Olfactory dysfunctions in drug-naïve Parkinson's disease with mild cognitive impairment

Jin Woo Park, Do Young Kwon, Ji Ho Choi, Moon Ho Park, Ho Kyoung Yoon

    Research output: Contribution to journalArticlepeer-review

    19 Citations (Scopus)

    Abstract

    Background Evaluation of olfactory function is valuable for the detection of pre-motor state of Parkinson's disease (PD). PD patients have an increased risk of associated dementia and one-third of PD patients have mild cognitive impairment (MCI) at the time of diagnosis. However, the characteristics of olfactory dysfunction in PD-MCI patients are unclear. This study examined the relationship between olfactory dysfunction and cognitive function in drug-naïve PD at the time of diagnosis with the patterns of olfactory function in PD-MCI patients using the Korean version of the Sniffin’ stick test II (KVSS II). Methods A total of 66 drug-naïve PD patients were enrolled. A neuropsychiatric assessment battery and KVSS II were performed. For the statistical analyses, univariate, multivariable linear regression and Student's t-test were used to determine the relationship between the variables and olfactory function. Results Olfactory dysfunction was more prevalent in the PD-MCI group than in the PD-normal cognition (PD-CN) group. Each domains of odor threshold, discrimination, identification and total olfactory score were more impaired in the PD-MCI group than the PD-CN group. Whether cognitive impairment was single or multiple domain was not affected. Conclusion PD-MCI is more likely to be associated with severe olfactory impairment than PD-CN. There may be more extensive neurodegenerative processes affecting olfaction in PD-MCI patients. With further investigation and validation using neuropathological data, an objective olfactory function test could be used as a tool to evaluate disease progression. Further studies with prospective design investigating the prognostic value of olfactory dysfunction in PD-MCI patients are essential.

    Original languageEnglish
    Pages (from-to)69-73
    Number of pages5
    JournalParkinsonism and Related Disorders
    Volume46
    DOIs
    Publication statusPublished - 2018 Jan

    Keywords

    • Mild cognitive impairment
    • Olfactory dysfunction
    • Parkinson's disease

    ASJC Scopus subject areas

    • Neurology
    • Geriatrics and Gerontology
    • Clinical Neurology

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