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Central auditory processing in parkinsonian disorders: A systematic review.

Evelien De Groote1, Kim De Keyser1, Annelies Bockstael2

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Neuroscience and Biobehavioral Reviews
|March 8, 2020
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Summary

Central auditory processing is impaired in Parkinson's disease (PD), affecting features like attention and auditory gating. Similar, though less studied, deficits are seen in atypical parkinsonian disorders like MSA and PSP.

Keywords:
Auditory behavioral assessmentAuditory evoked potentialCentral auditory processingParkinsonian disordersSystematic review

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Area of Science:

  • Neuroscience
  • Auditory Neuroscience
  • Neurology

Background:

  • Altered auditory processing is a recognized non-motor symptom in parkinsonian disorders.
  • Central auditory system dysfunction is increasingly implicated in Parkinson's disease (PD), multiple system atrophy (MSA), and progressive supranuclear palsy (PSP).

Purpose of the Study:

  • To systematically review and synthesize behavioral and electrophysiological findings on central auditory processing in PD, MSA, and PSP.
  • To identify specific auditory processing deficits associated with these neurodegenerative conditions.

Main Methods:

  • A systematic database search was performed to identify relevant studies.
  • Eighty-eight studies meeting intelligibility criteria were included in the review.
  • Data on behavioral and electrophysiological measures of central auditory processing were collected and analyzed.

Main Results:

  • Parkinson's disease (PD) patients exhibit distinct impairments in auditory deviance detection, brainstem processing, auditory gating, and selective attention.
  • Literature on atypical parkinsonian disorders (MSA, PSP) is less extensive but suggests impaired central auditory processing.
  • Specific deficits varied across the reviewed auditory functions and patient groups.

Conclusions:

  • Central auditory processing deficits are a significant feature across parkinsonian disorders, particularly evident in PD.
  • Further research is needed to fully elucidate auditory processing impairments in MSA and PSP.
  • Understanding these deficits may offer insights into non-motor symptoms and disease progression.