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J Neuropsychiatry Clin Neurosci 1996; 8:41-46
Copyright © 1996 by American Neuropsychiatric Association
Apathy and loss of insight in Alzheimer's disease: a SPECT imaging study
BR Ott, RB Noto and BS Fogel
Roger Williams Medical Center Division of Neurology, Providence, RI 02908, US
Apathy and loss of insight as correlates of behavior in Alzheimer's disease
(AD) were studied in 40 patients by using clinical scales and cerebral
blood flow measurements from SPECT imaging. Apathy was significantly
correlated with decreased right temporoparietal perfusion and problem
behaviors. Loss of insight was significantly correlated with decreased
right temporo-occipital perfusion and impairment in daily functioning.
Dementia severity as measured by the Mini-Mental State Examination (MMSE)
was a poor predictor of behavioral problems or daily functioning. These
data suggest that global measures of cognitive ability, which are weighted
toward measuring left hemisphere function, are less important as indicators
of management problems in AD than are measures of right hemisphere function
such as motivation and insight.
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