Christian F. Altmann

Cognitive impairment and dementia are common non-motor symptoms in Parkinson’s disease (PD). To elucidate the potentially typical progression of cognitive decline in PD and its variation, we retrospectively surveyed neuropsychological data obtained at the Parkinson-Klinik Ortenau, Germany in the years 1996–2015. Many of the patients in the surveyed period were repeatedly admitted to our clinic and we were thus able to compile neuropsychological re-test data for 252 patients obtained at varying time intervals. Neuropsychological testing was conducted with the NAI (Nürnberger Alters-Inventar). This battery provides sub-tests that examine cognitive processing speed, executive function, working memory, and verbal/visual memory functions. The re-test time span varied across patients from below 1 year up to about 12 years. Most patients were seen twice, but some patients were tested up to eight times. The steepest rates of cognitive decline were observed for the NAI sub-tests Trail-Making, Maze Test, and Stroop-Word Reading/Color Naming. Intermediate rates of decline were found for Digit Span, Word List—Immediate Recall, and Picture Test. Stroop Test—Interference, Word List—Delayed Recognition, and Figure Test exhibited the slowest decline rates. We did not observe a significant effect of age at diagnosis or gender on the rate of decline. In sum, this study retrospectively evaluated cognitive decline in a sample of patients with PD. Our data suggest a broad cognitive decline that particularly affects the cognitive capacities for processing speed, executive functions, and immediate memory functions.

Localization of sound sources is critical for an appropriate behavioral response. This is not only true for localization in the horizontal plane but also for localization in depth. Depth ranging of sound sources implicates various distance cues, among others sound intensity. In this study, we measured human electroencephalography and compared mismatch negativity (MMN) amplitudes and latencies for horizontal motion, radial motion, and pure intensity changes in the free field. We observed similar MMN latencies for horizontal and radial motion, whereas MMN responses to pure intensity changes were comparably delayed. MMN amplitudes and latencies were not different for approaching and receding sounds. Our data suggest similar fast processing for horizontal and radial motion, whereas pure intensity changes are possibly processed with less priority.

Although sound reverberation is considered a nuisance variable in most studies investigating auditory processing, it can serve as a cue for loudness constancy, a phenomenon describing constant loudness perception in spite of changing sound source distance. In this study, we manipulated room reverberation characteristics to test their effect on psychophysical loudness constancy and we tested with magnetoencephalography on human subjects for neural responses reflecting loudness constancy. Psychophysically, we found that loudness constancy was present in strong, but not weak, reverberation conditions. In contrast, the dependence of sound distance judgment on actual distance was similar across conditions. We observed brain activity reflecting behavioral loudness constancy, i.e. inverse scaling of the evoked magnetic fields with distance for weak reverberation but constant responses across distance for strong reverberation from ~210 to 270 ms after stimulus onset. Distributed magnetoencephalography source reconstruction revealed underlying neural generators within the right middle temporal and right inferior anterior temporal lobe. Our data suggest a dissociation of loudness constancy and distance perception, implying a direct usage of reverberation cues for constructing constant loudness across distance. Furthermore, our magnetoencephalography data suggest involvement of auditory association areas in the right middle and right inferior anterior temporal cortex in this process.

Numerous studies have reported that perceptual grouping affects the pre‐attentive processing of sound omission in a sequence of tones. However, it remains unclear whether or not the perceptual grouping and musical experience affect the attentive processing of sound omission. To this end, we created a sequence of loud (L) and soft (S) tones grouped as ‘LLSLLS…’ and a random sequence of the L and S tones. The omission of the L tones was inserted pseudo‐randomly in the random sequence, and there were two positions at which it was inserted. For within‐group omission, the omission was after the first L tone within the ‘LLS’ pattern. For between‐group omission, the omission was inserted between the patterns. The brain response to the omission in musicians and non‐musicians was measured using magnetoencephalography. During the magnetoencephalography measurement, the subjects' performance in a task to detect the omission was faster in the random sequence than in the group sequence. Source analysis showed that the omission in the random sequence caused greater activity than that in the group sequence. The increase was found in the right inferior parietal lobe in musicians, whereas it was found in the left superior temporal gyrus in non‐musicians. These results suggest that the attentive processing of perceptual grouping might implicate the left superior temporal gyrus or right inferior parietal lobe, depending on musical experience.

The world around us appears stable in spite of our constantly moving head, eyes, and body. How this is achieved by our brain is hardly understood and even less so in the auditory domain. Using electroencephalography and the so-called mismatch negativity, we investigated whether auditory space is encoded in an allocentric (referenced to the environment) or craniocentric representation (referenced to the head). Fourteen subjects were presented with noise bursts from loudspeakers in an anechoic environment. Occasionally, subjects were cued to rotate their heads and a deviant sound burst occurred, that deviated from the preceding standard stimulus either in terms of an allocentric or craniocentric frame of reference. We observed a significant mismatch negativity, i.e., a more negative response to deviants with reference to standard stimuli from about 136 to 188 ms after stimulus onset in the craniocentric deviant condition only. Distributed source modeling with sLORETA revealed an involvement of lateral superior temporal gyrus and inferior parietal lobule in the underlying neural processes. These findings suggested a craniocentric, rather than allocentric, representation of auditory space at the level of the mismatch negativity.