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Cognitive and motor function in long-duration PARKIN-associated Parkinson disease.


ABSTRACT: Data on the long-term cognitive outcomes of patients with PARKIN-associated Parkinson disease (PD) are unknown but may be useful when counseling these patients.Among patients with early-onset PD of long duration, we assessed cognitive and motor performances, comparing homozygotes and compound heterozygotes who carry 2 PARKIN mutations with noncarriers.Cross-sectional study of 44 participants at 17 different movement disorder centers who were in the Consortium on Risk for Early-Onset PD study with a duration of PD greater than the median duration (>14 years): 4 homozygotes and 17 compound heterozygotes (hereafter referred to as carriers) and 23 noncarriers.Unified Parkinson Disease Rating Scale Part III (UPDRS-III) and Clinical Dementia Rating scores and neuropsychological performance. Linear regression models were applied to assess the association between PARKIN mutation status and cognitive domain scores and UPDRS-III scores. Models were adjusted for age, education, disease duration, language, and levodopa equivalent daily dose.Carriers had an earlier age at onset of PD (P?

SUBMITTER: Alcalay RN 

PROVIDER: S-EPMC3947132 | biostudies-literature | 2014 Jan

REPOSITORIES: biostudies-literature

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Cognitive and motor function in long-duration PARKIN-associated Parkinson disease.

Alcalay Roy N RN   Caccappolo Elise E   Mejia-Santana Helen H   Tang Ming Xin MX   Rosado Llency L   Orbe Reilly Martha M   Ruiz Diana D   Louis Elan D ED   Comella Cynthia L CL   Nance Martha A MA   Bressman Susan B SB   Scott William K WK   Tanner Caroline M CM   Mickel Susan F SF   Waters Cheryl H CH   Fahn Stanley S   Cote Lucien J LJ   Frucht Steven J SJ   Ford Blair B   Rezak Michael M   Novak Kevin E KE   Friedman Joseph H JH   Pfeiffer Ronald F RF   Marsh Laura L   Hiner Bradley B   Payami Haydeh H   Molho Eric E   Factor Stewart A SA   Nutt John G JG   Serrano Carmen C   Arroyo Maritza M   Ottman Ruth R   Pauciulo Michael W MW   Nichols William C WC   Clark Lorraine N LN   Marder Karen S KS  

JAMA neurology 20140101 1


<h4>Importance</h4>Data on the long-term cognitive outcomes of patients with PARKIN-associated Parkinson disease (PD) are unknown but may be useful when counseling these patients.<h4>Objective</h4>Among patients with early-onset PD of long duration, we assessed cognitive and motor performances, comparing homozygotes and compound heterozygotes who carry 2 PARKIN mutations with noncarriers.<h4>Design, setting, and participants</h4>Cross-sectional study of 44 participants at 17 different movement d  ...[more]

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