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Performance of Implicitly Learned Sequences in Early Parkinson's Disease: An Fmri Study

 Katja Werheid, Stefan Zysset and D. Yves von Cramon
  
 

Abstract:
Implicit sequence learning is typically investigated by Serial Reaction Time tasks. Visual stimuli appear successively at different locations and participants respond by pressing corresponding keys. During training of a regular sequence, reaction time decreases. When switching to a random sequence thereafter, reaction time increments indicate sequence-specific learning even if explicit knowledge remains fragmentary. Previous imaging studies have found a variety of cortical and striatal regions activated during regular versus random conditions. While the striatum is assumed to be involved in sequence learning, there are no imaging studies on patients with striatal pathology so far. The present fMRI study was aimed to investigate brain activation in patients with early Parkinson's disease (n=7) and age-matched controls during performance of regular versus random sequences. To focus on the effect of previous sequence learning, subjects were pretrained before scanning. Patients showed reduced reaction time decrements during pretraining. Imaging revealed highly similar brain activations of the two groups, involving frontomedian and anterior cingulate areas. Despite reduced striatal activation in patients, behavioral learning effects during the fMRI session did not differ between groups. We conclude that after the initial training phase, frontomedian structures rather than the striatum are decisive for performance of structured sequences. Supported by BMB+F (IZKF), University of Leipzig (01KS9504, project C09)

 
 


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