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Cortical and subcortical diseases: Do true neuropsychological differences exist?

Identifieur interne : 001888 ( Main/Corpus ); précédent : 001887; suivant : 001889

Cortical and subcortical diseases: Do true neuropsychological differences exist?

Auteurs : Juan Carlos Arango-Lasprilla ; Heather Rogers ; Jean Lengenfelder ; John Deluca ; Sonia Moreno ; Francisco Lopera

Source :

RBID : ISTEX:3342B44DA712413EF973E14A38EC9B8CA786F095

Abstract

Previous work examining the cortical-subcortical distinction as it relates to cognitive patterns has not typically used genetic confirmation to identify these groups, controlled for age, or used a comprehensive battery to assess specific cognitive abilities. The present study is the first to include only genetically confirmed Familial Alzheimer's disease (FAD) and Huntington's disease (HD) patients to evaluate this distinction. Ten patients with FAD, 11 patients with HD, and 17 matched healthy individuals were compared on a comprehensive neuropsychological battery that included tasks of language, memory, attention, visual-spatial, and executive function. The only neuropsychological measures to differentiate the two clinical groups were Animal Fluency and Letter Fluency; performance on all other measures did not differ. Although the neuropsychological battery adequately distinguished between clinical and healthy individuals, it was not useful to further differentiate the cortical or subcortical nature of the disease. FAD and HD appear to have similar neuropsychological profiles; therefore the cortical versus subcortical cognitive distinction may not be clinically meaningful.

Url:
DOI: 10.1016/j.acn.2005.07.004

Links to Exploration step

ISTEX:3342B44DA712413EF973E14A38EC9B8CA786F095

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<addr-line>Medellín, Colombia</addr-line>
</aff>
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<label>
<sup>d</sup>
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<institution>Uniformed Services University of the Health Sciences</institution>
<addr-line>Bethesda, MD, USA</addr-line>
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<author-notes>
<fn id="fn1">
<label></label>
<p>The opinions and assertions contained herein are the private views of the authors and are not to be construed as being official or as reflecting the views of the Uniformed Services University of the Health Sciences or the Department of Defense.</p>
</fn>
<corresp id="cor1">
<label>*</label>
Corresponding author. Tel.:
<phone>+1 973 530 3650</phone>
; fax:
<fax>+1 973 736 7880</fax>
. E-mail address:
<email>jcarango@kmrrec.org</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>1</month>
<year>2006</year>
</pub-date>
<volume>21</volume>
<issue>1</issue>
<fpage>29</fpage>
<lpage>40</lpage>
<history>
<date date-type="accepted">
<day>18</day>
<month>7</month>
<year>2005</year>
</date>
</history>
<copyright-statement>© 2005 National Academy of Neuropsychology</copyright-statement>
<copyright-year>2005</copyright-year>
<abstract>
<title>Abstract</title>
<p>Previous work examining the cortical-subcortical distinction as it relates to cognitive patterns has not typically used genetic confirmation to identify these groups, controlled for age, or used a comprehensive battery to assess specific cognitive abilities. The present study is the first to include only genetically confirmed Familial Alzheimer's disease (FAD) and Huntington's disease (HD) patients to evaluate this distinction. Ten patients with FAD, 11 patients with HD, and 17 matched healthy individuals were compared on a comprehensive neuropsychological battery that included tasks of language, memory, attention, visual-spatial, and executive function. The only neuropsychological measures to differentiate the two clinical groups were Animal Fluency and Letter Fluency; performance on all other measures did not differ. Although the neuropsychological battery adequately distinguished between clinical and healthy individuals, it was not useful to further differentiate the cortical or subcortical nature of the disease. FAD and HD appear to have similar neuropsychological profiles; therefore the cortical versus subcortical cognitive distinction may not be clinically meaningful.</p>
</abstract>
<kwd-group>
<kwd>Alzheimer's disease</kwd>
<kwd>Huntington's disease</kwd>
<kwd>Cortical dementia</kwd>
<kwd>Subcortical disease</kwd>
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<affiliation>nd Neuroscience Laboratory, Kessler Medical Rehabilitation Research and Education Corporation 300 Execute Drive, Suite 010 West Orange, NJ 07052, USA</affiliation>
<affiliation>ilitation, University of Medicine and Dentistry of New Jersey Newark, NJ, USA</affiliation>
<affiliation>ience Group, University of Antioquia Medellín, Colombia</affiliation>
<affiliation>E-mail: jcarango@kmrrec.org</affiliation>
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<affiliation>Services University of the Health Sciences Bethesda, MD, USA</affiliation>
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<namePart type="given">Jean</namePart>
<namePart type="family">Lengenfelder</namePart>
<affiliation>nd Neuroscience Laboratory, Kessler Medical Rehabilitation Research and Education Corporation 300 Execute Drive, Suite 010 West Orange, NJ 07052, USA</affiliation>
<affiliation>ilitation, University of Medicine and Dentistry of New Jersey Newark, NJ, USA</affiliation>
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<affiliation>ilitation, University of Medicine and Dentistry of New Jersey Newark, NJ, USA</affiliation>
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<affiliation>ience Group, University of Antioquia Medellín, Colombia</affiliation>
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<abstract>Previous work examining the cortical-subcortical distinction as it relates to cognitive patterns has not typically used genetic confirmation to identify these groups, controlled for age, or used a comprehensive battery to assess specific cognitive abilities. The present study is the first to include only genetically confirmed Familial Alzheimer's disease (FAD) and Huntington's disease (HD) patients to evaluate this distinction. Ten patients with FAD, 11 patients with HD, and 17 matched healthy individuals were compared on a comprehensive neuropsychological battery that included tasks of language, memory, attention, visual-spatial, and executive function. The only neuropsychological measures to differentiate the two clinical groups were Animal Fluency and Letter Fluency; performance on all other measures did not differ. Although the neuropsychological battery adequately distinguished between clinical and healthy individuals, it was not useful to further differentiate the cortical or subcortical nature of the disease. FAD and HD appear to have similar neuropsychological profiles; therefore the cortical versus subcortical cognitive distinction may not be clinically meaningful.</abstract>
<note type="footnotes">The opinions and assertions contained herein are the private views of the authors and are not to be construed as being official or as reflecting the views of the Uniformed Services University of the Health Sciences or the Department of Defense.</note>
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<topic>Alzheimer's disease</topic>
<topic>Huntington's disease</topic>
<topic>Cortical dementia</topic>
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