Apathy in Parkinson's disease: clinical features, neural substrates, diagnosis, and treatment

J Pagonabarraga, J Kulisevsky, AP Strafella… - The Lancet …, 2015 - thelancet.com
Normal maintenance of human motivation depends on the integrity of subcortical structures
that link the prefrontal cortex with the limbic system. Structural and functional disruption of …

Goal-directed and habitual control in the basal ganglia: implications for Parkinson's disease

P Redgrave, M Rodriguez, Y Smith… - Nature Reviews …, 2010 - nature.com
Progressive loss of the ascending dopaminergic projection in the basal ganglia is a
fundamental pathological feature of Parkinson's disease. Studies in animals and humans …

Basal ganglia contributions to motor control: a vigorous tutor

RS Turner, M Desmurget - Current opinion in neurobiology, 2010 - Elsevier
The roles of the basal ganglia (BG) in motor control are much debated. Many influential
hypotheses have grown from studies in which output signals of the BG were not blocked, but …

Develo** a new apathy measurement scale: Dimensional Apathy Scale

R Radakovic, S Abrahams - Psychiatry research, 2014 - Elsevier
Apathy is both a symptom and syndrome prevalent in neurodegenerative disease, including
motor system disorders, that affects motivation to display goal directed functions. Levy and …

The nosological position of apathy in clinical practice

SE Starkstein, AFG Leentjens - Journal of Neurology, Neurosurgery & …, 2008 - jnnp.bmj.com
Apathy is increasingly recognised as a common behavioural syndrome in psychiatric
disorders, but it is conceptually ill defined. The aim of this study was to examine the concept …

Specificity in the projections of prefrontal and insular cortex to ventral striatopallidum and the extended amygdala

SM Reynolds, DS Zahm - Journal of Neuroscience, 2005 - jneurosci.org
The basal forebrain functional-anatomical macrosystems, ventral striatopallidum, and
extended amygdala are innervated by substantially coextensive distributions of neurons in …

Should I stay or should I go? Conceptual underpinnings of goal-directed actions

G Mirabella - Frontiers in systems neuroscience, 2014 - frontiersin.org
All actions, even the simplest like moving an arm to grasp a pen, are associated with energy
costs. Thus all mobile organisms possess the ability to evaluate resources and select those …

Disconnecting force from money: effects of basal ganglia damage on incentive motivation

L Schmidt, BF d'Arc, G Lafargue, D Galanaud… - Brain, 2008 - academic.oup.com
Bilateral basal ganglia lesions have been reported to induce a particular form of apathy,
termed auto-activation deficit (AAD), principally defined as a loss of self-driven behaviour …

Apathy following stroke

RE Jorge, SE Starkstein… - The Canadian Journal of …, 2010 - journals.sagepub.com
Objective: We will review the available evidence on the frequency, clinical correlates,
mechanism, and treatment of apathy following stroke. Methods: We have explored relevant …

Clinical and imaging evidence of zolpidem effect in hypoxic encephalopathy

C Brefel‐Courbon, P Payoux, F Ory… - Annals of …, 2007 - Wiley Online Library
We conducted a randomized, double‐blind, placebo‐controlled, single‐patient (N= 1) trial to
evaluate the efficacy of zolpidem in a 48‐year‐old woman with an akinetic mutism. Motor …