Wisconsin Card Sorting Test and brain perfusion imaging in Parkinson's disease.
BACKGROUND
Few imaging studies investigated frontal dysfunctions in Parkinson's disease.


OBJECTIVE
We investigated relationships between Wisconsin Card Sorting Test (WCST) and brain perfusion in patients with non-demented Parkinson's disease.


METHODS
Patients were divided into two groups according to WCST score: (1) CA (number of category achieved)<or=2 or (2) CA>or=3. We performed three-dimensional stereotactic surface projection and volume of interest analysis using (123)I-IMP scintigraphy.


RESULTS
Hypoperfusions of the bilateral posterior cingulate, rostrodorsal prefrontal, and left frontopolar cortices were shown in CA<or=2 group, with the left cingulate and right rostrodorsal prefrontal cortices showing prominent hypoperfusion. CA and PE (perseverative errors) scores significantly correlated with perfusion of the left posterior cingulate cortex. PE score also correlated with perfusion of the right rostrodorsal prefrontal cortex.


CONCLUSIONS
Data indicated participations of various regions in task achievement. Careful interpretation of WCST scores is required.
Department of Neurology, Sumitomo Hospital, 5-3-20 Nakanoshima, Osaka 530-0005, Japan. matsui-hideaki@sumitomo-hp.or.jp
Hideaki
H
Matsui
Kazuto
K
Nishinaka
Masaya
M
Oda
Narihiro
N
Hara
Kenichi
K
Komatsu
Tamotsu
T
Kubori
Fukashi
F
Udaka
D000368:Aged; D002560:Cerebrovascular Circulation / Q000502:physiology*; D003627:Data Interpretation, Statistical; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D020367:Iofetamine; D008297:Male; D009483:Neuropsychological Tests; D010300:Parkinson Disease / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000523:psychology*; D011597:Psychomotor Performance / Q000502:physiology; D019275:Radiopharmaceuticals; D015899:Tomography, Emission-Computed, Single-Photon
D019275:Radiopharmaceuticals; D020367:Iofetamine