Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?

Visuospatial deficits in basal ganglia disease may be a non-specific function of the severity of dementia or they could reflect disease-specific impairments. To examine this question, Huntington (HD) patients, demented and non-demented Parkinson (PD) patients and healthy controls were examined with...

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Main Authors: Erich Mohr, Jules J. Claus, Pim Brouwers
Format: Article
Language:English
Published: Wiley 1997-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-1997-102-304
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author Erich Mohr
Jules J. Claus
Pim Brouwers
author_facet Erich Mohr
Jules J. Claus
Pim Brouwers
author_sort Erich Mohr
collection DOAJ
description Visuospatial deficits in basal ganglia disease may be a non-specific function of the severity of dementia or they could reflect disease-specific impairments. To examine this question, Huntington (HD) patients, demented and non-demented Parkinson (PD) patients and healthy controls were examined with neuropsychological tests emphasising visuospatial abilities. Global intellectual function and general visuospatial cognition were less efficient in the two demented patient groups relative to both controls and non-demented PD patients and they did not differ significantly between non-demented Parkinsonians and controls nor between demented PD and HD patients. However, HD patients but not demented PD patients were impaired on a test of person-centred spatial judgement compared to non-demented subjects while demented PD patients scored significantly lower than HD patients on a test of field independence. Factor analysis yielded a factor reflecting general visuospatial processing capacity which discriminated between demented and non-demented PD patients but not between demented PD and HD patients. A unique factor associated with the manipulation of person-centred space discriminated between demented PD and HD patients. These results suggest general visuospatial processing is impaired as a non-specific function of dementia presence in HD and PD. Abnormalities in circumscribed aspects of visuospatial function, on the other hand, may differentiate between HD and PD, suggesting differential involvement of the basal ganglia in the respective illnesses.
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spelling doaj-art-c0e2a5d10c8d49a7bddac9c47c080c322025-02-03T01:26:24ZengWileyBehavioural Neurology0953-41801875-85841997-01-01102-3677510.3233/BEN-1997-102-304Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?Erich Mohr0Jules J. Claus1Pim Brouwers2Division of Neurology, University of Ottawa, Ottawa Civic Hospital and Elisabeth Bruyere Health Centre, Ottawa, CanadaDepartment of Neurology, Academic Medical Center, University of Amsterdam, The NetherlandsHIV and AIDS Malignancy, Division of Clinical Sciences, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USAVisuospatial deficits in basal ganglia disease may be a non-specific function of the severity of dementia or they could reflect disease-specific impairments. To examine this question, Huntington (HD) patients, demented and non-demented Parkinson (PD) patients and healthy controls were examined with neuropsychological tests emphasising visuospatial abilities. Global intellectual function and general visuospatial cognition were less efficient in the two demented patient groups relative to both controls and non-demented PD patients and they did not differ significantly between non-demented Parkinsonians and controls nor between demented PD and HD patients. However, HD patients but not demented PD patients were impaired on a test of person-centred spatial judgement compared to non-demented subjects while demented PD patients scored significantly lower than HD patients on a test of field independence. Factor analysis yielded a factor reflecting general visuospatial processing capacity which discriminated between demented and non-demented PD patients but not between demented PD and HD patients. A unique factor associated with the manipulation of person-centred space discriminated between demented PD and HD patients. These results suggest general visuospatial processing is impaired as a non-specific function of dementia presence in HD and PD. Abnormalities in circumscribed aspects of visuospatial function, on the other hand, may differentiate between HD and PD, suggesting differential involvement of the basal ganglia in the respective illnesses.http://dx.doi.org/10.3233/BEN-1997-102-304
spellingShingle Erich Mohr
Jules J. Claus
Pim Brouwers
Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?
Behavioural Neurology
title Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?
title_full Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?
title_fullStr Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?
title_full_unstemmed Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?
title_short Basal Ganglia Disease and Visuospatial Cognition: Are There Disease-Specific Impairments?
title_sort basal ganglia disease and visuospatial cognition are there disease specific impairments
url http://dx.doi.org/10.3233/BEN-1997-102-304
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