J 2018

Disruption of Multiple Distinctive Neural Networks Associated With Impulse Control Disorder in Parkinson's Disease

FILIP, Pavel, Pavla LINHARTOVÁ, Pavlína HLAVATÁ, Rastislav ŠUMEC, Marek BALÁŽ et. al.

Basic information

Original name

Disruption of Multiple Distinctive Neural Networks Associated With Impulse Control Disorder in Parkinson's Disease

Authors

FILIP, Pavel (703 Slovakia, guarantor, belonging to the institution), Pavla LINHARTOVÁ (203 Czech Republic, belonging to the institution), Pavlína HLAVATÁ (203 Czech Republic, belonging to the institution), Rastislav ŠUMEC (703 Slovakia, belonging to the institution), Marek BALÁŽ (703 Slovakia, belonging to the institution), Martin BAREŠ (203 Czech Republic, belonging to the institution) and Tomáš KAŠPÁREK (203 Czech Republic, belonging to the institution)

Edition

Frontiers in Human Neuroscience, Lausanne, Frontiers Research Foundation, 2018, 1662-5161

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

50101 Psychology

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 2.870

RIV identification code

RIV/00216224:14110/18:00106960

Organization unit

Faculty of Medicine

UT WoS

000450959000001

Keywords in English

impulse control disorder; Parkinson's disease; fMRI; functional connectivity; Go/No Go task; delay discounting task

Tags

International impact, Reviewed
Změněno: 9/2/2019 22:15, Soňa Böhmová

Abstract

V originále

The phenomenon of impulsivity in Parkinson's disease appears as an arduous side effect of dopaminergic therapy with potentially detrimental consequences for the life of the patients. Although conceptualized as a result of non-physiologic chronic dopaminergic stimulation, recent advances speculate on combined disruption of other networks as well. In the search for neuroanatomical correlates of this multifaceted disturbance, this study employs two distinct, well-defined tasks of close association tomotor inhibition and decision-making impulsivity, Go/ No Go and Delay discounting. The fMRI and functional connectivity analysis in 21 Parkinson's disease patients, including 8 patients suffering from severe impulse control disorder, and 28 healthy controls, revealed in impulsive Parkinson's disease patients not only decreased fMRI activation in the dorsolateral prefrontal cortex and bilateral striatum, but also vast functional connectivity changes of both caudate nuclei as decreased connectivity to the superior parietal cortex and increased connectivity to the insular area, clearly beyond the commonly stated areas, which indicates that orbitofronto-striatal and mesolimbic functional disruptions are not the sole mechanisms underlying impulse control disorder in Parkinson's disease. Ergo, our results present a refinement and synthesis of gradually developing ideas about the nature of impulsive control disorder in Parkinson's disease-an umbrella term encompassing various behavioral deviations related to distinct neuronal networks and presumably neurotransmitter systems, which greatly exceed the previously envisioned dopaminergic pathways as the only culprit.

Links

NV15-30062A, research and development project
Name: Fenotypy impulzivity u neuropsychiatrických poruch a jejich klinický význam