Frontal Lobe Dysfunctions in Korsakoff's Syndrome and Chronic Alcoholism: Continuity or Discontinuity?

The effect of long-term heavy alcohol consumption on brain functions is still under debate. The authors investigated a sample of 17 Korsakoff amnesics, 23 alcoholics without Korsakoff's syndrome, and 21 controls with peripheral nerve diseases, matched for intelligence and education. Executive f...

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Veröffentlicht in:Neuropsychology 2003-07, Vol.17 (3), p.420-428
Hauptverfasser: Brokate, B, Hildebrandt, H, Eling, P, Fichtner, H, Runge, K, Timm, C
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container_end_page 428
container_issue 3
container_start_page 420
container_title Neuropsychology
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creator Brokate, B
Hildebrandt, H
Eling, P
Fichtner, H
Runge, K
Timm, C
description The effect of long-term heavy alcohol consumption on brain functions is still under debate. The authors investigated a sample of 17 Korsakoff amnesics, 23 alcoholics without Korsakoff's syndrome, and 21 controls with peripheral nerve diseases, matched for intelligence and education. Executive functions were examined for word fluency, the modified Wisconsin Card Sorting Test, an alternate response task, and an "n-back" working memory task. Korsakoff amnesics, but not alcoholics, showed a marked memory impairment. They also scored lower in each of the executive tasks-the alcoholics only in the alternate response task. This task also correlated with the years of the alcohol dependency. First, the authors conclude that Korsakoff's syndrome is associated not only with a memory impairment but also with a global executive deficit. Second, the decline in the ability to alternate between different responses argues for a restricted neurotoxic effect of alcohol on some frontal lobe areas.
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subjects Addictive behaviors
Adult
Adult and adolescent clinical studies
Aged
Alcoholism
Alcoholism - physiopathology
Alcoholism - psychology
Biological and medical sciences
Case-Control Studies
Cognitive Impairment
Female
Frontal Lobe
Frontal Lobe - physiopathology
Human
Humans
Inpatient
Korsakoff Syndrome
Korsakoff Syndrome - physiopathology
Korsakoff Syndrome - psychology
Male
Medical sciences
Memory Disorders - psychology
Middle Aged
Neuropathology
Neuropsychological Tests
Organic mental disorders. Neuropsychology
Psychology. Psychoanalysis. Psychiatry
Psychomotor Performance
Psychopathology. Psychiatry
Short Term Memory
Verbal Learning
title Frontal Lobe Dysfunctions in Korsakoff's Syndrome and Chronic Alcoholism: Continuity or Discontinuity?
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