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Asymmetrical Effect of Levodopa on the Neural Activity of Motor Regions in PD

Authors: Kristina Martinu; Atsuko Nagano-Saito; Stuart Fogel; Oury Monchi;

Asymmetrical Effect of Levodopa on the Neural Activity of Motor Regions in PD

Abstract

Parkinson's disease (PD) is a neurodegenerative illness often characterized by asymmetrical symptoms. However, the reason for this asymmetry and the cerebral correlates underlying symptom asymmetry are still not well understood. Furthermore, the effects of levodopa on the cerebral correlates of disease asymmetry have not been investigated. In this study, right-handed PD patients performed self-initiated, externally triggered and repetitive control finger movements with both their right and left hands during functional magnetic resonance imaging (fMRI) to investigate asymmetrical effects of levodopa on the hemodynamic correlates of finger movements. Patients completed two experimental sessions OFF and ON medication after a minimum of 12 hours medication withdrawal. We compared the effect of levodopa on the neural activation patterns underlying the execution of both the more affected and less affected hand for self-initiated and externally triggered movements. Our results show that levodopa led to larger differences in cerebral activity for movements of the more affected, left side: there were significant differences in activity after levodopa administration in regions of the motor cortico-striatal network when patients performed self-initiated and externally triggered movements with their left hand. By contrast, when patients used their right hand, levodopa led to differences in cerebellar activity only. As our patients were affected more severely on their left side, we propose that levodopa may help provide additional dopaminergic input, improving movements for the more severely affected side. These results suggest that the impact of reduced dopamine in the cortico-striatal system and the action of levodopa is not symmetrical.

Subjects by Vocabulary

Microsoft Academic Graph classification: Cerebellum Brain mapping medicine.diagnostic_test Dopaminergic medicine.anatomical_structure medicine.drug medicine.medical_specialty Levodopa Thalamus Physical medicine and rehabilitation Dopamine medicine Psychiatry business.industry Magnetic resonance imaging business Functional magnetic resonance imaging

Library of Congress Subject Headings: lcsh:Medicine lcsh:Science lcsh:R lcsh:Q

Keywords

Male, Nervous System, Biochemistry, Antiparkinson Agents, Levodopa, Cerebellum, Functional Magnetic Resonance Imaging, Medicine and Health Sciences, Brain Mapping, Movement Disorders, Multidisciplinary, Drugs, Parkinson Disease, Neurochemistry, Neurodegenerative Diseases, Middle Aged, Magnetic Resonance Imaging, Neurology, Female, Anatomy, Neurochemicals, Research Article, Movement, Cognitive Neuroscience, Neuroimaging, Humans, Aged, Pharmacology, Biology and Life Sciences, Hand, Motor System, Cognitive Science, Neuroscience

  • BIP!
    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    18
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
  • citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    18
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
    Powered byBIP!BIP!
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Found an issue? Give us feedback
citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
18
Top 10%
Average
Average
Green
gold
Funded by
CIHR
Project
  • Funder: Canadian Institutes of Health Research (CIHR)
Related to Research communities
Neuroinformatics
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