Clinical Autonomic Research

, Volume 17, Issue 2, pp 93–98 | Cite as

Autonomic and Cognitive dysfunction in Parkinson’s disease

  • Juan Idiaquez
  • Eduardo E. Benarroch
  • Hugo Rosales
  • Pablo Milla
  • Lily Ríos
RESEARCH ARTICLE

Abstract

Objective

To investigate whether there is an association between autonomic failure and cognitive impairment in patients with idiopathic Parkinson’s disease (PD)

Methods

40 PD patients and 30 age matched controls were assessed for cognitive and behavioral manifestations using the Mini-Mental State Examination (MMSE), the Frontal Assessment Battery (FAB), the Blessed scale and Cornell scale for depression. The subjects were also assessed for orthostatic hypotension (OH), postprandial hypotension (PPH), heart rate responses to deep breathing (HRDB) and autonomic symptoms using the Scale for Outcomes in PD for autonomic symptoms (SCOPA AUT).

Results

There was a correlation between the severity of motor symptoms and cognitive impairment in our PD patients. Eleven of the 40 PD patients fulfilled the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria of dementia. The presence of OH or PPH did not correlate with the severity of cognitive impairment in our PD cases. However, PD patients with dementia reported more cardiovascular symptoms than PD patients without dementia. There was no correlation between gastrointestinal or urologic symptoms and cognitive impairment in our PD cases.

Conclusion

The results of this limited study indicate that despite the higher incidence of cardiovascular symptoms in PD patients with dementia than in those without dementia, there is no consistent association between OH or PPH and cognitive deficits in PD. The lack of correlation between OH, gastrointestinal and urinary symptoms with cognitive impairment suggests that cognitive and autonomic involvement progresses independently from each other and variably among PD patients.

Keywords

dementia Parkinson disease autonomic orthostatic hypotension autonomic nervous system 

Notes

Acknowledgments

We thank the English language assistance of Mrs. Marisol Armijo.

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Copyright information

© Steinkopff Verlag Darmstadt 2007

Authors and Affiliations

  • Juan Idiaquez
    • 1
    • 2
  • Eduardo E. Benarroch
    • 3
  • Hugo Rosales
    • 1
  • Pablo Milla
    • 1
  • Lily Ríos
    • 1
  1. 1.Universidad de ValparaísoValparaísoChile
  2. 2.Viña del MarChile
  3. 3.Mayo ClinicRochesterUSA

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