Scientific article
English

Robot-induced hallucinations in Parkinson's disease depend on altered sensorimotor processing in fronto-temporal network

Published inScience Translational Medicine, vol. 13, no. 591, eabc8362
Publication date2021
Abstract

Hallucinations in Parkinson's disease (PD) are disturbing and frequent non-motor symptoms and constitute a major risk factor for psychosis and dementia. We report a robotics-based approach applying conflicting sensorimotor stimulation, enabling the induction of presence hallucinations (PHs) and the characterization of a subgroup of patients with PD with enhanced sensitivity for conflicting sensorimotor stimulation and robot-induced PH. We next identify the fronto-temporal network of PH by combining MR-compatible robotics (and sensorimotor stimulation in healthy participants) and lesion network mapping (neurological patients without PD). This PH-network was selectively disrupted in an additional and independent cohort of patients with PD, predicted the presence of symptomatic PH, and associated with cognitive decline. These robotics-neuroimaging findings extend existing sensorimotor hallucination models to PD and reveal the pathological cortical sensorimotor processes of PH in PD, potentially indicating a more severe form of PD that has been associated with psychosis and cognitive decline.

Keywords
  • Hallucinations
  • Humans
  • Neuroimaging
  • Parkinson Disease
  • Psychotic Disorders
  • Robotics
Citation (ISO format)
BERNASCONI, Fosco et al. Robot-induced hallucinations in Parkinson’s disease depend on altered sensorimotor processing in fronto-temporal network. In: Science Translational Medicine, 2021, vol. 13, n° 591, p. eabc8362. doi: 10.1126/scitranslmed.abc8362
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Article (Published version)
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Identifiers
Additional URL for this publicationhttps://stm.sciencemag.org/content/13/591/eabc8362
Journal ISSN1946-6234
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