Distinct cognitive profiles of cortical and subcortical dementia in advanced illness
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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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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Estudio normativo de la Dementia Rating Scale-2 en una muestra poblacional española mayor de 60 años
Liz, L. G. (2010) · doi:10.14201/gredos.76483 · Cited by 1 · see citing works
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Dargaei, Z. (2018) · TSpace (University of Toronto)
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Self-citationApathy in Parkinson’s disease. A community-based study
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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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