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Abstract #2203

Odor-related Functional Deficits in the Primary Olfactory Cortex in Early-stage Parkinson's Disease

Jianli Wang 1 , Thyagarajan Subramanian 2,3 , Zachary Mosher 1 , Jeffrey Vesek 1 , and Qing X Yang 1,4

1 Radiology, Penn State College of Medicine, Hershey, Pennsylvania, United States, 2 Neurology, Penn State College of Medicine, Hershey, Pennsylvania, United States, 3 Neural & Behavioral Sciences, Penn State College of Medicine, Hershey, Pennsylvania, United States, 4 Neurosurgery, Penn State College of Medicine, Hershey, Pennsylvania, United States

The central olfactory system is highly affected by PD pathology and olfactory dysfunction is prevalent in Parkinson's disease (PD). With a sniffing-odor stimulation fMRI paradigm, we demonstrated significant reduced odor-induced activation in the primary and secondary olfactory cortex of early-stage PD patients compared to the healthy controls. The observed POC dysfunction was consistent with the impairment of smell identification function detected by the psychophysical test. Conversely, the sniffing function in the POC was less affected at the early stage of disease. In conclusion, olfactory deficits in the early-stage PD are dominantly odor-related.

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