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Published on: August 17, 2018
Functional decline of the precuneus associated with mild cognitive impairment: Magnetoencephalographic observations
Koichi Yokosawa1, Keisuke Kimura2, Ryoken Takase2
1Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan.
Abstract:
Mild Cognitive Impairment (MCI) is a border or precursor state of dementia. To optimize implemented interventions for MCI, it is essential to clarify the underlying neural mechanisms. However, knowledge regarding the brain regions responsible for MCI is still limited. Here, we implemented the Montreal Cognitive Assessment (MoCA) test, a screening tool for MCI, in 20 healthy elderly participants (mean age, 67.5 years), and then recorded magnetoencephalograms (MEG) while they performed a visual sequential memory task. In the task, each participant memorized the four possible directions of seven sequentially presented arrow images. Recall accuracy for beginning items of the memory sequence was significantly positively related with MoCA score. Meanwhile, MEG revealed stronger alpha-band (8-13 Hz) rhythm desynchronization bilaterally in the precuneus (PCu) for higher MoCA (normal) participants. Most importantly, this PCu desynchronization response weakened in correspondence with lower MoCA score during the beginning of sequential memory encoding, a time period that should rely on working memory and be affected by declined cognitive function. Our results suggest that deactivation of the PCu is associated with early MCI, and corroborate pathophysiological findings based on post-mortem tissue which have implicated hypoperfusion of the PCu in early stages of Alzheimer disease. Our results indicate the possibility that cognitive decline can be detected early and non-invasively by monitoring PCu activity with electrophysiological methods.
Insights
Mild Cognitive Impairment (MCI) is a precursor to dementia. This study found that reduced precuneus (PCu) activity, detected via magnetoencephalography (MEG), is linked to early MCI, suggesting a new non-invasive detection method.
Area of Science:
- Neuroscience
- Cognitive Science
- Gerontology
Background:
- Mild Cognitive Impairment (MCI) represents a transitional stage between normal aging and dementia.
- Understanding the neural underpinnings of MCI is crucial for developing effective interventions.
- Current knowledge of brain regions associated with MCI remains limited.
Purpose of the Study:
- To investigate the neural mechanisms associated with Mild Cognitive Impairment.
- To explore the relationship between cognitive function, working memory, and brain activity in older adults.
- To identify potential electrophysiological markers for early detection of cognitive decline.
Main Methods:
- Twenty healthy elderly participants (mean age 67.5 years) underwent the Montreal Cognitive Assessment (MoCA) test.
- Magnetoencephalography (MEG) was used to record brain activity during a visual sequential memory task.
- Analysis focused on alpha-band (8-13 Hz) rhythm desynchronization in relation to MoCA scores and task performance.
Main Results:
- Higher MoCA scores correlated positively with recall accuracy for initial items in the memory sequence.
- Participants with higher MoCA scores exhibited stronger alpha-band desynchronization in the precuneus (PCu) bilaterally.
- This precuneus desynchronization response was diminished in individuals with lower MoCA scores during early memory encoding.
Conclusions:
- Reduced precuneus (PCu) activity, indicated by weakened alpha-band desynchronization, is associated with early stages of Mild Cognitive Impairment.
- These findings align with post-mortem studies implicating precuneus hypoperfusion in early Alzheimer's disease.
- Monitoring precuneus activity using electrophysiological methods like MEG may offer a non-invasive approach for early cognitive decline detection.
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