Attention and cognition in bradykinetic-rigid syndromes: an event-related potential study

Ann Neurol. 2001 Nov;50(5):567-73.

Abstract

Bradykinetic-rigid syndromes are often accompanied by cognitive impairment. Because prominent motor involvement in these disorders may interfere with neuropsychological testing, we used event-related potentials (ERPs) for the assessment of cognition and attention in 41 patients with various bradykinetic-rigid syndromes of less than 5 years duration: idiopathic Parkinson's disease corticobasal degeneration, Steele-Richardson-Olszewski syndrome (SRO), and multiple system atrophy. Patients were compared with matched normals. ERP abnormalities in the auditory "oddball" paradigm were found only in corticobasal degeneration and SRO. ERP abnormalities in selective attention tasks were present in all patient groups, changes in SRO being the most prevalent. Abnormalities in corticobasal degeneration were present under "less-attention-demanding" conditions and suggested involvement of posterior parts of the brain. Multiple system atrophy and idiopathic Parkinson's disease patient groups had minimal ERP abnormalities. However, reaction times in MSA were longer in all paradigms. The results of the study support the view that bradykinetic-rigid syndromes involve some attentional deficits, but also have distinct reaction time and ERP characteristics, which may be helpful in differential diagnosis.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation
  • Adult
  • Aged
  • Aged, 80 and over
  • Attention*
  • Brain Diseases / complications
  • Brain Diseases / diagnosis*
  • Brain Diseases / physiopathology
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / etiology
  • Cognition Disorders / physiopathology
  • Diagnosis, Differential
  • Electroencephalography
  • Evoked Potentials
  • Humans
  • Hypokinesia / diagnosis*
  • Hypokinesia / etiology
  • Middle Aged
  • Multiple System Atrophy / complications
  • Multiple System Atrophy / diagnosis
  • Multiple System Atrophy / physiopathology
  • Muscle Rigidity / diagnosis*
  • Muscle Rigidity / etiology
  • Neurodegenerative Diseases / complications
  • Neurodegenerative Diseases / diagnosis
  • Neurodegenerative Diseases / physiopathology
  • Neuropsychological Tests
  • Parkinson Disease / complications
  • Parkinson Disease / diagnosis
  • Parkinson Disease / physiopathology
  • Photic Stimulation
  • Reaction Time
  • Supranuclear Palsy, Progressive / complications
  • Supranuclear Palsy, Progressive / diagnosis
  • Supranuclear Palsy, Progressive / physiopathology
  • Syndrome