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Contribution of auditory P300 test to the diagnosis of mild cognitive impairment in Parkinson’s disease

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Abstract

Abnormalities in auditory P300 test have been observed in patients with Parkinson’s disease (PD). We aimed to investigate whether or not additional electrophysiological tests assist in making the clinical diagnosis of mild cognitive impairment in Parkinson’s disease (PD-MCI), and we evaluated P300 changes in patients with non-demented PD and analyzed the correlation between the cognitive features and P300 changes. Twenty patients with PD who had been diagnosed with mild cognitive impairment (PD-MCI group) according to the Movement Disorder Society (MDS) 2012 PD-MCI level II criteria, 21 patients with PD without cognitive impairment (PD-Normal group), and 20 control subjects (control group) who were neurologically normal were examined by the standard auditory oddball paradigm. The N100, P200, N200, and P300 latencies and N100-P200, P200-N200, and N200-P300 amplitudes were measured and analyzed. P300 latencies recorded from Fz, Cz, and Pz and N200 latency recorded from Fz were significantly longer in the PD-MCI group than in the PD-Normal and the control group (respectively p < 0.001, p = 0.041). P300 amplitude recorded from Fz was significantly lower in PD-MCI group than those in the other groups (p = 0.038). While P300 was obtained in all patients in the PD-Normal and the control group, it was lost in 35% of PD-MCI patients. The results show that P300 provides a diagnostic tool for detecting PDMCI. We suggest that P300 prolongation and loss of P300 potential could be used as supportive parameter in the diagnosis of PD-MCI.

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Funding

This study was funded by Akdeniz University Research Fund with a project code of 2014.04.0103.009.

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Authors and Affiliations

  1. Department of Neurology, Antalya Training and Research Hospital, Varlık Mahallesi Kazım Karabekir Caddesi Soğuksu, 07100, Antalya, Turkey

    Fikriye Tüter Yilmaz

  2. School of Medicine, Department of Neurology, Akdeniz University, Pınarbaşı Mahallesi, Akdeniz Üniversitesi Kampüsü, 07070, Antalya, Turkey

    Sehür Siber Özkaynak & Ebru Barçin

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  1. Fikriye Tüter Yilmaz
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  2. Sehür Siber Özkaynak
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  3. Ebru Barçin
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Correspondence to Fikriye Tüter Yilmaz.

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All subjects gave informed consent. The study was approved by Akdeniz University and Institutional Review Board and Ethics Committee with a project code of 2014.04.0103.009.

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The authors declare that they have no conflict of interest.

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Yilmaz, F.T., Özkaynak, S.S. & Barçin, E. Contribution of auditory P300 test to the diagnosis of mild cognitive impairment in Parkinson’s disease. Neurol Sci 38, 2103–2109 (2017). https://doi.org/10.1007/s10072-017-3106-3

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  • DOI: https://doi.org/10.1007/s10072-017-3106-3

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