Clinical Neurology Life Sciences & Biomedicine Neurosciences Neurosciences & Neurology Psychiatry Psychology Science & Technology Social Sciences
We hypothesized that specific neuropsychological deficits were associated with specific patterns of atrophy. A magnetic resonance imaging volumetric study and a neuropsychological protocol were obtained for patients with several frontotemporal lobar dementia phenotypes including a social/dysexecutive (SOC/EXEC, n = 17), progressive nonfluent aphasia (n = 9), semantic dementia (n = 7), corticobasal syndrome (it = 9), and Alzheimer's disease (it = 2 1 Blinded to testing results, patients were partitioned according to pattern of predominant cortical atrophy; our partitioning algorithm had been derived using seriation, a hierarchical classification technique. Neuropsychological test scores were regressed versus these atrophy patterns as fixed effects using the covariate total atrophy its marker For disease severity. The results showed the Model accounted For substantial variance. Furthermore, the "large-scale networks" associated with each neuropsychological test conformed well to the known literature. For example, bilateral prefrontal cortical atrophy was exclusively associated with SOC/EXEC dysfunction. The neuropsychological principle Of "double dissociation" was supported not just by Such active associations but also by the "silence" of locations not previously implicated by the literature. WC Conclude that classifying patients with degenerative dementia by specific pattern of cortical atrophy has the potential to predict individual patterns of cognitive deficits. (JINS, 2009, 15 459-470.)
Neuropsychological patterns in magnetic resonance imaging-defined subgroups of patients with degenerative dementia
Creators
John Listerud - University of Pennsylvania
Chivon Powers - College Station Medical Center
Peachie Moore - College Station Medical Center
David J. Libon - Drexel University
Murray Grossman - College Station Medical Center
Publication Details
Journal of the International Neuropsychological Society, v 15(3), pp 459-470
Publisher
Cambridge Univ Press
Number of pages
12
Grant note
P01AG017586 / NATIONAL INSTITUTE ON AGING; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
NS44266; P50 NS053488-040002; R01 NS044266; R01 NS044266-07; P50 NS053488 / NINDS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
P50NS053488 / NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS)
AG15116; P01 AG017586-100001; AG17586; R01 AG015116-12; R01 AG015116; P01 AG017586 / NIA NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA)
Resource Type
Journal article
Language
English
Web of Science ID
WOS:000266066700014
Scopus ID
2-s2.0-67651152993
Other Identifier
991021901313704721
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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Neurosciences
Psychiatry
Psychology
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