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Cucca A, Manara CV, Catalan M, Liccari M, Antonutti L, Lombardo TMI, Cenacchi V, Rangan S, Mingolo S, Crisafulli C, Dore F, Murgia M, Agostini T, Manganotti P. Using illusions to understand hallucinations: differences in perceptual performances on illusory figures may underscore specific visuoperceptual impairments in Parkinson's disease. Front Neurosci 2023; 17:1256224. [PMID: 38125403 PMCID: PMC10732246 DOI: 10.3389/fnins.2023.1256224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 11/06/2023] [Indexed: 12/23/2023] Open
Abstract
Visual hallucinations are prevalent, potentially disabling symptoms of Parkinson's Disease. Multiple impairments in bottom-up sensory processing and top-down perceptual modulation are implicated in the pathophysiology of these phenomena. In healthy individuals, visual illusions are elicited by illusory figures through parametric manipulations of geometrical configurations, contrast, color, or spatial relationships between stimuli. These illusory percepts provide insight on the physiologic processes subserving conscious and unconscious perception. In this exploratory, cross-sectional, controlled study, perceptual performance on illusory figures was assessed on 11 PD patients with hallucinations, 10 non-hallucinating PD patients, and 10 age-matched healthy individuals. In order to characterize potential neural substrates of perceptual performances, patients' brain metabolic patterns on FDG PET were also analyzed. Illusions relying on attentional modulation and global perception were attenuated in PD patients without hallucinations. This pattern was no longer recognizable in hallucinating patients. Conversely, illusory effects normally counteracted by figure to background segregation and overlapping figures recognition were enhanced in PD patients with hallucinations. FDG PET findings further suggest that perceptual differences between PD patients might be linked to abnormal top-down perceptual modulation.
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Affiliation(s)
- Alberto Cucca
- Department of Life Sciences, University of Trieste, Trieste, Italy
- Department of Neurology, New York University Grossman School of Medicine, New York, NY, United States
| | | | - Mauro Catalan
- Neurology Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Marco Liccari
- Neurology Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Lucia Antonutti
- Neurology Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | | | - Valentina Cenacchi
- Neurology Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Sophie Rangan
- Neurology Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
| | - Serena Mingolo
- Department of Life Sciences, University of Trieste, Trieste, Italy
| | - Carmelo Crisafulli
- Nuclear Medicine, Imaging Diagnostic Department University Hospital and Health Services of Trieste, Trieste, Italy
| | - Franca Dore
- Nuclear Medicine, Imaging Diagnostic Department University Hospital and Health Services of Trieste, Trieste, Italy
| | - Mauro Murgia
- Department of Life Sciences, University of Trieste, Trieste, Italy
| | - Tiziano Agostini
- Department of Life Sciences, University of Trieste, Trieste, Italy
| | - Paolo Manganotti
- Neurology Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy
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Matsumoto H. A neurophysiological examination of basal ganglia and cerebellum. Clin Neurophysiol 2016; 127:1007-1008. [DOI: 10.1016/j.clinph.2015.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Revised: 08/05/2015] [Accepted: 08/11/2015] [Indexed: 10/23/2022]
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Matsuda S, Matsumoto H, Furubayashi T, Fukuda H, Hanajima R, Tsuji S, Ugawa Y, Terao Y. Visual Scanning Area is Abnormally Enlarged in Hereditary Pure Cerebellar Ataxia. THE CEREBELLUM 2014; 14:63-71. [PMID: 25231433 DOI: 10.1007/s12311-014-0600-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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