What evidence is there for cognitive dysfunction in Parkinson’s disease? What brain systems might be affected in these patients to cause these deficits?
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What evidence is there for cognitive dysfunction in Parkinson's disease? What brain systems might be affected in these patients to cause these deficits? Parkinson's disease is a neurodegenerative disease, characterised by resting tremors, rigidity, slowing of physical movements (bradykinesia) and reduced or nonexistent voluntary movement (hypokinesia) (Ramírez-Ruiz). Although depletion of dopaminergic neurons within the substantia nigra are predominantly the cause of these symptoms, the damage is not isolated as the peripheral, central, and enteric nervous systems are also affected (Braak and Braak 2000). The disease affects the neuronal cytoskeleton and as only selective cells can form this cytoskeleton abnormality, the damage caused by Parkinson's disease creates a particular pattern of lesions, making the symptoms and cognitive deficits roughly consistent between patients (Braak and Braak 2000). The dopamine depletion is continual, but for the symptoms to be sunstantial enough to be noticed the levels must have been reduced by around 90% (Gazziniga,...

