与PD相比,PSP的认知障碍:根据临床亚型和纵向变化进行评估
Takeharu Tsuboi1, Hiroshi Tatsumi2, Kosuke Kobayasi1
1Department of Rehabilitation, National Hospital Organization Higashinagoya National Hospital, Nagoya, Japan.
BMJ neurology open
|January 24, 2025
概括
患有渐进性超核性麻 (PSP) 的患者随着时间的推移经历认知衰退,与帕金森病 (PD) 患者不同. 认知障碍的进展在PSP亚型之间有所不同,PSP-渐进式步态结 (PSP-PGF) 比PSP-理查德森综合征 (PSP-RS) 呈现较慢的下降.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 认知科学 认知科学
背景情况:
- 在渐进性上核性麻 (PSP) 中对认知变化的纵向数据很少.
- 跨PSP临床亚型的认知障碍变异性需要进一步调查.
研究的目的:
- 为了比较PSP和帕金森病 (PD) 患者之间的纵向认知功能变化.
- 为了评估PSP亚型之间的认知障碍差异.
主要方法:
- 使用神经心理测试数据进行的回顾性观察研究.
- 包括38名PD患者和41名PSP患者 (分类为亚型).
主要成果:
- 基线认知功能在PSP患者中低于PD患者.
- 在12个月内,PSP患者表现出显著的认知衰退;PD患者没有.
- PSP-理查德森综合征 (PSP-RS) 的认知衰退比PD更快;PSP-渐进式步态结 (PSP-PGF) 的进展比PSP-RS慢.
结论:
- 渐进性超核性麻与认知功能的恶化有关,具有亚型特定的进展率.
- 与PSP-RS相比,PSP-PGF表现出较慢的认知衰退.
- 建议根据亚型特定的认知预后量身定制临床管理.
关键词:
临床神经学 临床神经学更多相关视频
10:28Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
07:26Characterizing the Relationship Between Eye Movement Parameters and Cognitive Functions in Non-demented Parkinson's Disease Patients with Eye Tracking
Published on: September 26, 2019
相关概念视频
Neural Regulation
39.1K
Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.
39.1K
Parkinson's Disease: Overview
452
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
452
Parkinson's Disease: Treatment
198
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
198
Alzheimer's Disease: Overview
439
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
439
Cognitive Development During Adulthood
49
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
49
