PMID- 31920501 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220412 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 13 DP - 2019 TI - Increased Activation of Default Mode Network in Early Parkinson's With Excessive Daytime Sleepiness. PG - 1334 LID - 10.3389/fnins.2019.01334 [doi] LID - 1334 AB - BACKGROUND AND OBJECTIVES: The underlying neuropathology of excessive daytime sleepiness (EDS) remains elusive in Parkinson's disease (PD). We aim to investigate neural network changes that underlie EDS in PD. METHODS: Early PD patients comprising eighty-one patients without EDS (EDS-) and seventeen patients with EDS (EDS+) received a resting state functional MRI scan and the Epworth Sleepiness Scale (ESS). Connectivities within the default mode network (DMN), motor and basal ganglia networks were compared between the EDS+ and EDS- groups. Correlations between network connectivity and the severity of EDS were investigated through linear regression. RESULTS: EDS+ patients displayed a trend of increased network connectivity of the posterior DMN (pDMN). A significant positive correlation was found between connectivity of the ventromedial prefrontal cortex in the pDMN and ESS. CONCLUSION: EDS+ patients are likely to display increased activation in the DMN, suggesting neural compensation in early PD or impaired attentiveness due to mechanisms such as mind-wandering. CI - Copyright (c) 2019 Ooi, Wen, Ng, Chia, Chew, Lee, Xu, Hartono, Tan, Chan and Tan. FAU - Ooi, Leon Qi Rong AU - Ooi LQR AD - National Neuroscience Institute, Singapore, Singapore. FAU - Wen, Ming-Ching AU - Wen MC AD - National Neuroscience Institute, Singapore, Singapore. AD - Duke-NUS Medical School, Singapore, Singapore. FAU - Ng, Samuel Yong-Ern AU - Ng SY AD - National Neuroscience Institute, Singapore, Singapore. FAU - Chia, Nicole Shuang-Yu AU - Chia NS AD - National Neuroscience Institute, Singapore, Singapore. FAU - Chew, Isabel Hui Min AU - Chew IHM AD - Singapore General Hospital, Singapore, Singapore. FAU - Lee, Weiling AU - Lee W AD - Singapore General Hospital, Singapore, Singapore. FAU - Xu, Zheyu AU - Xu Z AD - National Neuroscience Institute, Singapore, Singapore. AD - Duke-NUS Medical School, Singapore, Singapore. FAU - Hartono, Septian AU - Hartono S AD - National Neuroscience Institute, Singapore, Singapore. FAU - Tan, Eng King AU - Tan EK AD - National Neuroscience Institute, Singapore, Singapore. AD - Duke-NUS Medical School, Singapore, Singapore. FAU - Chan, Ling Ling AU - Chan LL AD - Duke-NUS Medical School, Singapore, Singapore. AD - Singapore General Hospital, Singapore, Singapore. FAU - Tan, Louis Chew-Seng AU - Tan LC AD - National Neuroscience Institute, Singapore, Singapore. AD - Duke-NUS Medical School, Singapore, Singapore. LA - eng PT - Journal Article DEP - 20191212 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 EIN - Front Neurosci. 2020 May 12;14:426. PMID: 32528240 PMC - PMC6920242 OTO - NOTNLM OT - Parkinson's disease OT - excessive daytime sleepiness OT - independent component analyses OT - neural network OT - resting state fMRI EDAT- 2020/01/11 06:00 MHDA- 2020/01/11 06:01 PMCR- 2019/01/01 CRDT- 2020/01/11 06:00 PHST- 2019/09/17 00:00 [received] PHST- 2019/11/27 00:00 [accepted] PHST- 2020/01/11 06:00 [entrez] PHST- 2020/01/11 06:00 [pubmed] PHST- 2020/01/11 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2019.01334 [doi] PST - epublish SO - Front Neurosci. 2019 Dec 12;13:1334. doi: 10.3389/fnins.2019.01334. eCollection 2019.