Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic Connectivity

Introduction: Quantitative electroencephalography (QEEG) brain frequency and network analyses are known to differentiate between disease stages in Parkinson's disease (PD) and are possible biomarkers. They correlate with cognitive decline. Little is known about changes in brain networks in rela...

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Main Authors: Florian Hatz, Antonia Meyer, Ronan Zimmermann, Ute Gschwandtner, Peter Fuhr
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-08-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fnagi.2017.00262/full
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author Florian Hatz
Antonia Meyer
Ronan Zimmermann
Ute Gschwandtner
Peter Fuhr
author_facet Florian Hatz
Antonia Meyer
Ronan Zimmermann
Ute Gschwandtner
Peter Fuhr
author_sort Florian Hatz
collection DOAJ
description Introduction: Quantitative electroencephalography (QEEG) brain frequency and network analyses are known to differentiate between disease stages in Parkinson's disease (PD) and are possible biomarkers. They correlate with cognitive decline. Little is known about changes in brain networks in relation to apathy.Objective/Aims: To analyze changes in brain network connectivities related to apathy.Methods: 40 PD patients (14 PD with mild cognitive deficits and 26 PD with normal cognition) were included. All patients had extensive neuropsychological testing; apathy was evaluated using the apathy evaluation score (AES, median 24.5, range 18–39). Resting state EEG was recorded with 256 electrodes and analyzed using fully automated Matlab® code (TAPEEG). For estimation of the connectivities between brain regions, PLI (phase lag index) was used, enhanced by a microstates segmentation.Results: After correction for multiple comparisons, significant correlations were found for single alpha2-band connectivities with the AES (p-values < 0.05). Lower connectivities, mainly involving the left fronto-polar region, were related to higher apathy scores.Conclusions: In our sample of patients with PD, apathy correlates with a network alteration mainly involving the left fronto-polar region. This might be due to dysfunction of the cortico-basal loop, modulating motivation.
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spelling doaj.art-cdd8af5f949a45198d88300581a7c79f2022-12-22T03:47:24ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652017-08-01910.3389/fnagi.2017.00262238246Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic ConnectivityFlorian HatzAntonia MeyerRonan ZimmermannUte GschwandtnerPeter FuhrIntroduction: Quantitative electroencephalography (QEEG) brain frequency and network analyses are known to differentiate between disease stages in Parkinson's disease (PD) and are possible biomarkers. They correlate with cognitive decline. Little is known about changes in brain networks in relation to apathy.Objective/Aims: To analyze changes in brain network connectivities related to apathy.Methods: 40 PD patients (14 PD with mild cognitive deficits and 26 PD with normal cognition) were included. All patients had extensive neuropsychological testing; apathy was evaluated using the apathy evaluation score (AES, median 24.5, range 18–39). Resting state EEG was recorded with 256 electrodes and analyzed using fully automated Matlab® code (TAPEEG). For estimation of the connectivities between brain regions, PLI (phase lag index) was used, enhanced by a microstates segmentation.Results: After correction for multiple comparisons, significant correlations were found for single alpha2-band connectivities with the AES (p-values < 0.05). Lower connectivities, mainly involving the left fronto-polar region, were related to higher apathy scores.Conclusions: In our sample of patients with PD, apathy correlates with a network alteration mainly involving the left fronto-polar region. This might be due to dysfunction of the cortico-basal loop, modulating motivation.http://journal.frontiersin.org/article/10.3389/fnagi.2017.00262/fullParkinson's diseaseapathyexecutive functionsquantitative electroencephalographyneuropsychology
spellingShingle Florian Hatz
Antonia Meyer
Ronan Zimmermann
Ute Gschwandtner
Peter Fuhr
Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic Connectivity
Frontiers in Aging Neuroscience
Parkinson's disease
apathy
executive functions
quantitative electroencephalography
neuropsychology
title Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic Connectivity
title_full Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic Connectivity
title_fullStr Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic Connectivity
title_full_unstemmed Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic Connectivity
title_short Apathy in Patients with Parkinson's Disease Correlates with Alteration of Left Fronto-Polar Electroencephalographic Connectivity
title_sort apathy in patients with parkinson s disease correlates with alteration of left fronto polar electroencephalographic connectivity
topic Parkinson's disease
apathy
executive functions
quantitative electroencephalography
neuropsychology
url http://journal.frontiersin.org/article/10.3389/fnagi.2017.00262/full
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