Executive dysfunction in hyperhomocystinemia responds to homocysteine-lowering treatment

被引:46
作者
Boxer, AL
Kramer, JH
Johnston, K
Goldman, J
Finley, R
Miller, BL
机构
[1] Univ Calif San Francisco, Dept Neurol, Memory & Aging Ctr, San Francisco, CA 94143 USA
[2] Permanente Med Grp Inc, Dept Genet, San Francisco, CA USA
关键词
D O I
10.1212/01.WNL.0000158476.74580.A8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An elevated serum homocysteine level is a risk factor for the development of cognitive impairment. Reported is a late-onset case of hyperhomocystinemia due to a vitamin B-12 metabolic deficit ( cobalamin C) with cognitive impairment, primarily in frontal/executive function. After homocysteine-lowering therapy, the patient's functional and neuropsychological status improved in conjunction with a decrease in leukoariosis on his MRI scan. These findings suggest that homocysteine-related cognitive impairment may be partially reversible.
引用
收藏
页码:1431 / 1434
页数:4
相关论文
共 10 条
  • [1] Memory impairment, but not cerebrovascular disease, predicts progression of MCI to dementia
    DeCarli, C
    Mungas, D
    Harvey, D
    Reed, B
    Weiner, M
    Chui, H
    Jagust, W
    [J]. NEUROLOGY, 2004, 63 (02) : 220 - 227
  • [2] Homocysteine, white matter hyperintensities, and cognition in healthy elderly people
    Dufouil, C
    Alpérovitch, A
    Ducros, V
    Tzourio, C
    [J]. ANNALS OF NEUROLOGY, 2003, 53 (02) : 214 - 221
  • [3] Metabolic markers of cobalamin deficiency and cognitive function in normal older adults
    Garcia, AA
    Haron, Y
    Evans, LR
    Smith, MG
    Freedman, M
    Roman, GC
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (01) : 66 - 71
  • [4] Plasma homocysteine levels, cerebrovascular risk factors, and cerebral white matter changes (leukoaraiosis) in patients with Alzheimer disease
    Hogervorst, E
    Ribeiro, HM
    Molyneux, A
    Budge, M
    Smith, D
    [J]. ARCHIVES OF NEUROLOGY, 2002, 59 (05) : 787 - 793
  • [5] Homocysteine, vitamin B6, and vascular disease in AD patients
    Miller, JW
    Green, R
    Mungas, DM
    Reed, BR
    Jagust, WJ
    [J]. NEUROLOGY, 2002, 58 (10) : 1471 - 1475
  • [6] Nilsson K, 2000, CLIN CHEM, V46, P691
  • [7] Neurological and neuropathologic heterogeneity in two brothers with cobalamin C deficiency
    Powers, JM
    Rosenblatt, DS
    Schmidt, RE
    Cross, AH
    Black, JT
    Moser, AB
    Moser, HW
    Morgan, DJ
    [J]. ANNALS OF NEUROLOGY, 2001, 49 (03) : 396 - 400
  • [8] Neuropsychiatric disturbances in presumed late-onset cobalamin C disease
    Roze, E
    Gervais, D
    Demeret, S
    de Baulny, HO
    Zittoun, J
    Benoist, JF
    Said, G
    Pierrot-Deseilligny, C
    Bolgert, F
    [J]. ARCHIVES OF NEUROLOGY, 2003, 60 (10) : 1457 - 1462
  • [9] Plasma homocysteine as a risk factor for dementia and Alzheimer's disease.
    Seshadri, S
    Beiser, A
    Selhub, J
    Jacques, PF
    Rosenberg, IH
    D'Agostino, RB
    Wilson, PWF
    Wolf, PA
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (07) : 476 - 483
  • [10] White matter lesions impair frontal lobe function regardless of their location
    Tullberg, M
    Fletcher, E
    DeCarli, C
    Mungas, D
    Reed, BR
    Harvey, DJ
    Weiner, MW
    Chui, HC
    Jagust, WJ
    [J]. NEUROLOGY, 2004, 63 (02) : 246 - 253