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  • Brain involutional process  (1)
  • Contingent negative variation (CNV)  (1)
  • Key words Presenile primary dementia  (1)
  • 1
    ISSN: 0167-8760
    Keywords: Bit color mapping ; Brain involutional process ; CNV ; Cognitive potential ; Presenium
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine , Psychology
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1126-5442
    Keywords: Key words Presenile primary dementia ; Clinical/neuropsychological examinations ; Differential diagnosis ; Seven-year follow-up
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Early diagnosis of presenile Alzheimer's disease (AD), which would serve for prognosis and for guiding choices of treatment, is still an important, difficult task for the clinical neurologist. We studied 24 patients, 12 of whom had minor cognitive impairment or questionable dementia (PICD) and 12 who met NINCDS-ADRDA criteria for presenile AD (PAD). Using clinical, neuropsychological, neurophysiological and neuroradiological methods, we followed the patients up to two disease end-points. All PAD patients evolved into clinically evident Alzheimer-type dementia, became untestable within 60 months and died within 72 months. Only 3 of the PICD patients became demented; 2 of them died during the follow-up and 1 died eight months later. The other 9 PICD patients showed only moderate cognitive decline, compatible with normal aging processes. Neurophysiological and neuroradiological findings might be an important tool for arriving at a correct early diagnosis, when they are assessed with clinical neuropsychological data.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1590-3478
    Keywords: Contingent negative variation (CNV) ; post-S1 N1, P2, P3 ; reaction time ; normal adults ; presenile subjects
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Sammario Scopo della presente ricerca è la raccolta di dati normativi ottenuti con una nuova metodica d'analisi dell'onda d'aspettativa, delle sue principali componenti (complesso CNV) e del tempo di reazione motorio (RT) in due gruppi si soggetti normali, adulti ed in età presenile. In 20 soggetti sani (rispettivamente 10 con età media di 28.3 e 10 di 59.6 anni) per evocare il complesso CNV/RT si è adottato un parametro standard di stimolazione molto semplice ed idoneo anche per pazienti con deterioramento mentale: S1 (click)—2 sec d'intervallo —S2 (stimolo visivo)—risposta motoria con RT. Si è derivata l'attività di tipo CNV da regioni frontali, centrali e parietali. In confronto ai soggetti più giovani, modificazioni significative di alcune componenti della CNV si sono rilevate nel gruppo di soggetti in età presenile senza apparente declino delle performances comportamentali e cognitive. Tali modificazioni appaiono indicative delle fasi iniziali dei processi involutivi encefalici fisiologici associati a minimi e sublinici deficit delle risposte d'orientamento, attenzione, concentrazione, memoria a breve termine, capacità di preparazione alle risposte motorie sollecitate da S2. Vengono discusse le implicazioni cliniche ed in particolare l'importanza diagnostica di questo tipo di indagini nel riconoscimento dei primi stadi nel presenium dell'involuzione fisiologica o patologica dell'encefalo.
    Notes: Abstract 20 selected right-handed very healthy subjects (10 young adults and 10 presenile subjects mean age 28.3 and 59.6) were tested for CNV activity with a simple warned reaction time (RT) paradigm. EEG and CNV components (post-S1, N1, P2, P3; early CNV; N1200 late CNV; CNV resolution) were recorded from Fz, C3, Cz, C4, P3, Pz, and P4, referenced to linked mastoid electrodes. EOG, RT and stimuli were also recorded. The presenile group differed significanty from the younger group in the auditory post-S1 N1 and P3, and in the early (O-wave) and late (P-wave) CNV complex components. A progressive amplitude reduction only in frontal leads between O-wave and P-wave with the lowest point being reached in the P-wave was characteristic in the presenile group. Further, presenile subjects showed relatively flat CNV waveshapes of low amplitude and, as a whole, performed a little less well than young persons. This finding suggests that the statistically significant changes in post-S1 EPRs and CNV activity recorded in our presenile subjects, without appreciable deficits in behavioral and mental performance, could be alerting signs of early brain involutional processes related to minimal and subclinical decrement of orienting, attentiveness and response preparation capabilities. If such is the case and it could be confirmed in a larger sample of very healthy subjects, these age-related changes in the presenium could be of considerable practical importance for clinical and research applications.
    Type of Medium: Electronic Resource
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