White matter hyperintensities and prepulse inhibition in a mixed elderly population

Lise C Salem, Anne-Mette Hejl, Ellen Garde, Anne Mette Leffers, Olaf B Paulson, Gunhild Waldemar

    4 Citations (Scopus)

    Abstract

    Prepulse inhibition (PPI) of the startle response, a measure for sensorimotor gating, exhibits a relatively high inter-individual variability in elderly subjects. The aim of this study was to investigate whether white matter hyperintensities (WMH), frequently identified on cranial magnetic resonance imaging (MRI) in elderly subjects with and without cognitive impairment, may contribute to variations in PPI. A passive acoustic PPI paradigm was applied in 92 human subjects (53 healthy and 39 patients with Alzheimer's disease or mild cognitive impairment) between 60 and 85years of age. WMH were rated visually on craniel MRI FLAIR images using the Fazekas scale. WMH were identified in 70% of all subjects. The latency to peak of the startle response increased significantly with increasing WMH load, whereas the inhibition of the startle response (PPI) was neither significantly related to the degree of WMH nor to cognitive performance. We conclude that the presence of WMH in the fronto-striatal brain circuit may affect the latency of the startle response, but not information processing in elderly subjects.
    Original languageEnglish
    JournalPsychiatry Research
    Volume194
    Issue number3
    Pages (from-to)314-8
    Number of pages5
    ISSN0165-1781
    DOIs
    Publication statusPublished - 30 Dec 2011

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