Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0085632 (apathy)
 4,089 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Parkinson's disease is the second most frequent neurodegenerative disorder. There is significantly elevated risk of cognitive decline and associated neuropsychiatric symptoms. Dementia may develop insidiously several years after manifestation of Parkinson motor symptoms (dementia associated with Parkinson's disease; Parkinson's disease dementia) or in close temporal relationship (within one year) after onset of motor symptoms (Dementia with Lewy bodies). There are clinical, pathophysiological and therapeutic similarities between these two conditions. Men are more frequently affected than women. Risk factor or indicators are advanced age at disease onset, disease duration, rigidity, akinesia and posture and gait impairment and falls as opposed to tremor dominance, and associated neuropsychiatric symptoms (depression, apathy, hallucinosis, delirium). Dementia is treatable with cholinesterase inhibitors (rivastigmine, donepezil), memantine, and adjustment of the pharmacological regimen of parkinsonian motor symptoms. Concomitant autonomic nervous system symptoms and neuropsychiatric complications warrant early clinical awareness and are accessible to pharmacological therapy.
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PMID:Cognitive impairment in Parkinson's disease. 2660 64

The lateral hypothalamus (LH) is critical for generating context-appropriate actions. LH deficits uncouple behaviour and motor control from internal and external environmental influences. Non-specific LH lesions produce apathy, akinesia, and weight loss. Targeted impairments of brain-wide-projecting LH cells, such as orexin or GABA neurons, result in context-inappropriate arousal and motor control, and pathological eating. Generating timely adaptive actions requires timely updating of neural representations of context. Here we review how activity patterns of different LH neurons represent rapid external events on subsecond timescales. We discuss experience-dependent plasticity of these representations and their impact on wider neural processing and sensorimotor control, with a focus on LH orexin neurons. We highlight key questions, such as neural origins of rapid LH dynamics, and whether LH encodes sensory or motor activity. Real-time monitoring of fast LH dynamics during learning will be vital for understanding the elusive algorithms that allow the brain to combine fast and slow variables to guide actions.
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PMID:Fast sensory representations in the lateral hypothalamus and their roles in brain function. 3244 12


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