Fluency and Memory Differences Between Ischemic Vascular Dementia and Alzheimer's Disease
This study compared 32 patients with ischemic vascular dementia (IVD) to 32 patients with probable Alzheimer's disease (AD) on select language and verbal memory tests. The IVD and AD patients were individually matched on the basis of age, dementia severity, years of education, and gender. The I...
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Veröffentlicht in: | Neuropsychology 1997-10, Vol.11 (4), p.514-522 |
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creator | Lafosse, Jose M Reed, Bruce R Mungas, Dan Sterling, Susan B Wahbeh, Helen Jagust, William J |
description | This study compared 32 patients with ischemic vascular dementia (IVD) to 32 patients with probable Alzheimer's disease (AD) on select language and verbal memory tests. The IVD and AD patients were individually matched on the basis of age, dementia severity, years of education, and gender. The IVD patients had poorer verbal fluency, but better free recall, fewer recall intrusions, and better recognition memory than the AD patients. Relationships between the neuropsychological measures and radiological indexes of cortical and subcortical pathology were also examined. Number of infarcts, white-matter lucency, and ventricular enlargement correlated with some of the neuropsychological measures; cortical atrophy correlated with most of the measures. The findings suggest that neuropsychological deficits in IVD may be related to dysfunction of frontal-subcortical circuits, although an associated degenerative cortical process may also be involved. |
doi_str_mv | 10.1037/0894-4105.11.4.514 |
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The IVD and AD patients were individually matched on the basis of age, dementia severity, years of education, and gender. The IVD patients had poorer verbal fluency, but better free recall, fewer recall intrusions, and better recognition memory than the AD patients. Relationships between the neuropsychological measures and radiological indexes of cortical and subcortical pathology were also examined. Number of infarcts, white-matter lucency, and ventricular enlargement correlated with some of the neuropsychological measures; cortical atrophy correlated with most of the measures. The findings suggest that neuropsychological deficits in IVD may be related to dysfunction of frontal-subcortical circuits, although an associated degenerative cortical process may also be involved.</description><identifier>ISSN: 0894-4105</identifier><identifier>EISSN: 1931-1559</identifier><identifier>DOI: 10.1037/0894-4105.11.4.514</identifier><identifier>PMID: 9345695</identifier><identifier>CODEN: NEUPEG</identifier><language>eng</language><publisher>United States: American Psychological Association</publisher><subject>Aged ; Alzheimer Disease - psychology ; Alzheimer's Disease ; Brain Ischemia - pathology ; Brain Ischemia - psychology ; Cerebral Ventricles - pathology ; Dementia, Multi-Infarct - pathology ; Dementia, Multi-Infarct - psychology ; Dementia, Vascular - pathology ; Dementia, Vascular - psychology ; Female ; Human ; Humans ; Magnetic Resonance Imaging ; Male ; Memory - physiology ; Mental Recall - physiology ; Neuropsychological Tests ; Vascular Dementia ; Verbal Behavior - physiology ; Verbal Fluency ; Verbal Memory</subject><ispartof>Neuropsychology, 1997-10, Vol.11 (4), p.514-522</ispartof><rights>1997 American Psychological Association</rights><rights>1997, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27904,27905</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9345695$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lafosse, Jose M</creatorcontrib><creatorcontrib>Reed, Bruce R</creatorcontrib><creatorcontrib>Mungas, Dan</creatorcontrib><creatorcontrib>Sterling, Susan B</creatorcontrib><creatorcontrib>Wahbeh, Helen</creatorcontrib><creatorcontrib>Jagust, William J</creatorcontrib><title>Fluency and Memory Differences Between Ischemic Vascular Dementia and Alzheimer's Disease</title><title>Neuropsychology</title><addtitle>Neuropsychology</addtitle><description>This study compared 32 patients with ischemic vascular dementia (IVD) to 32 patients with probable Alzheimer's disease (AD) on select language and verbal memory tests. The IVD and AD patients were individually matched on the basis of age, dementia severity, years of education, and gender. The IVD patients had poorer verbal fluency, but better free recall, fewer recall intrusions, and better recognition memory than the AD patients. Relationships between the neuropsychological measures and radiological indexes of cortical and subcortical pathology were also examined. Number of infarcts, white-matter lucency, and ventricular enlargement correlated with some of the neuropsychological measures; cortical atrophy correlated with most of the measures. The findings suggest that neuropsychological deficits in IVD may be related to dysfunction of frontal-subcortical circuits, although an associated degenerative cortical process may also be involved.</description><subject>Aged</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer's Disease</subject><subject>Brain Ischemia - pathology</subject><subject>Brain Ischemia - psychology</subject><subject>Cerebral Ventricles - pathology</subject><subject>Dementia, Multi-Infarct - pathology</subject><subject>Dementia, Multi-Infarct - psychology</subject><subject>Dementia, Vascular - pathology</subject><subject>Dementia, Vascular - psychology</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Memory - physiology</subject><subject>Mental Recall - physiology</subject><subject>Neuropsychological Tests</subject><subject>Vascular Dementia</subject><subject>Verbal Behavior - physiology</subject><subject>Verbal Fluency</subject><subject>Verbal Memory</subject><issn>0894-4105</issn><issn>1931-1559</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtLAzEUhYMoWh9_QBAGEV1NzW0eM1nW1qqguFHBVUgzd3BkHjWZQeqvN2NLBTeuAvd-55B7DiHHQIdAWXJJU8VjDlQMAYZ8KIBvkQEoBjEIobbJYAPskX3v3ykNAyl2ya5iXEglBuR1VnZY22Vk6ix6wKpxy2ha5Dm6MEUfXWH7iVhHd96-YVXY6MV425XGRVOssG4L86Mcl19vWFToLnyQezQeD8lObkqPR-v3gDzPrp8mt_H9483dZHwfG8ZkG4dfiCxlfG4zYVCkcxxZkaeoEChYg2gT5CqhCYCgOWecG8vpnKueypRiB-R85btwzUeHvtVV4S2Wpamx6bxOQxSSSvkvmCgmGR_1jqd_wPemc3U4QkvgbCSBJgEarSDrGu8d5nrhisq4pQaq-3Z0H77uw9cAmuvQThCdrJ27eYXZRrKuI-zPVnuzMHrhl9a4trAlel1j92vzDehylfc</recordid><startdate>19971001</startdate><enddate>19971001</enddate><creator>Lafosse, Jose M</creator><creator>Reed, Bruce R</creator><creator>Mungas, Dan</creator><creator>Sterling, Susan B</creator><creator>Wahbeh, Helen</creator><creator>Jagust, William J</creator><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>7T9</scope></search><sort><creationdate>19971001</creationdate><title>Fluency and Memory Differences Between Ischemic Vascular Dementia and Alzheimer's Disease</title><author>Lafosse, Jose M ; Reed, Bruce R ; Mungas, Dan ; Sterling, Susan B ; Wahbeh, Helen ; Jagust, William J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a336t-6955d834bcd5ae58be2c5f8e9e101caeec7e497071150f4344ac40b49c5f8d993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Aged</topic><topic>Alzheimer Disease - psychology</topic><topic>Alzheimer's Disease</topic><topic>Brain Ischemia - pathology</topic><topic>Brain Ischemia - psychology</topic><topic>Cerebral Ventricles - pathology</topic><topic>Dementia, Multi-Infarct - pathology</topic><topic>Dementia, Multi-Infarct - psychology</topic><topic>Dementia, Vascular - pathology</topic><topic>Dementia, Vascular - psychology</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Memory - physiology</topic><topic>Mental Recall - physiology</topic><topic>Neuropsychological Tests</topic><topic>Vascular Dementia</topic><topic>Verbal Behavior - physiology</topic><topic>Verbal Fluency</topic><topic>Verbal Memory</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lafosse, Jose M</creatorcontrib><creatorcontrib>Reed, Bruce R</creatorcontrib><creatorcontrib>Mungas, Dan</creatorcontrib><creatorcontrib>Sterling, Susan B</creatorcontrib><creatorcontrib>Wahbeh, Helen</creatorcontrib><creatorcontrib>Jagust, William J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>APA PsycArticles®</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><jtitle>Neuropsychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lafosse, Jose M</au><au>Reed, Bruce R</au><au>Mungas, Dan</au><au>Sterling, Susan B</au><au>Wahbeh, Helen</au><au>Jagust, William J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fluency and Memory Differences Between Ischemic Vascular Dementia and Alzheimer's Disease</atitle><jtitle>Neuropsychology</jtitle><addtitle>Neuropsychology</addtitle><date>1997-10-01</date><risdate>1997</risdate><volume>11</volume><issue>4</issue><spage>514</spage><epage>522</epage><pages>514-522</pages><issn>0894-4105</issn><eissn>1931-1559</eissn><coden>NEUPEG</coden><abstract>This study compared 32 patients with ischemic vascular dementia (IVD) to 32 patients with probable Alzheimer's disease (AD) on select language and verbal memory tests. The IVD and AD patients were individually matched on the basis of age, dementia severity, years of education, and gender. The IVD patients had poorer verbal fluency, but better free recall, fewer recall intrusions, and better recognition memory than the AD patients. Relationships between the neuropsychological measures and radiological indexes of cortical and subcortical pathology were also examined. Number of infarcts, white-matter lucency, and ventricular enlargement correlated with some of the neuropsychological measures; cortical atrophy correlated with most of the measures. The findings suggest that neuropsychological deficits in IVD may be related to dysfunction of frontal-subcortical circuits, although an associated degenerative cortical process may also be involved.</abstract><cop>United States</cop><pub>American Psychological Association</pub><pmid>9345695</pmid><doi>10.1037/0894-4105.11.4.514</doi><tpages>9</tpages></addata></record> |
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subjects | Aged Alzheimer Disease - psychology Alzheimer's Disease Brain Ischemia - pathology Brain Ischemia - psychology Cerebral Ventricles - pathology Dementia, Multi-Infarct - pathology Dementia, Multi-Infarct - psychology Dementia, Vascular - pathology Dementia, Vascular - psychology Female Human Humans Magnetic Resonance Imaging Male Memory - physiology Mental Recall - physiology Neuropsychological Tests Vascular Dementia Verbal Behavior - physiology Verbal Fluency Verbal Memory |
title | Fluency and Memory Differences Between Ischemic Vascular Dementia and Alzheimer's Disease |
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