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Default network is not hypoactive in dementia with fluctuating cognition: an Alzheimer disease/dementia with Lewy bodies comparison

Lookup NU author(s): Dr John-Paul Taylor

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Abstract

Default mode network resting state activity in posterior cingulate cortex is abnormally reduced in Alzheimer disease (AD) patients. Fluctuating cognition and electroencephalogram abnormalities are established core and supportive elements respectively for the diagnosis of dementia with Lewy bodies (DLB). Our aim was to assess whether patients with DLB with both of these features have different default mode network patterns during resting state functional magnetic resonance imaging compared with AD. Eighteen patients with DLB, 18 AD patients without fluctuating cognition, and 15 control subjects were selected after appropriate matching and followed for 2–5 years to confirm diagnosis. Independent component analysis with functional connectivity (FC) and Granger causality approaches were applied to isolate and characterize resting state networks. FC was reduced in AD and DLB patients compared with control subjects. Posterior cingulate cortex activity was lower in AD than in control subjects and DLB patients (p < 0.05). Right hemisphere FC was reduced in DLB patients in comparison with control subjects but not in patients with AD, and was correlated with severity of fluctuations (ρ = −0.69; p < 0.01). Causal flow analysis showed differences between patients with DLB and AD and control subjects.


Publication metadata

Author(s): Franciotti R, Falasca NW, Bonanni L, Anzellottia F, Maruottia V, Comania S, Thomas A, Tartaroa A, Taylor J-P, Onofrj M

Publication type: Article

Publication status: Published

Journal: Neurobiology of Ageing

Year: 2013

Volume: 34

Issue: 4

Pages: 1148-1158

Print publication date: 11/10/2012

ISSN (print): 0197-4580

ISSN (electronic): 1558-1497

Publisher: Elsevier Inc.

URL: http://dx.doi.org/10.1016/j.neurobiolaging.2012.09.015

DOI: 10.1016/j.neurobiolaging.2012.09.015


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