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DOI: 10.1055/s-0031-1281596
© Georg Thieme Verlag KG Stuttgart · New York
Die Neuropsychologie der nigrostriatalen dopaminergen Transmission am Beispiel des Morbus Parkinson
The Neuropsychology of Nigrostriatal Dopaminergic Transmission in Parkinson’s DiseasePublication History
Publication Date:
18 October 2011 (online)

Zusammenfassung
Über kortiko-subkortiko-kortikale Schleifensysteme beeinflusst die dopaminerge Modulation auf der Ebene des Striatums nicht nur motorische Funktionen, sondern auch andere kortikale Efferenzen. Es wird eine Übersicht über neuropsychologische Befunde bei Morbus Parkinson gegeben und versucht, diese systemphysiologisch zu interpretieren. Die Theorie des „supervisory attentional system“ von Norman und Shallice (1986) erscheint geeignet, die Rolle von frontalem Kortex und Basalganglien in der Handlungssteuerung zu erklären.
Abstract
Through cortico-subcortico-cortical loop systems, the dopaminergic modulation influences not only motor, but also other executive functions. Neurospychological findings in Parkinson’s disease are reviewed and physiologically interpreted. The theory of a 'supervisory attentional system” according to Norman and Shallice (1986) seems to be an adequate model of the interaction of cortex and basal ganglia in executive function and control.
Schlüsselwörter
Morbus Parkinson - Neuropsychologie - Systemphysiologie
Keywords
Parkinson’s disease - neuropsychology - system physiology
Literatur
- 1
Elgh E, Domellöf M, Linder J et al.
Cognitive function in early Parkinson’s disease: a population-based study.
Eur J Neurol.
2009;
16
1278-1284
Reference Ris Wihthout Link
- 2
Aarsland D, Marsh L, Schrag A.
Neuropsychiatric symptoms in Parkinson’s disease.
Mov Disord.
2009;
24
2175-2188
Reference Ris Wihthout Link
- 3
Alexander G E, DeLong M R, Strick P L et al.
Parallel organization of functionally segregated circuits linking basal ganglia and
cortex.
Ann Rev Neurosci.
1986;
9
357-382
Reference Ris Wihthout Link
- 4
Taylor A E, Saint-Cyr J A, Lang A E.
Parkinson’s disease. Cognitive changes in relation to treatment response.
Brain.
1987;
110
35-51
Reference Ris Wihthout Link
- 5
Zimmermann P, Sprengelmeyer R, Fimm B et al.
Cognitive slowing in decision tasks in early and advanced Parkinson’s disease.
Brain Cogn.
1992;
18
60-69
Reference Ris Wihthout Link
- 6
Wallesch C W, Karnath H O, Papagno C et al.
Parkinson’s disease patients’ behaviour in a covered maze learning task.
Neuropsychologia.
1990;
28
839-849
Reference Ris Wihthout Link
- 7
Shipley B A, Deary I J, Tan J et al.
Efficiency of temporal order discrimination as an indicator of bradyphrenia in Parkinson‘s
disease: the inspection time loop task.
Neuropsychologia.
2002;
40
1488-1493
Reference Ris Wihthout Link
- 8
Dobbs R J, Bowes S G, Charlett A et al.
Hypothesis: the bradyphrenia of Parkinson’s disease is a nosological entity.
Acta Neurol Scand.
1993;
87
255-261
Reference Ris Wihthout Link
- 9
Russ M O, Seger L.
The effect of task complexity on reaction times in memory scanning and visual discrimination
in Parkinson’s disease.
Neuropsychologia.
1995;
33
561-575
Reference Ris Wihthout Link
- 10
Spicer K B, Brown G G, Gorell J M.
Lexical decision in Parkinson disease: lack of evidence for generalized bradyphrenia.
J Cin Exp Neuropsychol.
1994;
16
457-471
Reference Ris Wihthout Link
- 11
Duncombe M E, Bradshaw J L, Iansek R et al.
Parkinsonian patients without dementia do not suffer from bradyphrenia as indexed
by performance in mental rotation tasks with and without advance information.
Neuropsychologia.
1994;
32
1393-1396
Reference Ris Wihthout Link
- 12
Helscher R J, Pinter M M.
Speed and power of higher cerebral functions in parkinsonian patients.
J Neural Transm Park Dis Dement Sect.
1993;
5
35-44
Reference Ris Wihthout Link
- 13
Fimm B, Bartl G, Zimmermann P et al.
Different mechanisms underly shifting set on external and internal cues in Parkinson’s
disease.
Brain Cogn.
1994;
25
287-304
Reference Ris Wihthout Link
- 14
Poewe W, Berger W, Benke T et al.
High-speed memory scanning in Parkinson’s disease: adverse effects of levodopa.
Ann Neurol.
1991;
29
670-673
Reference Ris Wihthout Link
- 15
Lewis S JG, Cools R, Robbins T W et al.
Using executive heterogeneity to explore the nature of working memory deficits in
Parkinson’s disease.
Neuropsychologia.
2003;
41
645-654
Reference Ris Wihthout Link
- 16
Brown R G, Marsden C D.
Cognitive function in Parkinson’s disease: from description to theory.
TINS.
1990;
13
21-28
Reference Ris Wihthout Link
- 17
Cheesman A L, Barker R A, Lewis S JG et al.
Lateralisation of striatal function: evidence from 18F-Dopa PET in Parkinson’s disease.
J Neurol Neurosurg Psychiat.
2005;
76
1204-1210
Reference Ris Wihthout Link
- 18
Lewis S JG, Slabosz A, Robbins T W et al.
Dopaminergic basis for deficits in working memory but not attentional set-shifting
in Parkinson’s disease.
Neuropsychologia.
2005;
43
823-832
Reference Ris Wihthout Link
- 19
Frank M J, Seeberger L C, O’Reilly R C.
By carrot or by stick: cognitive reinforcement learning in parkinsonism.
Science.
2004;
306
1940-1943
Reference Ris Wihthout Link
- 20
Bodden M E, Mollenhauer B, Trenkwalder C et al.
Affective and cognitive Theory of Mind in patients with Parkinson’s disease.
Parkinsonism Relat Disord.
2010;
16
466-470
Reference Ris Wihthout Link
- 21
Koch G, Brusa L, Oliveri M et al.
Memory for time intervals is impaired in left hemi-Parkinson patients.
Neuropsychologia.
2005;
43
1163-1167
Reference Ris Wihthout Link
- 22
Pastor M A, Artieda J, Jahanshahi M et al.
Time estimation and reproduction is abnormal in Parkinson’s disease.
Brain.
1993;
160
39-52
Reference Ris Wihthout Link
- 23
Mohr E, Litvan I, Williams J et al.
Selective deficits in cognition and memory in high-functioning Parkinsonian patients.
J Neurol Neurosurg Psychiat.
1990;
53
603-606
Reference Ris Wihthout Link
- 24 Rodnitzky R L. Visual dysfunction. In: Pfeiffer R F, Bodis-Wollner I, (eds) Parkinson’s disease and nonmotor dysfunction. Totowa: Humana Press; 2005: 223-231
Reference Ris Wihthout Link
- 25 Bodis-Wollner I, Antal A. Primary visual and visuocognitive deficits. In: Pfeiffer R F, (eds) Parkinson’s disease and nonmotor dysfunction. Totowa: Humana Press; 2005: 233-244
Reference Ris Wihthout Link
- 26
Canavan A GM, Passingham R E, Marsden C D.
Prism adaptation and other tasks involving spatial abilities in patients with Parkinson’s
disease, patients with frontal lobe lesions and patients with unilateral temporal
lobectomies.
Neuropsychologia.
1990;
28
969-984
Reference Ris Wihthout Link
- 27
Levin B E, Llabre M M, Reisman S et al.
Visuospatial impairment in Parkinson’s disease.
Neurology.
1991;
41
365-369
Reference Ris Wihthout Link
- 28
Crucian G P, Barrett A M, Schwartz R L et al.
Cognitive and vestibulo-proprioceptive components of spatial ability in Parkinson’s
disease.
Neuropsychologia.
2000;
38
757-767
Reference Ris Wihthout Link
- 29
Uc E Y, Rizzo M, Johnson A M et al.
Road safety in drivers with Parkinson disease.
Neurology.
2009;
73
211-2119
Reference Ris Wihthout Link
- 30 Saint-Cyr J A, Taylor A E, Trepanier L L. et al .The caudate nucleus: head ganglion oft the habit system. In: Vallar G, Cappa S F, Wallesch C W, (eds) Neuropsychological disorders associated with subcortical lesions.. Oxford: Oxford Science Publications; 1992
Reference Ris Wihthout Link
- 31
Knowlton B J, Mangels J A, Squire L R.
A neostriatal habit learning system in humans.
Science.
1996;
273
1399-1402
Reference Ris Wihthout Link
- 32 Saint C yr JA, Taylor A E. The mobilization of procedural learning: The „key signature“ of the basal ganglia. In: Squire L, Butters N, (eds) Neuropsychology of memory,. 2nd ed. New York: Guildford;
Reference Ris Wihthout Link
- 33
Taylor A E, Saint-Cyr J A, Lang A E.
Memory and learning in early Parkinson’s disease. Evidence for a „frontal lobe syndrome“.
Brain Cogn.
1990;
13
211-232
Reference Ris Wihthout Link
- 34
Ell S W, Weinstein A, Ivry R B.
Rule-based categorization deficits in focal basal ganglia lesions and Parkinson’s
disease patients.
Neuropsychologia.
2010;
48
2974-2976
Reference Ris Wihthout Link
- 35
Bohlhalter S, Abela E, Weniger D et al.
Impaired verbal memory in Parkinson disease: relationship to prefrontal dysfunction
and sensory discrimination.
Behav Brain Funct.
2009;
5
49
Reference Ris Wihthout Link
- 36
Dubois B, Pillon B.
Cognitive deficits in Parkinson’s disease.
J Neurol.
1997;
244
2-8
Reference Ris Wihthout Link
- 37
Cooper J A, Sagar H J, Doherty S M et al.
Different effects of dopaminergic and anticholinergic therapies on cognitive and motor
performance in Parkinson’s disease. A follow-up study of untreated patients.
Brain.
1992;
115
1701-1725
Reference Ris Wihthout Link
- 38
Costa A, Peppe A, Dell’Agnello G et al.
Dopamine and cognitive function in de novo subjects with Parkinson’s disease: effects
of pramipexole and pergolide on Working memory.
Neuropsychologia.
2009;
47
1374-1381
Reference Ris Wihthout Link
- 39
Brown R G, Marsden C D.
Dual task performance and processing resources in normal subjects and patients with
Parkinson’s disease.
Brain.
1991;
114
215-231
Reference Ris Wihthout Link
- 40
Wu T, Hallett M.
Neural correlates of duals task performance in patients with Parkinson’s disease.
J Neurol Neurosurg Psychiat.
2008;
79
760-766
Reference Ris Wihthout Link
- 41
O‘Shea S, Morris M E, Iansek R.
Dual task interference during gait in people with Parkinson’s disease: Effects of
motor versus cognitive secondary tasks.
Physical Therapy.
2001;
82
888-897
Reference Ris Wihthout Link
- 42
Lewis S J, Slabosz A, Robbins T W et al.
Dopaminergic basis for deficits in working memory but not attentional set-shifting
in Parkinson’s disease.
Neuropsychologia.
2006;
43
823-832
Reference Ris Wihthout Link
- 43
Nieoullon A.
Dopamine and the regulation of cognition and attention.
Prog Neurobiol.
2002;
67
53-83
Reference Ris Wihthout Link
- 44
Nys G M, Santens P, Vingerhoets G.
Horizontal and vertical attention orienting in Parkinson’s disease.
Brain Cogn.
2010;
74
179-185
Reference Ris Wihthout Link
- 45 Norman D, Shallice T. Attention to action: willed and automatic control of behavior. In: Davidson R, Schwartz G, Shapiro D, (eds) Consciousness and self-regulation: Advances in research and theory.. Vol 4. New York: Plenum; 1986: 1-18
Reference Ris Wihthout Link
- 46
Bouquet C A, Bonnaud V, Gil R.
Investigation of supervisory attentional system functions in patients with Parkinson’s
disease using the Hayling task.
J Clin Exp Neuropsychol.
2003;
25
751-760
Reference Ris Wihthout Link
- 47
Alexander W H, Brown J W.
Computational models of performance monitoring and cognitive control.
Topics in Cognitive Science.
2010;
1
1-20
Reference Ris Wihthout Link
- 48 Damasio A R, Tranel D, Danasio H. Somatic markers and the guidance of behaviour: theory and preliminary testing. In: Levin H S, Eisenberg H M, Benton A L, (eds) Frontal lobe function and dysfunction,. New York: Oxford University Press; 1991: 217-229
Reference Ris Wihthout Link
- 49 Damasio A R. The somatic marker hypothesis and the possible functions of the prefrontal cortex. In: Roberts A C, Robbins T W, Weiskrantz L, (eds) The prefrontal cortex: executive and cognitive functions,. Oxford: Oxford University Press; 1998: 36-50
Reference Ris Wihthout Link
- 50
Dujardin K, Degreef J F, Rogelet P et al.
Impairment of the supervisory attentional system in early untreated patients with
Parkinson’s disease.
J Neurol.
1999;
246
783-788
Reference Ris Wihthout Link
- 51
Rossi M, Gerschcovich E R, Achaval de D et al.
Decision-making in Parkinson’s disease with and without pathological gambling.
Eur J Neurol.
2010;
17
97-102
Reference Ris Wihthout Link
- 52
Robbins T W.
Shifting and stopping: fronto-striatal substrates, neurochemical modulations and clinical
implications.
Phil Trans R Soc B.
2007;
362
917-932
Reference Ris Wihthout Link
- 53
Cameron I G, Watanabe M, Pari G et al.
Executive impairment in Parkinson’s disease: response automaticity and task switching.
Neuropsychologia.
2010;
48
1948-1957
Reference Ris Wihthout Link
- 54
Deco G, Rolls E T.
Attention and working memory. A dynamical model of neuronal activity in the prefrontal
cortex.
Eur J Neurosci.
2003;
18
2374-2390
Reference Ris Wihthout Link
- 55
Barone P.
Neurotransmission in Parkinson’s disease: beyond dopamine.
Eur J Neurol.
2010;
17
364-367
Reference Ris Wihthout Link
Prof. Dr. Claus W Wallesch
BDH-Klinik
Am Tannwald 1
79215 Elzach
Email: cwallesch@neuroklinik-elzach.de