Neuropsychological and neuroimaging markers in early versus late-onset Alzheimer’s disease.
Open accessAbstract
Background: Early-onset Alzheimer’s disease (EOAD) has been overshadowed by the more common late-onset AD (LOAD). Yet, the literature indicates EOAD may have less hippocampal-memory presentations and more focal neocortical localization early in the disease. Objective: To evaluate these proposed differences between these 2 forms of AD and to explore what they inform about differences in AD pathophysiology. Methods: In all, 21 patients with EOAD and 24 patients with LOAD matched for disease progression and severity were compared on neurocognitive measures and resting state fluorodeoxy-glucose positron–emission tomography (FDG-PET). Results: Patients with EOAD had worse executive functions with greater hypometabolism in the parietal regions; whereas patients with LOAD had worse confrontation naming and verbal recognition memory with greater hypometabolism in inferior frontotemporal regions. Conclusions: In addition to highlighting significant differences between EOAD and LOAD, these results reveal dissociation between executive deficits in AD and frontal hypometabolism, suggesting early disturbances of the parietal–frontal network in EOAD.
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EOAD patients exhibit a wider range of cognitive dysfunction, including non-memory cognitive domains, than LOAD patients.
“while EOAD patients exhibit a wider range of cognitive dysfunction, which can also include non-memory cognitive domains (Fujimori et al., 1998; Kaiser et al., 2012; Smits et al., 2012).”
From Effects of Alzheimer’s and Vascular Pathologies on Structural Connectivity in Early- and Late-Onset Alzheimer’s Disease (2021) · cites this paper as Kaiser et al., 2012
The Discussion reports worse performance by EOAD patients on several non-memory executive measures, supporting that part of the claim. It does not establish that EOAD patients have a wider range of cognitive dysfunction overall: LOAD patients performed worse on naming and recognition memory, and the Introduction notes conflicting findings across studies. (LLM, conf=0.82)
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Lee, W. J., Yoon, C. W., Kim, S.-W., Jeong, H. J., Seo, S., Na, D. L., Noh, Y., & Seong, J.-K. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.606600 · Cited by 12 · see citing works
- Authors
- Kaiser, N. C., Melrose, R. J., Liu, C., Sultzer, D. L., Jimenez, E., Su, M., Monserratt, L., & Mendez, M. F.
- Affiliations
- VA Greater Los Angeles Healthcare System (US)
- University of California, Los Angeles (US)
- Corresponding author
- Kaiser, Natalie C.
- Venue
- American Journal of Alzheimer's Disease & Other Dementias®
- Publisher
- SAGE Publications
- Published
- 2012-09-17
- Volume
- 27
- Issue
- 7
- Pages
- 520-529
- ISSN
- 0888-4897 (ISSN-L)
- 1533-3175
- 1938-2731
- PMC
- PMC4112191
- OpenAlex
- W2167680209
- Cited by
- 68
- References
- 2
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 3 · 2017: 17 · 2016: 5 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 1
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Alzheimer s Disease & Other Dementias® (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (R01AG034499-3, R01AG034499)
- National Institute of Mental Health (R01MH056031, R01MH56031)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- early-onset Alzheimer's disease, late-onset Alzheimer's disease, executive function, FDG-PET hypometabolism, confrontation naming, verbal recognition memory, hippocampal-dependent memory, neuroimaging biomarkers, neuropsychological markers, frontal hypometabolism
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Brain, Cognition Disorders, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Age of Onset, Radiopharmaceuticals, Fluorodeoxyglucose F18, Positron-Emission Tomography, Functional Neuroimaging
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