Abstract

We investigated the efficacy of the levodopa on cognitive function in patients with de novo Parkinson’s disease (PD) using the event related potential (ERP) measure and neuropsychological test batteries. We studied 20 PD patients who had never received anti Parkinson medications. After administration of levodopa, the patients revealed significant increase of the achieved categories and decrease of preservation errors in the WSCT, shortening of time in Trail Making Test although MMSE score showed no significant difference. The P3 peak attenuated although there were no differences in peak latency or on scalp topography. These findings suggest that levodopa affect to the neural circuit connect frontal cortex with the striatum and normalize its function, and it causes decrease of P3 peak reflecting appropriate resource allocation. In addition, P3 might be more appropriate indicator rather than psychological test

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