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EEG microstate alterations in Parkinson’s disease dementia
Yuqing Zhao, Jinfeng Xu, Xianling Xu, Jian Song, Jiayu Cai, Haoran Shi, Wei Wei, Xiehua Xue. Scientific Reports, 2026-02-27
Topic: Amyloid, tau and blood-test diagnosis
To investigate alterations in resting-state electroencephalogram (EEG) microstates across the cognitive spectrum of Parkinson's disease (PD) and to evaluate their utility as electrophysiological biomarkers of cognitive impairment. Resting-state EEG was recorded using a 19-channel system during a 3-min eyes-closed session in 36 healthy controls (HC), 38 PD patients with normal cognition (PDNC), and 39 PD patients with dementia (PDD). Temporal parameters (duration, occurrence, coverage) of six canonical microstates (A-F) were computed and compared across groups. Correlation analyses were conducted between microstate metrics and Montreal Cognitive Assessment (MoCA) scores. Significant group differences were found in microstate dynamics. The PDD group exhibited a longer mean duration of microstates A, C, and E, and a lower occurrence per second of microstates B and C compared to both the PDNC and HC groups (all P < 0.05). Critically, the duration of microstates A and C showed significant negative correlations with MoCA scores (P < 0.05), while the occurrence of microstates B and C demonstrated positive correlations with MoCA scores (P < 0.05). Specific EEG microstate abnormalities are associated with cognitive status in PD. The prolongation of microstates A and C and the reduced occurrence of microstates B and C are stage-sensitive biomarkers that reflect the severity of cognitive decline, providing novel insights into the neural mechanisms of PD-related cognitive dysfunction.
Key findings
- Significant group differences were found in microstate dynamics.
- The PDD group exhibited a longer mean duration of microstates A, C, and E, and a lower occurrence per second of microstates B and C compared to both the PDNC and HC groups (all P < 0.05).
- Critically, the duration of microstates A and C showed significant negative correlations with MoCA scores (P < 0.05), while the occurrence of microstates B and C demonstrated positive correlations with MoCA scores (P < 0.05).
- Specific EEG microstate abnormalities are associated with cognitive status in PD.
Why it matters
This study found that specific EEG microstate patterns differ between Parkinson's disease patients with and without dementia, and these patterns correlate with cognitive test scores. These findings could help identify cognitive decline in Parkinson's disease, but the study does not test any treatment or prevention.
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Study details
- Evidence strengthLow
How this study scored 36/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Scientific Reports) |
| Journal's citation record | 3 / 4 | Scientific Reports: journal h-index 463 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 1 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.5 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 3 / 6 | Cited 4.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Xiehua Xue: h-index 20 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Fujian University of Traditional Chinese Medicine: institution h-index 139 (OpenAlex) |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 1 institution(s) in 1 country — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41760696) |
| Free to read | 2 / 2 | Free to read |
| Total | 36 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1038/s41598-026-40029-0
- PubMed: 41760696
- Original source →
- Free full text: Scientific Reports →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
APA 7th
Zhao, Y., Xu, J., Xu, X., Song, J., Cai, J., Shi, H., et al. (2026). EEG microstate alterations in Parkinson’s disease dementia. Scientific Reports. https://doi.org/10.1038/s41598-026-40029-0
Vancouver
Zhao Y, Xu J, Xu X, Song J, Cai J, Shi H, et al. EEG microstate alterations in Parkinson’s disease dementia. Scientific Reports. 2026. doi:10.1038/s41598-026-40029-0. PMID: 41760696.
BibTeX
@article{zhao2026-41760696,
author = {Zhao, Yuqing and Xu, Jinfeng and Xu, Xianling and Song, Jian and Cai, Jiayu and Shi, Haoran and Wei, Wei and Xue, Xiehua},
title = {{EEG microstate alterations in Parkinson’s disease dementia}},
journal = {Scientific Reports},
year = {2026},
doi = {10.1038/s41598-026-40029-0},
pmid = {41760696},
url = {https://doi.org/10.1038/s41598-026-40029-0}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.