Biomedical subjects

T D Hälbig

Publications and source records attributed to T D Hälbig.

3 recordsLinked to original sources

PubMed2005

Pallidal stimulation in dystonia: effects on cognition, mood, and quality of life.

Bilateral deep brain stimulation (DBS) of the globus pallidus internus (GPi) alleviates symptoms in patients with dystonia but its effects on cognition, neuropsychiatric status, and quality of life have not been examined. This is a case series report of 15 consecutive patients with different forms of dystonia who underwent bilateral implantation of DBS electrodes in the GPi. The patients were evaluated preoperatively and after 3-12 months of DBS with tests of cognition (Mattis Dementia Rating Scale, Stroop Test, Trail Making Test, Phonemic and Category Word Fluency, Digit Span, Rey Auditory Verbal Learning Test, Tonic and Phasic Alertness), neuropsychiatric status (Beck Depression and Anxiety Inventories, Montgomery Asberg Depression Rating Scale, Snaith-Hamilton Pleasure Scale, Brief Psychiatric Rating Scale), quality of life, and motor functions. GPi DBS significantly improved dystonic symptoms, functional abilities, and quality of life allowing for a significant reduction of antidystonic medications. No deterioration was observed in cognitive scores and neuropsychiatric measures. The present case series report thus provides preliminary evidence for the safety of GPi DBS regarding cognitive and neuropsychiatric functions in patients with dystonia.

Adolescent↗

PubMed2004

Effects of levodopa on cognitive functioning in moderate-to-severe Parkinson's disease (MSPD).

Although improved cognition has been reported in patients with mild Parkinson's disease (PD) following the administration of levodopa, mixed results have been found in moderately-to-severely affected PD patients (MSPD), particularly in studies conducted since 1980. In the present study, 16 MSPD patients were tested on separate days, once following overnight levodopa withdrawal and once while optimally treated. A battery of neuropsychological tests that assess a range of cognitive functions (i.e., attention, language, visuospatial, memory, and executive), as well as a measure of depression, were used. Although patients performed better on a measure of confrontation naming in the untreated than in the treated condition, there were no significant differences for any of the other cognitive variables or for the depression scale variable. Thus, these data suggest that there are generally no adverse or beneficial effects of levodopa therapy on cognition in MSPD patients.

Aged↗

PubMed1998

Double dissociation of processing temporal and spatial information in working memory.

Based on the converging evidence supporting the view of domain specific object and spatial working memory processes, the question was addressed whether the property of domain specificity holds equally for temporal information. Using a selective interference paradigm the objective was to test a dissociation of the processing of temporal duration and spatial location information in working memory of intact human subjects. Subjects performed a temporal and a spatial memory task in which they were required to indicate whether the study and the test stimuli were the same or different in duration (temporal memory) or in location (spatial memory) as primary tasks. Both primary tasks were combined with three types of interference tasks, a spatial classification memory task, a temporal classification memory task and a non-interference baseline task--to be performed in-between the presentation of study and test stimuli. Memory for temporal duration was shown to be impaired by the temporal classification task but not by the spatial classification task; memory for spatial position showed the opposite pattern of impairment. These data thus provide evidence for the view that temporal and spatial working memory contents are subject to selective interference, reflecting a functional dissociation in the processing of temporal duration and spatial location information. The results are interpreted as evidence for the domain specificity in the processing of temporal information in working memory.

Adult↗