Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s Disease

Both Parkinson’s disease (PD) and dementia with Lewy bodies (DLB) share a common neuropathological marker, the presence of Lewy bodies in brain stem and basal forebrain nuclei. DLB, in addition, is associated with Lewy bodies in the neocortex, and, in it’s more common form, with Alzheimer-type patho...

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Main Authors: John Joseph Downes, Nicholas M. Priestley, Mark Doran, Jose Ferran, Eric Ghadiali, Paul Cooper
Format: Article
Language:English
Published: Wiley 1999-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/1999/851860
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author John Joseph Downes
Nicholas M. Priestley
Mark Doran
Jose Ferran
Eric Ghadiali
Paul Cooper
author_facet John Joseph Downes
Nicholas M. Priestley
Mark Doran
Jose Ferran
Eric Ghadiali
Paul Cooper
author_sort John Joseph Downes
collection DOAJ
description Both Parkinson’s disease (PD) and dementia with Lewy bodies (DLB) share a common neuropathological marker, the presence of Lewy bodies in brain stem and basal forebrain nuclei. DLB, in addition, is associated with Lewy bodies in the neocortex, and, in it’s more common form, with Alzheimer-type pathological markers, particularly amyloid plaques. Published neuropsychological studies have focused on the differential profiles of DLB and Alzheimer’s disease (AD). However, it is presently unclear whether DLB should be classified as a variant of AD or PD. In the present study we compare a healthy age-matched control group with three groups of patients, one with DLB, and two with PD. One of the PD groups was early in the course (PD-E) and the second, more advanced group (PD-A), was matched on severity of cognitive impairment with the DLB group. The results show that DLB was associated with a different pattern of neuropsychological impairment than the PD-A group, particularly in tests believed to be mediated by prefrontal cortical regions.
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spelling doaj-art-a6914db7c48f48c19c90b43b975d23f32025-08-20T03:38:39ZengWileyBehavioural Neurology0953-41801875-85841999-01-0111317318310.1155/1999/851860Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s DiseaseJohn Joseph Downes0Nicholas M. Priestley1Mark Doran2Jose Ferran3Eric Ghadiali4Paul Cooper5Department of Psychology, University of Liverpool, UKThe Walton Centre for Neurology and Neurosurgery, Liverpool, UKThe Walton Centre for Neurology and Neurosurgery, Liverpool, UKThe Walton Centre for Neurology and Neurosurgery, Liverpool, UKThe Walton Centre for Neurology and Neurosurgery, Liverpool, UKThe Walton Centre for Neurology and Neurosurgery, Liverpool, UKBoth Parkinson’s disease (PD) and dementia with Lewy bodies (DLB) share a common neuropathological marker, the presence of Lewy bodies in brain stem and basal forebrain nuclei. DLB, in addition, is associated with Lewy bodies in the neocortex, and, in it’s more common form, with Alzheimer-type pathological markers, particularly amyloid plaques. Published neuropsychological studies have focused on the differential profiles of DLB and Alzheimer’s disease (AD). However, it is presently unclear whether DLB should be classified as a variant of AD or PD. In the present study we compare a healthy age-matched control group with three groups of patients, one with DLB, and two with PD. One of the PD groups was early in the course (PD-E) and the second, more advanced group (PD-A), was matched on severity of cognitive impairment with the DLB group. The results show that DLB was associated with a different pattern of neuropsychological impairment than the PD-A group, particularly in tests believed to be mediated by prefrontal cortical regions.http://dx.doi.org/10.1155/1999/851860
spellingShingle John Joseph Downes
Nicholas M. Priestley
Mark Doran
Jose Ferran
Eric Ghadiali
Paul Cooper
Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s Disease
Behavioural Neurology
title Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s Disease
title_full Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s Disease
title_fullStr Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s Disease
title_full_unstemmed Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s Disease
title_short Intellectual, Mnemonic, and Frontal Functions in Dementia with Lewy Bodies: A Comparison with Early and Advanced Parkinson’s Disease
title_sort intellectual mnemonic and frontal functions in dementia with lewy bodies a comparison with early and advanced parkinson s disease
url http://dx.doi.org/10.1155/1999/851860
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