Spatial and object working memory deficits in Parkinson's disease are due to impairment in different underlying processes.

Working memory maintenance processes for visual-spatial and visual-object information were evaluated in patients with Parkinson's disease (PD). PD patients and controls performed a working memory task with two conditions that differed only in the aspect of the stimuli that the participant was instructed to remember: their locations or shapes. Maintenance processes were investigated by measuring accuracy over 1-s, 5-s, and 10-s delays. Results indicated that patients were impaired in maintaining object information over the delay. In contrast, the patients showed impairment on the spatial condition only when the to-be-remembered stimulus was highly similar in location to the probe, but this impairment was equivalent across the delays, suggesting that this deficit was not due to maintenance impairment. These results suggest that deficits in working memory for spatial and object information are mediated by distinct cognitive processes in nondemented patients with PD and may differ in their pathophysiological basis.

[1]  Roshan Cools,et al.  Using executive heterogeneity to explore the nature of working memory deficits in Parkinson’s disease , 2003, Neuropsychologia.

[2]  Javier Quintana,et al.  Prefrontal representation of stimulus attributes during delay tasks. I. Unit activity in cross-temporal integration of sensory and sensory-motor information , 1988, Brain Research.

[3]  J. Joyce Differential response of striatal dopamine and muscarinic cholinergic receptor subtypes to the loss of dopamine. III. Results in Parkinson's disease cases , 1993, Brain Research.

[4]  T. Robbins,et al.  Striatal contributions to working memory: a functional magnetic resonance imaging study in humans , 2004, The European journal of neuroscience.

[5]  J Jonides,et al.  Spatial, but not object, delayed response is impaired in early Parkinson's disease. , 1997, Neuropsychology.

[6]  J. Stout,et al.  Enhanced negative priming in Parkinson's disease. , 2002, Neuropsychology.

[7]  Jay Pratt,et al.  The role of spatial working memory in inhibition of return: Evidence from divided attention tasks , 2003, Perception & psychophysics.

[8]  K. Lange,et al.  Dopaminergic effects on cognitive performance in patients with Parkinson's disease. , 1995, Journal of neural transmission. Supplementum.

[9]  A. M. Owen,et al.  Visuospatial memory deficits at different stages of Parkinson's disease , 1993, Neuropsychologia.

[10]  V. Preedy,et al.  Unified Parkinson's Disease Rating Scale , 2010 .

[11]  Edward E. Smith,et al.  Neuroimaging studies of working memory: , 2003, Cognitive, affective & behavioral neuroscience.

[12]  Edward K Vogel,et al.  Fractionating Working Memory , 2005, Psychological science.

[13]  C. Robertson,et al.  Voluntary and Automatic Visual Spatial Shifts of Attention in Parkinsons Disease: An Analysis of Costs and Benefits , 2001, Journal of clinical and experimental neuropsychology.

[14]  M. Kaufman,et al.  Severe depletion of cocaine recognition sites associated with the dopamine transporter in Parkinson's‐diseased striatum , 1991, Synapse.

[15]  D. Horne Performance on delayed response tasks by patients with Parkinsonism1 , 1971 .

[16]  J. Roulin,et al.  Working memory functioning in medicated Parkinson's disease patients and the effect of withdrawal of dopaminergic medication. , 2000, Neuropsychology.

[17]  S. Cohen Electrical stimulation of cortical-caudate pairs during delayed successive visual discrimination in monkeys. , 1972, Acta neurobiologiae experimentalis.

[18]  H. Niki,et al.  Delayed alternation performance and unit activity of the caudate head and medial orbitofrontal gyrus in the monkey. , 1972, Brain research.

[19]  S. Yamaguchi,et al.  Contributions of the Dopaminergic System to Voluntary and Automatic Orienting of Visuospatial Attention , 1998, The Journal of Neuroscience.

[20]  M. D’Esposito,et al.  Category-specific modulation of inferior temporal activity during working memory encoding and maintenance. , 2004, Brain research. Cognitive brain research.

[21]  Peter Ford Dominey,et al.  Dissociable effects of dopaminergic therapy on spatial versus non-spatial working memory in Parkinson’s disease , 2003, Neuropsychologia.

[22]  T. Robbins,et al.  Enhanced or impaired cognitive function in Parkinson's disease as a function of dopaminergic medication and task demands. , 2001, Cerebral cortex.

[23]  S. Hsieh,et al.  Set-Shifting Aptitude in Parkinson's Disease: External versus Internal Cues , 1995, Psychological reports.

[24]  A. Shimamura,et al.  Frontal Lobes and Memory , 2002 .

[25]  T. Goldberg,et al.  Isolating the Mnemonic Component in Spatial Delayed Response: A Controlled PET15O-Labeled Water Regional Cerebral Blood Flow Study in Normal Humans , 1996, NeuroImage.

[26]  Leslie G. Ungerleider,et al.  Comparison of subcortical connections of inferior temporal and posterior parietal cortex in monkeys , 1993, Visual Neuroscience.

[27]  J. Yesavage,et al.  Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. , 1986 .

[28]  P S Goldman-Rakic,et al.  Association of Storage and Processing Functions in the Dorsolateral Prefrontal Cortex of the Nonhuman Primate , 1999, The Journal of Neuroscience.

[29]  Leslie G. Ungerleider Two cortical visual systems , 1982 .

[30]  P. Goldman-Rakic,et al.  Mnemonic coding of visual space in the monkey's dorsolateral prefrontal cortex. , 1989, Journal of neurophysiology.

[31]  T. Robbins,et al.  Dopaminergic modulation of high-level cognition in Parkinson's disease: the role of the prefrontal cortex revealed by PET. , 2002, Brain : a journal of neurology.

[32]  P. Goldman-Rakic,et al.  Longitudinal topography and interdigitation of corticostriatal projections in the rhesus monkey , 1985, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[33]  F ATTNEAVE,et al.  The quantitative study of shape and pattern perception. , 1956, Psychological bulletin.

[34]  T. Robbins,et al.  A comparative study of visuospatial memory and learning in Alzheimer-type dementia and Parkinson's disease. , 1988, Brain : a journal of neurology.

[35]  S. Hsieh,et al.  Object-Based and Location-Based Shifting of Attention in Parkinson's Disease , 1997, Perceptual and motor skills.

[36]  P. Goldman-Rakic,et al.  Human Brain Mapping 6:14–32(1998) � Dissociation of Mnemonic and Perceptual Processes During Spatial and Nonspatial Working Memory Using fMRI , 2022 .

[37]  Murray L Lawson,et al.  Global and local attention in the attentional blink. , 2007, Journal of vision.

[38]  David L. Strayer,et al.  Lack of Impairment in Patients with Parkinson's Disease on an Object-Based Negative Priming Task , 2006, Perceptual and motor skills.

[39]  B. Postle,et al.  The time course of spatial and object learning in Parkinson's disease , 1997, Neuropsychologia.

[40]  J. Travere,et al.  Clues about the functional neuroanatomy of verbal working memory: a study of resting brain glucose metabolism in Parkinson's disease , 1995, European journal of neurology.

[41]  D. Pandya,et al.  Striatal connections of the parietal association cortices in rhesus monkeys , 1993, The Journal of comparative neurology.

[42]  Bernhard Hommel,et al.  Direct evidence for a role of working memory in the attentional blink , 2007, Memory & cognition.

[43]  I G McKeith,et al.  Striatal dopaminergic markers in dementia with Lewy bodies, Alzheimer's and Parkinson's diseases: rostrocaudal distribution. , 1999, Brain : a journal of neurology.

[44]  J. Jonides,et al.  Overlapping mechanisms of attention and spatial working memory , 2001, Trends in Cognitive Sciences.

[45]  Joseph B. Sala,et al.  Functional topography of a distributed neural system for spatial and nonspatial information maintenance in working memory , 2003, Neuropsychologia.

[46]  J A Yesavage,et al.  Geriatric Depression Scale. , 1988, Psychopharmacology bulletin.

[47]  R. Mansfield,et al.  Analysis of visual behavior , 1982 .

[48]  A. Bonnet,et al.  Is impaired memory for spatial location in Parkinson's disease domain specific or dependent on ‘strategic’ processes? , 1998, Neuropsychologia.

[49]  Scott T Grafton,et al.  Contributions of functional imaging to understanding parkinsonian symptoms , 2004, Current Opinion in Neurobiology.

[50]  Leslie G. Ungerleider,et al.  Organization of visual cortical inputs to the striatum and subsequent outputs to the pallido‐nigral complex in the monkey , 1990, The Journal of comparative neurology.

[51]  Jordan Grafman,et al.  Handbook of Neuropsychology , 1991 .

[52]  P. Goldman-Rakic,et al.  Differential Activation of the Caudate Nucleus in Primates Performing Spatial and Nonspatial Working Memory Tasks , 1997, The Journal of Neuroscience.

[53]  E. Sullivan,et al.  Verbal and nonverbal short-term memory impairment in untreated Parkinson's disease. , 1993 .

[54]  B. Postle,et al.  Prefrontal cortical contributions to working memory: evidence from event-related fMRI studies , 2000, Experimental Brain Research.

[55]  D. Pandya,et al.  Corticostriatal connections of extrastriate visual areas in rhesus monkeys. , 1995, The Journal of comparative neurology.

[56]  B. Postle,et al.  Dissociation of human caudate nucleus activity in spatial and nonspatial working memory: an event-related fMRI study. , 1999, Brain research. Cognitive brain research.

[57]  H. E. Rosvold,et al.  Behavioral effects of selective ablation of the caudate nucleus. , 1967, Journal of comparative and physiological psychology.

[58]  C. Caltagirone,et al.  Dopaminergic Modulation of Visual-Spatial Working Memory in Parkinson’s Disease , 2003, Dementia and Geriatric Cognitive Disorders.

[59]  T. L. Brink,et al.  Clinical Gerontology: A Guide to Assessment and Intervention , 1986 .

[60]  D. Pandya,et al.  Prefrontostriatal connections in relation to cortical architectonic organization in rhesus monkeys , 1991, The Journal of comparative neurology.

[61]  S. Kish,et al.  Uneven pattern of dopamine loss in the striatum of patients with idiopathic Parkinson's disease. Pathophysiologic and clinical implications. , 1988, The New England journal of medicine.

[62]  C. Marsden,et al.  l-Dopa withdrawal in Parkinson's disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction , 2005, Psychopharmacology.

[63]  M. Hoehn,et al.  Parkinsonism , 1967, Neurology.

[64]  J. Fuster Unit activity in prefrontal cortex during delayed-response performance: neuronal correlates of transient memory. , 1973, Journal of neurophysiology.

[65]  S. Iversen,et al.  Behaviour After Neostriatal Lesions in Animals , 1979 .

[66]  V. A. Bradley,et al.  Visuospatial working memory in Parkinson's disease. , 1989, Journal of neurology, neurosurgery, and psychiatry.

[67]  G. Geffen,et al.  Covert orientation of visual attention in Parkinson's disease: An impairment in the maintenance of attention , 1990, Neuropsychologia.

[68]  Cohen Sm Electrical stimulation of cortical-caudate pairs during delayed successive visual discrimination in monkeys. , 1972 .

[69]  D P Salmon,et al.  An examination of the nature of attentional deficits in patients with Parkinson's disease: Evidence from a spatial orienting task , 1997, Journal of the International Neuropsychological Society.

[70]  Joaquin M. Fuster,et al.  Distributed Memory for Both Short and Long Term , 1998, Neurobiology of Learning and Memory.

[71]  Von O. Leirer,et al.  Geriatric Depression Scale (GDS) 1983 , 1982 .

[72]  R. Dell’Acqua,et al.  The Demonstration of Short-Term Consolidation , 1998, Cognitive Psychology.

[73]  T. Robbins,et al.  Spatial and non-spatial working memory at different stages of Parkinson's disease , 1997, Neuropsychologia.

[74]  J. Grafman,et al.  Selective visual attention in patients with frontal lobelesions or Parkinsons disease , 1999, Neuropsychologia.

[75]  T. Robbins,et al.  Probabilistic learning and reversal deficits in patients with Parkinson’s disease or frontal or temporal lobe lesions: possible adverse effects of dopaminergic medication , 2000, Neuropsychologia.

[76]  T. Anderson,et al.  Memory-guided saccades in Parkinson’s disease: long delays can improve performance , 2005, Experimental Brain Research.

[77]  J. Saint-Cyr,et al.  Frontal lobe dysfunction in Parkinson's disease. The cortical focus of neostriatal outflow. , 1986, Brain : a journal of neurology.

[78]  J. Baron,et al.  Functional Imaging of Working Memory in Parkinson's Disease: Compensations and Deficits , 2007, Journal of neuroimaging : official journal of the American Society of Neuroimaging.

[79]  T. Di Paolo,et al.  Decreased dopamine in the retinas of patients with Parkinson's disease. , 1990, Investigative ophthalmology & visual science.

[80]  S. Fahn Members of the UPDRS Development Committee. Unified Parkinson's Disease Rating Scale , 1987 .

[81]  David L. Strayer,et al.  Negative priming in patients with Parkinson's disease: evidence for a role of the striatum in inhibitory attentional processes. , 2002, Neuropsychology.

[82]  Viviane Pouthas,et al.  Effects of internal clock and memory disorders on duration reproductions and duration productions in patients with Parkinson’s disease , 2005, Brain and Cognition.

[83]  S. Asenbaum,et al.  Measurement of the dopaminergic degeneration in Parkinson's disease with [123I] beta-CIT and SPECT. Correlation with clinical findings and comparison with multiple system atrophy and progressive supranuclear palsy. , 1997, Journal of neural transmission. Supplementum.

[84]  Sylvie Belleville,et al.  Study of verbal working memory in patients with Parkinson's disease. , 2005, Neuropsychology.

[85]  C. Caltagirone,et al.  Verbal Working Memory Deficit in Parkinson’s Disease Subjects , 1999, European Neurology.

[86]  J. G. Snodgrass,et al.  Pragmatics of measuring recognition memory: applications to dementia and amnesia. , 1988, Journal of experimental psychology. General.

[87]  G. Stebbins,et al.  Factor structure of the unified Parkinson's disease rating scale: Motor examination section , 1998, Movement disorders : official journal of the Movement Disorder Society.

[88]  E. Vogel,et al.  Delayed working memory consolidation during the attentional blink , 2002, Psychonomic bulletin & review.

[89]  C. Kennard,et al.  Memory-motor transformations are impaired in Parkinson's disease , 2003, Experimental Brain Research.

[90]  Beate Ritz,et al.  Clinical characteristics in early Parkinson's disease in a central California population‐based study , 2005, Movement disorders : official journal of the Movement Disorder Society.

[91]  M. Sasaki,et al.  Differences in the reduced 18F-Dopa uptakes of the caudate and the putamen in Parkinson's disease: correlations with the three main symptoms , 1996, Journal of the Neurological Sciences.

[92]  C. Marsden,et al.  Recent Developments in Parkinson's Disease , 1986 .

[93]  D. Albrecht,et al.  Effects of dopamine on neurons of the lateral geniculate nucleus: An iontophoretic study , 1996, Synapse.