Brain, Vol 120, Issue 6 963-976, Copyright © 1997 by Oxford University Press
M Samuel, AO Ceballos-Baumann, J Blin, T Uema, H Boecker, RE Passingham and DJ Brooks
Patients with Parkinson's disease have great difficulty in performing
sequential and bimanual movements. We used H2(15)O PET to study the
regional cerebral blood flow associated with performance of sequential
finger movements made unimanually and bimanually in a group of Parkinson's
disease patients and a group of control volunteers. In controls, sequential
finger movements led to activation of the contralateral motor cortex and
inferior parietal cortex (Brodmann area 40), the lateral premotor cortex
and bilateral supplementary motor area. No prefrontal activation was seen.
Sequential finger movements in the Parkinson's disease group were
associated with a similar pattern of activation but there was relative
impairment of activation in the mesial frontal and prefrontal areas. A
novel finding was the presence of relative overactivity in the lateral
premotor and inferolateral parietal regions. We conclude that in
Parkinson's disease there is a switch from the use of striato-mesial
frontal to parietal-lateral premotor circuits in order to facilitate
performance of complex finger movements.
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Evidence for lateral premotor and parietal overactivity in Parkinson's disease during sequential and bimanual movements. A PET study
MRC Cyclotron Unit, Hammersmith Hospital, London, UK.
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