features were detected in the current study. Conclusion The findings point towards a facilitation of executive language functions occurring rather independently from motor improvement. Given the presumed origin of this stimulation effect within the associative part of the subthalamic nucleus, this could be due to co-stimulation of the prefrontal-subthalamic circuit.
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Affiliation(s)
- Felicitas Ehlen
- Department of Neurology, Humboldt-Universität zu Berlin and Berlin Institute of Health, Charité-Universitätsmedizin Berlin, Berlin, Germany
- Department of Psychiatry and Psychotherapy, Jüdisches Krankenhaus Berlin, Berlin, Germany
- * E-mail:
| | - Bassam Al-Fatly
- Department of Neurology, Humboldt-Universität zu Berlin and Berlin Institute of Health, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Andrea A. Kühn
- Department of Neurology, Humboldt-Universität zu Berlin and Berlin Institute of Health, Charité-Universitätsmedizin Berlin, Berlin, Germany
- Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
- Neurocure Cluster of Excellence, Humboldt-Universität zu Berlin and Berlin Institute of Health, Charité-Universitätsmedizin Berlin, Berlin, Germany
- Bernstein Center for Computational Neuroscience, Humboldt-Universität zu Berlin and Berlin Institute of Health, Charité—Universitätsmedizin Berlin, Berlin, Germany
- Deutsches Zentrum für Neurodegenerative Erkrankungen, Berlin, Germany
| | - Fabian Klostermann
- Department of Neurology, Humboldt-Universität zu Berlin and Berlin Institute of Health, Charité-Universitätsmedizin Berlin, Berlin, Germany
- Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
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Hazamy AA, Horne SA, Okun MS, Hass CJ, Altmann LJP. Effects of a Cycling Dual Task on Emotional Word Choice in Parkinson's Disease. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:1951-1958. [PMID: 31170353 PMCID: PMC6808377 DOI: 10.1044/2019_jslhr-l-18-0428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 02/07/2019] [Accepted: 02/25/2019] [Indexed: 06/09/2023]
Abstract
Purpose Individuals with Parkinson's disease (PD) demonstrate language- and emotion-related impairments; however, emotional language production has received little attention within the literature despite the fact that deficits could significantly impact one's daily interactions with loved ones and others. Multitasking (i.e., dual tasking), specifically while completing language tasks, is a common everyday occurrence and typically impacts performance on 1 or both tasks. This study compared emotional word use during discourse production in individuals with PD and healthy older adults (HOAs) under single- and dual-task conditions. Method Participants completed a discourse task while sitting in a quiet room and while stationary cycling. Discourse output was analyzed along several emotional and intellectual language dimensions obtained from the Linguistic Inquiry and Word Count program (Pennebaker, Booth, & Francis, 2007 ). Results Groups did not differ on any outcome measure in the single-task condition. However, HOAs produced a higher percentage of words associated with affective processes and positive emotion while completing the dual-task condition, whereas the PD group exhibited a decrease in production of these words. Compared to the single-task condition, during cycling, individuals with PD also produced a lower percentage of inhibition-related words. Conclusions These results suggest that cycling, like other types of exercise, improves mood as manifested in discourse word choice in HOAs; however, it may lead to reduced use of emotional words in individuals with PD. Expressing emotion may also be more difficult in those with PD than in HOAs and, therefore, easily disrupted in distracting circumstances.
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Affiliation(s)
- Audrey A. Hazamy
- Department of Speech Communication Arts and Sciences, Brooklyn College, NY
| | - Sara A. Horne
- Department of Speech, Language, and Hearing Sciences, University of Florida, Gainesville
| | - Michael S. Okun
- Department of Neurology, University of Florida, Gainesville
- Fixel Center for Neurological Diseases, Movement Disorders and Neurorestoration Program, University of Florida, Gainesville
| | - Chris J. Hass
- Fixel Center for Neurological Diseases, Movement Disorders and Neurorestoration Program, University of Florida, Gainesville
- Department of Applied Physiology and Kinesiology, University of Florida, Gainesville
| | - Lori J. P. Altmann
- Department of Speech, Language, and Hearing Sciences, University of Florida, Gainesville
- Fixel Center for Neurological Diseases, Movement Disorders and Neurorestoration Program, University of Florida, Gainesville
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Roberts A, Post D. Information Content and Efficiency in the Spoken Discourse of Individuals With Parkinson's Disease. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2018; 61:2259-2274. [PMID: 30208482 DOI: 10.1044/2018_jslhr-l-17-0338] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 05/04/2018] [Indexed: 06/08/2023]
Abstract
PURPOSE This study compared the information content and information efficiency of spoken language in individuals with Parkinson's disease (PD) to a healthy comparator group. METHOD Nineteen participants with PD and 19 healthy older adults completed the prospective, cross-sectional study. In the primary analysis, 2 language samples elicited by standardized protocols were analyzed for group differences using standard discourse informativeness measures including main events (MEs; Wright, Capilouto, Wagovich, Cranfill, & Davis, 2005) analyzed as %MEs and correct information units (CIUs; Nicholas & Brookshire, 1993) analyzed as %CIUs and CIUs/min. In exploratory analyses, the following were examined: (a) associations among conceptual (%MEs) and lexical (%CIUs and CIUs/min) measures and (b) associations among informativeness measures and age, education, disease severity/duration, global cognition, speech intelligibility, and a verb confrontation naming measure. RESULTS In the primary analysis, the PD group differed significantly from the control group on conceptual (%MEs) and lexical measures of content (%CIUs) and efficiency (CIUs/min). In exploratory analyses, for the control group %MEs were significantly correlated with CIUs/min. Significant associations among conceptual and lexical measures of informativeness were not found in the PD group. For controls, there were no significant correlations between informativeness measures and any of the demographic or speech/cognitive/language variables. In the PD group, there was a significant and positive association between CIUs/min and Dementia Rating Scale-Second Edition scores (Mattis, 2001). A significant but negative correlation was found between CIUs/min and motor severity scores. However, %MEs and verb naming were significantly and positively correlated. CONCLUSIONS Individuals with PD without dementia demonstrated reduced discourse informativeness that reflects disruptions to both conceptual and lexical discourse processes. In exploratory analyses, reduced efficiency of information content was associated with global cognition and motor severity. Clinical and research implications are discussed within a Cognitivist framework of discourse production (Sheratt, 2007).
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Affiliation(s)
- Angela Roberts
- Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
| | - Danielle Post
- Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL
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Verger A, Klesse E, Chawki MB, Witjas T, Azulay J, Eusebio A, Guedj E. Brain PET substrate of impulse control disorders in Parkinson's disease: A metabolic connectivity study. Hum Brain Mapp 2018; 39:3178-3186. [PMID: 29635851 PMCID: PMC6866256 DOI: 10.1002/hbm.24068] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 03/21/2018] [Accepted: 03/23/2018] [Indexed: 12/21/2022] Open
Abstract
Impulse control disorders (ICDs) have received increased attention in Parkinson's disease (PD) because of potentially dramatic consequences. Their physiopathology, however, remains incompletely understood. An overstimulation of the mesocorticolimbic system has been reported, while a larger network has recently been suggested. The aim of this study is to specifically describe the metabolic PET substrate and related connectivity changes in PD patients with ICDs. Eighteen PD patients with ICDs and 18 PD patients without ICDs were evaluated using cerebral 18F-fluorodeoxyglucose positron emission tomography. SPM-T maps comparisons were performed between groups and metabolic connectivity was evaluated by interregional correlation analysis (IRCA; p < .005, uncorrected; k > 130) and by graph theory (p < .05). PD patients with ICDs had relative increased metabolism in the right middle and inferior temporal gyri compared to those without ICDs. The connectivity of this area was increased mostly with the mesocorticolimbic system, positively with the orbitofrontal region, and negatively with both the right parahippocampus and the left caudate (IRCA). Moreover, the betweenness centrality of this area with the mesocorticolimbic system was lost in patients with ICDs (graph analysis). ICDs are associated in PD with the dysfunction of a network exceeding the mesocorticolimbic system, and especially the caudate, the parahippocampus, and the orbitofrontal cortex, remotely including the right middle and inferior temporal gyri. This latest area loses its central place with the mesocorticolimbic system through a connectivity dysregulation.
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Affiliation(s)
- Antoine Verger
- Department of Nuclear MedicineAssistance Publique‐Hôpitaux de Marseille, Aix‐Marseille Université, Timone University HospitalProvence‐Alpes‐Côte d'AzurFrance
- Department of Nuclear Medicine & Nancyclotep Imaging platformCHRU NancyNancyF‐54000France
- Université de Lorraine, INSERM, IADINancyF‐54000France
| | - Elsa Klesse
- Department of Neurology and Movement DisordersAssistance Publique‐Hôpitaux de Marseille, Aix‐Marseille Université, Timone University HospitalProvence‐Alpes‐Côte d'AzurFrance
- Aix Marseille Univ, CNRS, Centrale Marseille, Institut FresnelMarseilleFrance
| | - Mohammad B. Chawki
- Department of Nuclear Medicine & Nancyclotep Imaging platformCHRU NancyNancyF‐54000France
| | - Tatiana Witjas
- Department of Neurology and Movement DisordersAssistance Publique‐Hôpitaux de Marseille, Aix‐Marseille Université, Timone University HospitalProvence‐Alpes‐Côte d'AzurFrance
- Aix Marseille Univ, CNRS, Centrale Marseille, Institut FresnelMarseilleFrance
| | - Jean‐Philippe Azulay
- Department of Neurology and Movement DisordersAssistance Publique‐Hôpitaux de Marseille, Aix‐Marseille Université, Timone University HospitalProvence‐Alpes‐Côte d'AzurFrance
- Aix Marseille Univ, CNRS, Centrale Marseille, Institut FresnelMarseilleFrance
| | - Alexandre Eusebio
- Department of Neurology and Movement DisordersAssistance Publique‐Hôpitaux de Marseille, Aix‐Marseille Université, Timone University HospitalProvence‐Alpes‐Côte d'AzurFrance
- Aix Marseille Univ, CNRS, Centrale Marseille, Institut FresnelMarseilleFrance
| | - Eric Guedj
- Department of Nuclear MedicineAssistance Publique‐Hôpitaux de Marseille, Aix‐Marseille Université, Timone University HospitalProvence‐Alpes‐Côte d'AzurFrance
- Aix Marseille Univ, CNRS, Centrale Marseille, Institut FresnelMarseilleFrance
- CERIMED, Aix‐Marseille UniversitéMarseilleFrance
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Mirabella G, Fragola M, Giannini G, Modugno N, Lakens D. Inhibitory control is not lateralized in Parkinson's patients. Neuropsychologia 2017. [DOI: 10.1016/j.neuropsychologia.2017.06.025] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Abstract
Previous studies of patients with brain damage have suggested a close relationship between aphasia and movement disorders. Neurodegenerative extrapyramidal syndromes associated with cognitive impairment provide an interesting model for studying the neural substrates of cognitive and motor symptoms. In this review, we focused on studies investigating language production abilities in patients with Parkinson's disease (PD), Corticobasal Syndrome (CBS) and Progressive Supranuclear Palsy (PSP). According to some reports, these patients exhibit a reduction in performance in both action and object naming or verb production compared to healthy individuals. Furthermore, a disproportional impairment of action naming compared to object naming was systematically observed in patients with these disorders. The study of these clinical conditions offers the unique opportunity to examine the close link between linguistic features and motor characteristics of action. This particular pattern of language impairment may contribute to the debate on embodiment theory and on the involvement of the basal ganglia in language and in integrating language and movement. From a translational perspective, we suggest that language ability assessments are useful in the clinical work-up, along with neuropsychological and motor evaluations. Specific protocols should be developed in the near future to better characterize language deficits and to permit an early cognitive diagnosis. Moreover, the link between language deficits and motor impairment opens a new issue for treatment approaches. Treatment of one of these two symptoms may ameliorate the other, and treating both may produce a greater improvement in patients' global clinical conditions.
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Modestino EJ, Amenechi C, Reinhofer A, O'Toole P. Side-of-onset of Parkinson's disease in relation to neuropsychological measures. Brain Behav 2017; 7:e00590. [PMID: 28127512 PMCID: PMC5256177 DOI: 10.1002/brb3.590] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2016] [Revised: 08/20/2016] [Accepted: 09/07/2016] [Indexed: 11/07/2022] Open
Abstract
BACKGROUND Parkinson's disease (PD) usually emerges with a unilateral side-of-onset (left-onset: LOPD; right-onset: ROPD; Marinus & van Hilten, 2015) due to an asymmetrical degeneration of striatal dopaminergic neurons (Donnemiller et al., Brain, 135, 2012, 3348). This has led to a body of research exploring the cognitive, neuropsychological, and clinical differences between LOPD and ROPD (e.g., Verreyt et al., Neuropsychology Review, 21, 2011, 405). METHODS Thirty ROPD and 14 LOPD cases were drawn from a Boston clinic specializing in PD. Various cognitive and neuropsychological measures were used in an attempt to discover if there were indeed any differences between LOPD and ROPD in this cohort. RESULTS For LOPD, duration of illness was found to be significantly greater than that of ROPD. However, further testing was able to confirm that despite this difference, it was not the cause of the other significant differences found. Furthermore, this increased duration was consistent with a previous study (Munhoz et al., Parkinsonism and Related Disorders, 19, 2013, 77). Performance on the Digit Span Backward (DSB) was found to be significantly poorer in LOPD than ROPD, suggesting compromised executive function in LOPD. Additionally, LOPD had significantly greater anxiety on the DASS Anxiety scales than ROPD. However, unlike Foster et al (Cognitive and Behavioral Neurology, 23, 2010, 4), this increased anxiety could not account for the poorer performance on the DSB for LOPD. Finally, ROPD had significantly greater magical ideation than LOPD, which can be explained by the theory put forth by Brugger and Graves (European Archives of Psychiatry, 247, 1997, 55). CONCLUSION Clear and significant differences between LOPD and ROPD were found within our cohort. LOPD showed greater impairment of working memory, greater anxiety, and greater duration of illness-all independent of one another; whereas, those with ROPD had greater magical ideation, also independent of any other variables.
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Affiliation(s)
| | - Chioma Amenechi
- Department of NeurologyBoston University School of MedicineBostonMAUSA
| | | | - Patrick O'Toole
- Department of NeurologyBoston University School of MedicineBostonMAUSA
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Ehlen F, Vonberg I, Kühn AA, Klostermann F. Effects of thalamic deep brain stimulation on spontaneous language production. Neuropsychologia 2016; 89:74-82. [PMID: 27267813 DOI: 10.1016/j.neuropsychologia.2016.05.028] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Revised: 04/18/2016] [Accepted: 05/25/2016] [Indexed: 12/31/2022]
Abstract
The thalamus is thought to contribute to language-related processing, but specifications of this notion remain vague. An assessment of potential effects of thalamic deep brain stimulation (DBS) on spontaneous language may help to delineate respective functions. For this purpose, we analyzed spontaneous language samples from thirteen (six female / seven male) patients with essential tremor treated with DBS of the thalamic ventral intermediate nucleus (VIM) in their respective ON vs. OFF conditions. Samples were obtained from semi-structured interviews and examined on multidimensional linguistic levels. In the VIM-DBS ON condition, participants used a significantly higher proportion of paratactic as opposed to hypotactic sentence structures. This increase correlated negatively with the change in the more global cognitive score, which in itself did not change significantly. In conclusion, VIM-DBS appears to induce the use of a simplified syntactic structure. The findings are discussed in relation to concepts of thalamic roles in language-related cognitive behavior.
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Affiliation(s)
- Felicitas Ehlen
- Charité - University Medicine Berlin, Campus Benjamin Franklin, Department of Neurology, Motor and Cognition Group, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Isabelle Vonberg
- Charité - University Medicine Berlin, Campus Benjamin Franklin, Department of Neurology, Motor and Cognition Group, Hindenburgdamm 30, 12203 Berlin, Germany
| | - Andrea A Kühn
- Charité - University Medicine Berlin, Campus Virchow Klinikum, Department of Neurology, Motor Neuroscience Group, Augustenburger Platz 1, 13353 Berlin, Germany
| | - Fabian Klostermann
- Charité - University Medicine Berlin, Campus Benjamin Franklin, Department of Neurology, Motor and Cognition Group, Hindenburgdamm 30, 12203 Berlin, Germany.
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Van Lier S, Batens K, Santens P, Van Roost D, Van Herreweghe M, De Letter M. The influence of subthalamic nucleus stimulation on pragmatic language production in Parkinson's disease. Acta Neurol Belg 2016; 116:163-70. [PMID: 26442686 DOI: 10.1007/s13760-015-0546-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2015] [Accepted: 09/21/2015] [Indexed: 10/23/2022]
Abstract
While the influence of deep brain stimulation (DBS) of the subthalamic nucleus (STN) on the comprehension of pragmatic language in Parkinson's disease (PD) has been the focus of studies, its impact on production, however, has yet to be elucidated. (1) Investigating the inf luence of DBS STN on pragmatic language production in spontaneous speech by comparing different stimulation conditions and (2) evaluating the effect of asymmetric dopaminergic denervation. This paper included 18 patients with advanced idiopathic PD with STN DBS. [Ten PD patients with predominantly left hemispheric dopamine denervation (PD-left) and eight PD patients with predominantly right-hemispheric dopamine denervation (PD-right).] The pragmatic components 'communicative functions' and 'conversational skills' were evaluated by analysing the spontaneous language production in four stimulation conditions. STN stimulation did not appear to influence the pragmatic production skills. Only when asymmetric dopamine depletion was taken into account the parameter 'giving an explanation' interaction was detectable. STN DBS appears to have some influence on the production of pragmatic language depending on asymmetric dopaminergic denervation. Suggestions are made for further research of pragmatic production in Parkinson's disease.
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Straulino E, Scaravilli T, Castiello U. Dopamine depletion affects communicative intentionality in Parkinson's disease patients: Evidence from action kinematics. Cortex 2016; 77:84-94. [DOI: 10.1016/j.cortex.2016.01.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Revised: 11/30/2015] [Accepted: 01/08/2016] [Indexed: 10/22/2022]
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Batens K, De Letter M, Raedt R, Duyck W, Vanhoutte S, Van Roost D, Santens P. Subthalamic nucleus stimulation and spontaneous language production in Parkinson's disease: A double laterality problem. BRAIN AND LANGUAGE 2015; 147:76-84. [PMID: 26099950 DOI: 10.1016/j.bandl.2015.06.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2014] [Revised: 05/19/2015] [Accepted: 06/01/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND Asymmetric degeneration of dopaminergic neurons, are characteristic for Parkinson's disease (PD). Despite the lateralized representation of language, the correlation of asymmetric degeneration of nigrostriatal networks in PD with language performance has scarcely been examined. OBJECTIVE/HYPOTHESIS The laterality of dopamine depletion influences language deficits in PD and thus modulates the effects of subthalamic nucleus (STN) stimulation on language production. METHODS The spontaneous language production of patients with predominant dopamine depletion of the left (PD-left) and right (PD-right) hemisphere was compared in four stimulation conditions. RESULTS PD-right made comparatively more verb inflection errors than PD-left. Bilateral STN stimulation improves spontaneous language production only for PD-left. CONCLUSIONS The laterality of dopamine depletion influences spontaneous language production and the effect of STN stimulation on linguistic functions. However, it is probably only one of the many variables influencing the effect of STN stimulation on language production.
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Affiliation(s)
- Katja Batens
- Department of Neurology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium.
| | - Miet De Letter
- Department of Neurology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium; Department of Speech, Language and Hearing Sciences, Ghent University, De Pintelaan 185, B-9000 Ghent, Belgium
| | - Robrecht Raedt
- Department of Neurology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium; Department of Internal Medicine, Neurology, Ghent University, De Pintelaan 185, B-9000 Ghent, Belgium
| | - Wouter Duyck
- Faculty of Psychology and Educational Sciences, Department of Experimental Psychology, Ghent University, Henri Dunantlaan 2, B-9000 Ghent, Belgium
| | - Sarah Vanhoutte
- Department of Internal Medicine, Neurology, Ghent University, De Pintelaan 185, B-9000 Ghent, Belgium
| | - Dirk Van Roost
- Department of Neurosurgery, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium
| | - Patrick Santens
- Department of Neurology, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium; Faculty of Psychology and Educational Sciences, Department of Experimental Psychology, Ghent University, Henri Dunantlaan 2, B-9000 Ghent, Belgium
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Cognitive Differences Between Patients with Left-sided and Right-sided Parkinson’s Disease. A Review. Neuropsychol Rev 2011; 21:405-24. [DOI: 10.1007/s11065-011-9182-x] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2011] [Accepted: 09/06/2011] [Indexed: 10/17/2022]
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15
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A Qualitative Approach of Learning in Parkinson’s Disease. Brain Inform 2010. [DOI: 10.1007/978-3-642-15314-3_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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