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Mild Cognitive Impairment in Parkinson's Disease-What Is It?
Rimona S Weil1,2, Alyssa A Costantini2, Anette E Schrag3,4
1Dementia Research Centre, UCL, London, UK.
Purpose Of Review:
Mild cognitive impairment is a common feature of Parkinson's disease, even at the earliest disease stages, but there is variation in the nature and severity of cognitive involvement and in the risk of conversion to Parkinson's disease dementia. This review aims to summarise current understanding of mild cognitive impairment in Parkinson's disease. We consider the presentation, rate of conversion to dementia, underlying pathophysiology and potential biomarkers of mild cognitive impairment in Parkinson's disease. Finally, we discuss challenges and controversies of mild cognitive impairment in Parkinson's disease.
Recent Findings:
Large-scale longitudinal studies have shown that cognitive involvement is important and common in Parkinson's disease and can present early in the disease course. Recent criteria for mild cognitive impairment in Parkinson's provide the basis for further study of cognitive decline and for the progression of different cognitive phenotypes and risk of conversion to dementia. Improved understanding of the underlying pathology and progression of cognitive change are likely to lead to opportunities for early intervention for this important aspect of Parkinson's disease.
Insights
Mild cognitive impairment is common in Parkinson's disease, affecting cognition early. Understanding its progression and pathology may enable early interventions for Parkinson's disease dementia.
Area of Science:
- Neurology
- Neuroscience
- Cognitive Science
Background:
- Mild cognitive impairment (MCI) is a frequent characteristic of Parkinson's disease (PD), observable even in early stages.
- Cognitive deficits in PD exhibit variability in type and severity, influencing the risk of developing Parkinson's disease dementia (PDD).
Purpose of the Study:
- To review the current knowledge on mild cognitive impairment in Parkinson's disease.
- To examine the presentation, conversion rates to dementia, pathophysiology, and potential biomarkers of MCI in PD.
Main Methods:
- Literature review of recent large-scale longitudinal studies.
- Analysis of current diagnostic criteria for MCI in Parkinson's disease.
- Discussion of challenges and controversies surrounding MCI in PD.
Main Results:
- Cognitive impairment is a significant and early feature of Parkinson's disease.
- Recent criteria facilitate the study of cognitive decline, phenotypes, and dementia conversion risk.
- Understanding MCI pathology and progression is key for early intervention.
Conclusions:
- Mild cognitive impairment is integral to Parkinson's disease progression.
- Further research into MCI in PD is crucial for developing timely therapeutic strategies.
- Early identification and intervention for MCI may alter the course of Parkinson's disease and prevent dementia.
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