DISTINCT COGNITIVE PROFILES OF CORTICAL AND SUBCORTICAL DEMENTIA IN ADVANCED ILLNESS

被引:73
作者
PAULSEN, JS [1 ]
BUTTERS, N [1 ]
SADEK, JR [1 ]
JOHNSON, SA [1 ]
SALMON, DP [1 ]
SWERDLOW, NR [1 ]
SWENSON, MR [1 ]
机构
[1] UNIV CALIF SAN DIEGO, VET AFFAIRS MED CTR, SAN DIEGO, CA 92161 USA
关键词
D O I
10.1212/WNL.45.5.951
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We administered the Mattis Dementia Rating Scale (DRS) to 120 patients to evaluate the effect of dementia severity on distinct cognitive profiles. Sixty patients with Huntington's disease (HD) and 60 patients with Alzheimer's disease (AD) were separated by dementia severity into three groups: mildly demented (DRS mean total = 129), moderately demented (DRS mean total = 117), and severely demented (DRS mean total = 102). At all levels of dementia severity, HD patients demonstrated greater impairment than AD patients on the Initiation/Perseveration subscale, whereas AD patients demonstrated greater impairment than HD patients on the Memory subscale. At moderate and severe levels of dementia, HD patients demonstrated an additional impairment in constructional praxis. These profile differences were independent of dementia severity and continued to differentiate between so-called cortical and subcortical dementias in later stages of dementia severity.
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页码:951 / 956
页数:6
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共 42 条
[1]  
Brandt J., Folstein S.E., Folstein M.F., Differential cognitive impairment in Alzheimer’s disease and Huntington’s disease, Ann Neurol, 23, pp. 555-561, (1988)
[2]  
Butters N., Sax D., Montgomery K., Tarlow S., Comparison of the neuropsychological deficits associated with early and advanced Huntington’s disease, Arch Neurol, 35, pp. 585-589, (1978)
[3]  
Pillon B., Dubois B., Ploska A., Agid Y., Severity and specificity of cognitive impairment in Alzheimer’s, Huntington’s, and Parkinson’s diseases and progressive supranuclear palsy, Neurology, 41, pp. 634-643, (1991)
[4]  
Albert M.S., Moss M.B., Geriatric Neuropsychology, (1988)
[5]  
Bayles K.A., Kaszniak A.W., Communication and Cognition in Normal Aging and Dementia.Boston, (1987)
[6]  
Cummings J.S., Benson D.F., Dementia: A Clinical Approach, (1992)
[7]  
Salmon D.P., Butters N., Neuropsychological assessment of dementia in the elderly, Geriatric Neurology: Principles and Practice, pp. 144-164, (1992)
[8]  
Bruyn G.W., Bots G., Dom R., Huntington’s chorea: Current neu- ropathological status, Adv Neurol, 23, pp. 83-94, (1979)
[9]  
Vonsattel J.P., Myers R.H., Stevens T.J., Ferrante R.J., Bird E.D., Richardson E.P., Neuropathological classification of Huntington’s disease, J Neuropathol Exp Neurol, 44, pp. 559-577, (1985)
[10]  
Terry R.D., Katzman R., Senile dementia of the Alzheimer'type, Ann Neurol, 14, pp. 497-506, (1983)