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The outcome of elderly patients with cognitive complaints but normal neuropsychological tests

dc.contributor.authorNunes, Teresa
dc.contributor.authorFragata, Isabel
dc.contributor.authorRibeiro, Filipa
dc.contributor.authorPalma, Teresa
dc.contributor.authorMaroco, João
dc.contributor.authorCannas, Jorge
dc.contributor.authorSecca, Mário
dc.contributor.authorMenezes, Cristina
dc.contributor.authorCarmo, Isabel
dc.contributor.authorCunha, Gil
dc.contributor.authorBranco, Miguel Castelo
dc.contributor.authorGuerreiro, Manuela
dc.contributor.authorMendonça, Alexandre de
dc.date.accessioned2013-12-18T18:29:11Z
dc.date.available2013-12-18T18:29:11Z
dc.date.issued2010
dc.description.abstractElderly patients may present with prominent cognitive complaints and have performances in neuropsychological tests within the normal range for the age and education, and thus do not fulfill the criteria for mild cognitive impairment (MCI). There is insufficient evidence to support the clinical decision in these cases (“pre-MCI”). Forty-three subjects, 11 controls, 15 “pre-MCI,” and 17 MCI, were followed for about three and half years with neuropsychological testing and magnetic resonance imaging including volumetric measurements of the hippocampus and amygdala. Two of the “pre-MCI” subjects suffered cognitive and functional deterioration and were diagnosed with dementia. Although the “pre-MCI” subjects as a group had no significant deterioration in neuropsychological tests, they suffered a decline in the total hippocampal volume (P = 0.04) along the follow-up time. In contrast, all control subjects remained stable and had no volumetric decreases. As expected, MCI patients underwent significant deterioration in several neuropsychological tests, often progressed to Alzheimer’s disease, and showed decreases both in total hippocampal and amygdalar volumes. Elderly people presenting with cognitive complaints may be in an initial phase of a degenerative disorder and should be followed clinically, even if they have normal neuropsychological tests.por
dc.identifier.citationJournal of Alzheimer's Disease, 19, 137-145por
dc.identifier.issn1387-2877
dc.identifier.urihttp://hdl.handle.net/10400.12/2536
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherIOS Presspor
dc.subjectAgingpor
dc.subjectAlzheimer’s diseasepor
dc.subjectAmygdalapor
dc.subjectDementiapor
dc.subjectHippocampuspor
dc.subjectMagnetic resonance imagingpor
dc.subjectMild cognitive impairment (MCI),por
dc.subjectPre-MCIpor
dc.subjectVolumetrypor
dc.titleThe outcome of elderly patients with cognitive complaints but normal neuropsychological testspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceAmsterdampor
oaire.citation.endPage145por
oaire.citation.startPage137por
oaire.citation.titleJournal of Alzheimer's Diseasepor
oaire.citation.volume19por
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor

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