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Neural correlates of cognitive impairment in Parkinson's disease: a review of structural MRI findings

Julie M. Hall, Simon J. G. Lewis*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Cognitive impairment is one of the most salient non-motor symptoms of Parkinson's disease (PD). Cognitive decline poses a significant burden on the patient as well as the caregiver and a better understanding of the underlying pathological processes will aid in directing disease-specific treatment. In recent years, significant progress in the understanding of the underlying mechanisms of cognition in PD has been made using neuroimaging modalities. In this review, we will discuss the evidence for gray matter atrophy and cortical thinning, diffusivity changes and white matter hyperintensities in dementia, mild cognitive impairment and in several cognitive domains. Structural MRI studies have revealed considerable changes in gray and white matter in PD patients with cognitive dysfunction, showing marked atrophy and diffusivity changes in patients with dementia. The neural substrates of mild cognitive impairment in PD are more variable, perhaps reflecting a heterogeneous cohort with patients showing deficits in various cognitive domains. This review further highlights the potential areas of future research avenues in cognitive impairment in PD.

Original languageEnglish
Title of host publicationImaging in movement disorders
Subtitle of host publicationimaging in non-Parkinsonian movement disorders and dementias, Part 2
EditorsMarios Politis
Place of PublicationUnited States
PublisherElsevier Academic Press
Chapter1
Pages1-28
Number of pages28
ISBN (Print)9780128187708
DOIs
Publication statusPublished - 1 Jan 2019
Externally publishedYes

Publication series

NameInternational Review of Neurobiology
Volume144
ISSN (Print)0074-7742
ISSN (Electronic)2162-5514

Keywords

  • Cortical thinning
  • Dementia
  • Diffusion weighted imaging
  • Mild cognitive impairment
  • Parkinson's disease
  • Voxel-based morphometry
  • White matter hyperintensities

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