Document Detail


Olfaction and apathy in Parkinson's disease.
MedLine Citation:
PMID:  19783195     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Olfactory deficits are frequent among patients with idiopathic Parkinson's disease (PD). Additionally, apathy (as quantified by the Apathy Evaluation Scale), is more prevalent in PD patients compared to the general population. Olfactory impairment and apathy are associated with dysfunction in overlapping brain regions. Neuroimaging studies indicate that the anterior cingulate gyrus and medial orbitofrontal cortex are hypoactive in apathetic patients and are also involved in secondary olfactory processing. However, no study until this point has been published investigating whether there is any association between olfactory dysfunction and apathy in PD patients. METHODS: In our study seventy consecutive patients with PD took the Brief Smell Identification Test (B-SIT), completed the Apathy Evaluation Scale (AES) and were administered the Folstein Mini-Mental Status exam (MMSE). RESULTS: Apathetic PD patients performed poorly on the B-SIT compared with non-apathetic PD patients and olfactory impairment correlated with apathy. The simultaneous disruption of olfaction and emotion in Parkinson's could be the result of disease pathology in brain regions involved in both olfactory and emotional processing and reinforces the idea that this link between olfaction and emotions may have clinical consequences.
Authors:
Christina K Cramer; Joseph H Friedman; Melissa M Amick
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Publication Detail:
Type:  Journal Article     Date:  2009-09-26
Journal Detail:
Title:  Parkinsonism & related disorders     Volume:  16     ISSN:  1873-5126     ISO Abbreviation:  Parkinsonism Relat. Disord.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9513583     Medline TA:  Parkinsonism Relat Disord     Country:  England    
Other Details:
Languages:  eng     Pagination:  124-6     Citation Subset:  IM    
Copyright Information:
Copyright 2009 Elsevier Ltd. All rights reserved.
Affiliation:
The Alpert Medical School at Brown University, 343 Lloyd ave, Providence, RI 02906, USA. christina_cramer@brown.edu
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MeSH Terms
Descriptor/Qualifier:
Affective Symptoms / etiology*
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Neuropsychological Tests
Olfaction Disorders / etiology*
Parkinson Disease / complications*,  psychology*
Psychiatric Status Rating Scales
Smell / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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