Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-25T04:28:40.007Z Has data issue: false hasContentIssue false

Relationships Between Psychological Measurements and Cerebral Organic Changes in Alzheimer's Disease

Published online by Cambridge University Press:  18 September 2015

H. Merskey*
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
M.J. Ball
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
W.T. Blume
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
Allan J. Fox
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
Hannah Fox
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
E.L. Hersch
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
V.A. Kral
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
R.B. Palmer
Affiliation:
Depts. of Psychiatry, Clinical Neurological Sciences, and Pathology, The University of Western Ontario, and The London Psychiatric Hospital, LondonOntario
*
London Psychiatric Hospital, 850 Highbury Ave., P.O. Box 2532 Terminal “A” London, Ont. Canada N6A 4H1
Rights & Permissions [Opens in a new window]

Summary:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Twenty-two patients were carefully defined as having progressive dementia without other known cause and not complicated by clinical or laboratory evidence of multiinfarct dementia. Their degree of dementia measured by the ESD correlated highly with EEG disturbance (r=-0.79). The LPRS correlated 0.73 with ventricular enlargement. Although the EEG and CT scan only correlated significantly with each other in advanced cases, a combined index of EEG and CT Scan change, (Physical Meaasures Index) achieved a correlation of 0.93 with a combined index of psychological change (Psychological Measures Index). The results indicate the possibility of using physical and psychological measures to monitor quantitative change in Alzheimer's Disease, the EEG contributing more initially and the CT scan more in the most advanced cases.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1980

References

REFERENCES

Coblentz, J.M., Mattis, S., Zingesser, H., Kassoff, S.S., Wisniewski, H.M., and Katzman, R. (1973) Presenile Dementia: Clinical aspects and evaluation of cerebrospinal fluid dynamics. Arch. Neurol. 29, 299308.CrossRefGoogle ScholarPubMed
Fox, J.H., Huckman, M.S., and Topel, J.L. (1975) The use of computerized tomography in senile dementia. J. Neurol. Neurosurg. Psychiat. 38, 948953.CrossRefGoogle ScholarPubMed
Fox, J., Kaszniak, A.W., and Huckman, M. (1979) Computerized tomographic scanning — Not very helpful in dementia. New Engl. J. Med. 300, 437.Google ScholarPubMed
Gordon, E.B., and Sim, M. (1967) The E.E.G. in presenile dementia. J. Neurol. Neurosurg. and Psychiat. 20, 285291.CrossRefGoogle Scholar
Hersch, E.L. (1979) Development and application of the Extended Scale for Dementia. J. Amer. Geriat. Soc. 27, 348354.CrossRefGoogle ScholarPubMed
Hersch, E.L., Kral, V.A., and Palmer, R.B. (1978) Clinical value of the London Psychogeriatric Rating Scale. J. Amer. Geriat. Soc. 26, 8, 348354.CrossRefGoogle ScholarPubMed
Kaszniak, A.W., Fox, J., Gandell, D.L., Garron, D.C., Huckman, M.S., and Ramsey, R.G. (1978) Predictors of mortality in presenile and senile dementia. Ann. Neurol. 3, 246252.CrossRefGoogle ScholarPubMed
Kaszniak, A.W., Garron, D.C., and Fox, J.H., et al. (1979) Cerebral Atrophy, EEG planning, age, education and cognitive functioning in suspected dementia. Neurology (Minneap.). In the press, cit. Fox et al.CrossRefGoogle Scholar
Klass, D.W. (1971) Electroencephalography. In: Clinical Examinations in Neurology. Mayo Clinic and Mayo Foundation Series. 3rd Ed. W.B. Saunders Philadelphia.Google Scholar
Letemendia, F., and Pampiglione, G. (1958) Clinical and electroencephalographic observations in Alzheimer’s Disease. J. Neurol. Neurosurg. and Psychiat. 21, 167172.CrossRefGoogle ScholarPubMed
McAdam, W., and Robinson, R.A. (1957) Prognosis in senile deterioration. J. Ment. Sci. 103, 821823.CrossRefGoogle ScholarPubMed
McFie, J. (1960) Psychological testing in clinical neurology. J. Nerv. Ment. Dis. 131, 383393.CrossRefGoogle ScholarPubMed
Mann, A.H. (1973) Cortical atrophy and air encephalography: A clinical and radiological study. Psychol. Med. 3, 374378.Google ScholarPubMed
Matthews, C.G., and Booker, H.E. (1972) Pneumoencephalographic measurements and neuropsychological test performance in human adults. Cortex 8, 6992.CrossRefGoogle ScholarPubMed
Muller, H.F., and Kral, V.A. (1967) The Electroencephalogram in advanced senile dementia. J. Amer. Geriat. Soc. 15, 5: 415426.CrossRefGoogle ScholarPubMed
Nielsen, R., Petersen, O., Thygesen, P., et al. (1966) Encéphalographie cortical atrophy. Acta. Radiol. (Diagn.) (Stockh.) 4, 437448.Google Scholar
Perry, K., Tomlinson, B.E., Blessed, G., Bergmann, K., Gibson, P.H., and Perry, R.H. (1978) Correlation of cholinergic abnormalities with senile plaques and mental test scores in senile dementia. Brit. Med. J. 3, 14571459.CrossRefGoogle Scholar
Roberts, M.A., and Caird, F.I 1976) Computerized tomography and intellectual impairment in the elderly. J. Neurol. Neurosurg. and Psychiat. 39, 986989.CrossRefGoogle ScholarPubMed
Roberts, M A., McGeorge, A.P., and Caird, F.I. (1978) Electroencephalography and computerized tomography in vascular and non-vascular dementia in old age. .1. Neurol. Neurosurg. and Psychiat. 41, 903906.CrossRefGoogle Scholar
Sarwar, M., Brinkman, S.D., and Levin, H.S. (1978) The CT Scan in the diagnosis of dementia: Relationship between corticocerebral atrophy and cognitive decline in elderly normal and patient groups. Neuroradiology, 15, 238239.Google Scholar
Willanger, R. (1970) Intellectual impairment in diffuse cerebral lesions. Copenhagen, Munksgard.Google Scholar
Willanger, R., Thygesen, P., and Nielsen, R., et al. (1968) Intellectual impairment and cerebral atrophy: A psychological, neurological and radiological investigation. Dan. Med. Bull. 15, 6593.Google ScholarPubMed