Cited by 97Dementia and Cognitive Impairment ResearchGenetic Neurodegenerative DiseasesHistorical and Modern Theater Studies

Distinct cognitive profiles of cortical and subcortical dementia in advanced illness

Paulsen, J. S., Butters, N., Sadek, J. R., Johnson, S. A., Salmon, D. P., Swerdlow, N. R., Swenson, M. R.·1995·Neurology

Abstract

We administered the Mattis Dementia Rating Scale (DRS) to 120 patients to evaluate the effect of dementia severity on distinct cognitive profiles. Sixty patients with Huntington's disease (HD) and 60 patients with Alzheimer's disease (AD) were separated by dementia severity into three groups: mildly demented (DRS mean total = 129), moderately demented (DRS mean total = 117), and severely demented (DRS mean total = 102). At all levels of dementia severity, HD patients demonstrated greater impairment than AD patients on the Initiation/Perseveration subscale, whereas AD patients demonstrated greater impairment than HD patients on the Memory subscale. At moderate and severe levels of dementia, HD patients demonstrated an additional impairment in constructional praxis. These profile differences were independent of dementia severity and continued to differentiate between so-called cortical and subcortical dementias in later stages of dementia severity.

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Crossref · 10.1212/wnl.45.5.951

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  • In cortical dementia and amnestic conditions, encoding, delayed recall, cued recall, and delayed recognition are all impaired.

    “in cortical dementia and amnestic conditions encoding, delayed recall, cued recall, and delayed recognition are all impaired”

    From Domains of cognition and their assessment (2019) · cites this paper as [50]

  • Naming deficits are more commonly seen in cortical dementia than in frontostriatal conditions.

    “both cortical and frontostriatal conditions adversely impact verbal fluency, but naming deficits are more commonly seen in cortical dementia. 50”

    From Domains of cognition and their assessment (2019) · cites this paper as [50]

  • Both cortical and frontostriatal conditions adversely impact verbal fluency.

    “both cortical and frontostriatal conditions adversely impact verbal fluency, but naming deficits are more commonly seen in cortical dementia. 50”

    From Domains of cognition and their assessment (2019) · cites this paper as [50]

  • In frontostriatal conditions, encoding and delayed recall are impaired, but delayed recognition and cued recall are typically spared.

    “while in frontostriatal conditions encoding and delayed recall are impaired, but delayed recognition and cued recall are typically spared. 50 - 51”

    From Domains of cognition and their assessment (2019) · cites this paper as [50]

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Authors
Paulsen, J. S., Butters, N., Sadek, J. R., Johnson, S. A., Salmon, D. P., Swerdlow, N. R., & Swenson, M. R.
Affiliations
University of California San Diego (US)
Venue
Neurology
Published
1995-05
Volume
45
Issue
5
Pages
951-956
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
OpenAlex
W2168450537
Cited by
97
References
0
Citations by year
2025: 2 · 2024: 2 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 6 · 2015: 1 · 2014: 2 · 2013: 3 · 2012: 3
FWCI
4.41
Type
journal article
Language
en
Open access
closed
Locations
  • Neurology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (2r01mh045131-06a1)
  • National Institute on Aging (AG05131, P50AG005131)
  • National Institute of Mental Health (MH49671-03, P30MH049671, MH45131-06)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Genetic Neurodegenerative Diseases
  • Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
Keywords
Huntington's disease, Alzheimer's disease, dementia severity, cognitive profile, cortical dementia, subcortical dementia, Mattis Dementia Rating Scale, memory impairment, constructional praxis, advanced disease
MeSH terms
Adult, Aged, Aged, 80 and over, Alzheimer Disease, Analysis of Variance, Cognition, Dementia, Humans, Huntington Disease, Middle Aged, Psychiatric Status Rating Scales

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