Apathy as a non-motor symptom of Parkinson’s disease and Huntington’s chorea
https://doi.org/10.25789/YMJ.2020.70.07
Abstract
The article presents the results of a study of the frequency and clinical profile of apathy in patients with Parkinson's disease and Huntington's disease. A similar frequency of apathy was found in these two neurodegenerative diseases, but with different clinical correlations, due to the involvement of different brain regions in the pathological process. Thus, in patients with Parkinson's disease, a positive correlation was found between apathy and severe depression, anxiety and drowsiness, while in patients with Huntington's disease – with the duration of the disease and cognitive disorders. Thus apathy as a non-motor symptom of the two neurodegenerative disorders has a similar prevalence, but different clinical profile: in Parkinson's disease, it is mainly associated with emotional and affective disorders («emotional apathy»), while in Huntington's disease – with cognitive disorders («cognitive apathy»).
Keywords
About the Authors
M. A. NikitinaRussian Federation
Nikitina Maria A. – MD, PhD, Associate Professor, Department of Neurology and Neurosurgery
Tomsk, 8-913-865-4918
N. G. Brazovskaya
Russian Federation
Brazovskaya Natalia G. – PhD, Associate Professor, Department of Medical and Biological Cybernetics
Tomsk
8-913-884-7333
N. G. Zhukova
Russian Federation
Zhukova Natalya G. – MD, PhD, Professor, Department of Neurology and Neurosurgery
Tomsk
8-913-824-6202
V. M. Alifirova
Russian Federation
Alifirova Valentina M. – MD, PhD, Professor, Head of the Department of Neurology and Neurosurgery
Tomsk
8-913-850-0240
E. Yu. Bragina
Russian Federation
Bragina Elena Yu. – PhD, Senior Researcher, Laboratory of Population Genetics
Tomsk
8-913- 823-4122
References
1. Voznesenskaya T.G. Apathy syndrome / T.G. Voznesenskaya // The Neurological Journal. – 2013. – Vol. 18(3). – P. – 4-10. DOI: 10.18821/1560-9545-2013-18-3-4-10
2. Differential diagnosis of Multiple system atrophy and essential tremor with Parkinson’s disease / A.A. Tappakhov [et al.] // Yakut medical journal. – 2016. – Vol. 2 (54). – P. 90-93.
3. Illarioshkin S.N. Huntington's Disease: Monograph (Series "Movement Disorders") / S.N. Illarioshkin, S.A. Klushnikov, Y.A. Seliverstov. – M., Publishing house “Аtmosphere”, 2018. - p. 472.
4. Nodel' M.R. Apathy in Parkinson's disease / M.R. Nodel', N.N. Yakhno // Neurological Journal. – 2014. – Vol. 19 (1). – P. 9-15. DOI: 10.14412/2074-2711-2014-1-80-84
5. Fedorova, N.V. Depression, apathy, and anhedonia in Parkinson's disease: mechanisms of development of non-motor symptoms and approaches to correction / N.V. Fedorova, A.V. Nikitina // Nervnye bolezni. – 2012. – Vol. 3. – P. 31-36.
6. Epidemiology of Parkinson’s disease in the RS(Ya) / T.E. Popova [et al.] // Yakut medical journal. – 2017. – Vol. 3 (59). – P. 98-101.
7. Apathy is not depression in Huntington’s disease / P. Naarding [et al.] // J Neuropsychiatry Clin Neurosci. – 2009. – Vol. 21. – P. 266-270. DOI: 10.1176/jnp.2009.21.3.266
8. Apathy in Parkinson's disease / I. Leroi [et al.] // Psychiatry of in Parkinson's disease. Adv. Biol. Psychiatry. Basel: Karger. – 2012. – Vol. 27. – P. 27-40. DOI: http: 10.1159/000331524
9. Apathy in Parkinson’s disease: clinical features, neural substrates, diagnosis, and treatment / J. Pagonabarraga [et al.] // The Lancet Neurology. – 2015. – Vol. 14 (5). – P. 518–531. DOI: 10.1016/s1474-4422(15)00019-8
10. Camacho M. Apathy in Huntington’s Disease: A Review of the Current Conceptualization / M. Camacho, R.A. Barker, S.L. Mason // J Alzheimers Dis Parkinsonism. – 2018. – Vol. 8 (2). – P. 431. DOI: 10.4172/2161-0460.1000431
11. Does subthalamic nucleus stimulation induce apathy in Parkinson's disease / D. Drapier [et al.] // Journal of neurology. – 2006. – Vol. 253. – P. 1083-91. DOI: 10.1007/s00415-006-0177-0.
12. Incidence, course, and predictors of apathy in Huntington’s disease: a two-year prospective study / N. Reedeker [et al.] // J Neuropsychiatry Clin Neurosci. – 2011. – Vol. 23. – P. 434 – 441. DOI: 10.1176/jnp.23.4.jnp434
13. Marsili L. Diagnostic Criteria for Parkinson’s Disease: From James Parkinson to the Concept of Prodromal Disease / L. Marsili, G. Rizzo, C. Colosimo // Front Neurol. – 2018. – Vol. 9. – P. 156. DOI: 10.3389/fneur.2018.00156
14. Neurobiology of apathy in Alzheimer's disease / HC. Guimarães [et al.] // Arq Neuropsiquiatr. – 2008. – Vol. 66 (2B). – P. 436-43. DOI: 10.1590/s0004-282x2008000300035
15. Neuropsychiatric aspects of Huntington's disease / JS. Paulsen [et al.] // J Neurol Neurosurg Psychiatry. – 2001. – Vol. 71. – P. 310-314. DOI: 10.1136/jnnp.71.3.310
16. Neuropsychiatric symptoms are very common in premanifest and early stage Huntington’s disease / S. Martinez-Horta [et al.] // Parkinsonism Relat Disord. – 2016. – Vol. 25. – P. 58-64. DOI: 10.1016/j.parkreldis.2016.02.008
17. Neuropsychiatric symptoms in a European Huntington’s disease cohort (REGISTRY) / E. van Duijn [et al.] // J Neurol Neurosurg Psychiatry. – 2014. – Vol. 85. – P. 1411-1418. DOI: 10.1136/jnnp-2013-307343
18. Predictors of phenotypic progression and disease onset in premanifest and early-stage Huntington’s disease in the TRACK-HD study: analysis of 36-month observational data / SJ. Tabrizi [et al.] // Lancet Neurol. – 2013. – Vol. 12. – P. 637–649. DOI: 10.1016/S1474-4422(13)70088-7
19. Psychiatric symptoms in Huntington’s disease: relationship to disease stage in the enroll-HD study / H. Chadwick [et al.] // Journal of Neurology, Neurosurgery & Psychiatry. – 2018. – Vol. 89. – P. 55. DOI: 10.1136/jnnp-2018-EHDN.147
20. Relationship between apathy and cognitive dysfunctions in de novo untreated Parkinson’s disease: a prospective longitudinal study / G. Santangelo [et al.] // Eur J Neurol. – 2015. – Vol. 22. – P. 253–260. DOI: 10.1111/ene.12467
21. Survey of the Huntington’s disease patient and caregiver community reveals most impactful symptoms and treatment needs / JA. Simpson [et al.] // J Huntingtons Dis. – 2016. – Vol. 5. – P. 395-403. DOI: 10.3233/JHD-160228
22. The spectrum of neuropsychiatric symptoms in patients with early untreated Parkinson’s disease / D. Aarsland [et al.] // J Neurol Neurosurg Psychiatry. – 2009. – Vol. 80. – P. 928–930. DOI: 10.1136/jnnp.2008.166959
Review
For citations:
Nikitina M.A., Brazovskaya N.G., Zhukova N.G., Alifirova V.M., Bragina E.Yu. Apathy as a non-motor symptom of Parkinson’s disease and Huntington’s chorea. Yakut Medical Journal. 2020;(2):24-27. https://doi.org/10.25789/YMJ.2020.70.07