Cortical and subcortical morphometric changes and their relation to cognitive impairment in isolated REM sleep behavior disorder
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Published:2023-09-05
Issue:2
Volume:45
Page:613-627
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ISSN:1590-1874
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Container-title:Neurological Sciences
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language:en
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Short-container-title:Neurol Sci
Author:
Mala ChristianeORCID, Havlík FilipORCID, Mana JosefORCID, Nepožitek JiříORCID, Dostálová SimonaORCID, Růžička EvženORCID, Šonka KarelORCID, Keller JiříORCID, Jech RobertORCID, Dušek PetrORCID, Bezdicek OndrejORCID, Krupička RadimORCID
Abstract
Abstract
Objective
To date, very few studies have focused on structural changes and their association with cognitive performance in isolated REM sleep behaviour disorder (iRBD). Moreover, the results of these studies are inconclusive. This study aims to evaluate differences in the associations between brain morphology and cognitive tests in iRBD and healthy controls.
Methods
Sixty-three patients with iRBD and thirty-six controls underwent MRI with a 3 T scanner. The cognitive performance was assessed by a comprehensive neuropsychological battery. Based on performance, the iRBD group was divided into two subgroups with (iRBD-MCI) and without mild cognitive impairment (iRBD-NC). The high-resolution T1-weighted images were analysed using an automated atlas segmentation tool, voxel-based (VBM) and deformation-based (DBM) morphometry to identify between-group differences and correlations with cognitive performance.
Results
VBM, DBM and the comparison of ROI volumes yielded no significant differences between iRBD and controls. In the iRBD group, significant correlations in VBM were found between several cortical and subcortical structures primarily located in the temporal, parietal, occipital lobe, cerebellum, and basal ganglia and three cognitive tests assessing psychomotor speed and one memory test. Between-group analysis of cognition revealed a significant difference between iRBD-MCI and iRBD-NC in tests including a processing speed component.
Conclusions
iRBD shows deficits in several cognitive tests that correlate with morphological changes, the most prominent of which is in psychomotor speed and visual attention as measured by the TMT-A and associated with the volume of striatum, insula, cerebellum, temporal lobe, pallidum and amygdala.
Funder
Ministerstvo Zdravotnictví Ceské Republiky National Institute for Neurological Research Univerzita Karlova v Praze
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Neurology (clinical),Dermatology,General Medicine
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