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Journal of Geriatric Psychiatry and Neurology
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Frontal Assessment Battery and Brain Perfusion Image in Parkinson’s Disease

Hideaki Matsui, MD

Department of Neurology, Sumitomo Hospital, Osaka, Japan, matsui-hideaki{at}sumitomo-hp.or.jp

Fukashi Udaka, MD, PhD

Department of Neurology, Sumitomo Hospital, Osaka, Japan

Takafumi Miyoshi, MD

Department of Psychosomatic Medicine, Sumitomo Hospital, Osaka, Japan

Narihiro Hara

Department of Radiology, Sumitomo Hospital, Osaka, Japan

Akiko Tamura, MD

Department of Neurology, Sumitomo Hospital, Osaka, Japan

Masaya Oda, MD, PhD

Department of Neurology, Sumitomo Hospital, Osaka, Japan

Tamotsu Kubori, MD, PhD

Department of Neurology, Sumitomo Hospital, Osaka, Japan

Kazuto Nishinaka, MD, PhD

Department of Neurology, Sumitomo Hospital, Osaka, Japan

Masakuni Kameyama, MD, PhD

Department of Neurology, Sumitomo Hospital, Osaka, Japan

The objective was to compare brain perfusion image using 3-dimensional stereotactic surface projection analysis of N-isopropyl-p-123I iodoamphetamine single photon emission computed tomography between Parkinson’s disease patients with a high frontal assessment battery score and those with a low frontal assessment battery score. Thirty nondemented patients with Parkinson’s disease were studied. Patients were divided into 2 groups: a high-scoring group whose frontal assessment battery score was 12 or more and a low-scoring group whose frontal assessment battery score was 11 or less. The high-scoring group included 21 patients, and the low-scoring group included 9 patients. They underwent N-isopropyl-p-123I iodoamphetamine single photon emission computed tomography, and we analyzed the data by the 3-dimensional stereotactic surface projection method. Results showed that left inferior parietal lobule and left supramarginal gyrus perfusion of the low-scoring group were significantly decreased compared with the high-scoring group. It is concluded that_patients with Parkinson’s disease may have frontal lobe dysfunction, but the decreased frontal assessment battery score may be caused not by progressed frontal lobe dysfunction but by parietal lobe dysfunction added to their preexisting frontal lobe impairment.

Key Words: Parkinson’s disease • frontal assessment battery • single photon emission computed tomography

Journal of Geriatric Psychiatry and Neurology, Vol. 19, No. 1, 41-45 (2006)
DOI: 10.1177/0891988705284714
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