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Sudo FK, Alves GS, Tiel C, Ericeira-Valente L, Moreira DM, Laks J, Engelhardt E. Neuroimaging criteria and cognitive performance in vascular mild cognitive impairment: A systematic review. Dement Neuropsychol 2015; 9:394-404. [PMID: 29213989 PMCID: PMC5619322 DOI: 10.1590/1980-57642015dn94000394] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
The recognition of Cerebrovascular Disease (CVD) at earlier clinical stages may
favor the control of vascular risk factors and prevention of dementia. However,
operational criteria for symptomatic phases at non-dementia stages are often
difficult, as the current criteria normally require the evidence of extensive
subcortical disease.
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Affiliation(s)
- Felipe Kenji Sudo
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro RJ, Brazil
| | - Gilberto Sousa Alves
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro RJ, Brazil.,Departamento de Medicina Clínica, Universidade Federal do Ceará, Fortaleza CE, Brazil
| | - Chan Tiel
- Instituto de Neurologia Deolindo Couto, Setor de Neurologia Cognitiva e do Comportamento-INDC-CDA/IPUB, UFRJ, Rio de Janeiro RJ, Brazil
| | - Letice Ericeira-Valente
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro RJ, Brazil
| | - Denise Madeira Moreira
- Serviço de Radiologia, Instituto de Neurologia Deolindo Couto (UFRJ); Hospital Pró-Cardíaco, Rio de Janeiro RJ, Brazil
| | - Jerson Laks
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro RJ, Brazil.,Universidade do Estado do Rio de Janeiro, Rio de Janeiro RJ, Brazil
| | - Eliasz Engelhardt
- Instituto de Neurologia Deolindo Couto, Setor de Neurologia Cognitiva e do Comportamento-INDC-CDA/IPUB, UFRJ, Rio de Janeiro RJ, Brazil
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Healthy Aging and Compensation of Sentence Comprehension Auditory Deficits. BIOMED RESEARCH INTERNATIONAL 2015; 2015:640657. [PMID: 26605334 PMCID: PMC4641942 DOI: 10.1155/2015/640657] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 09/30/2015] [Indexed: 11/17/2022]
Abstract
Objectives. To analyze the effect of aging on sentence auditory comprehension and to study the relationship between this language skill and cognitive functions (attention, working memory, and executive functions). Methods. A total of 90 healthy subjects were divided into three groups: adults (50–59 years), young-old (60–69 years), and old-old (70–80 years). Subjects were assessed using the Revised Token Test. The measures used for performance analysis were number of correct answers (accuracy) and execution time of commands on the different subtests. Results. Regarding accuracy, groups showed similar performance on the first blocks, but the young-old and old-old performed worse than adults on blocks 9 and 10. With respect to execution time, groups differed from block 2 (i.e., the groups differed for all blocks, except for block 1), with the worst performance observed in the old-old group, followed by that of the young-old group. Therefore, the elderly required more time to attain performance similar to that of adults, showing that time measurements are more sensitive for detecting the effects of age. Sentence comprehension ability is correlated with cognitive test performance, especially for global cognition and working memory tests. Conclusions. Healthy aging is characterized by the ability to compensate for difficulties in linguistic processing, which allows the elderly to maintain functional communication.
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Araújo AMGDD, Lima DO, Nascimento IDP, Almeida AAFD, Rosa MRDD. Linguagem em idosos com doença de Alzheimer: uma revisão sistemática. REVISTA CEFAC 2015. [DOI: 10.1590/1982-021620151754215] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Resumo: Com o aumento da expectativa de vida, as demências vêm acometendo a população, sendo a doença de Alzheimer a mais comum. Essa se define por um desaparecimento gradativo de memória e de outras funções cognitivas, entre elas, a linguagem. A linguagem humana é importante para estabelecer as ligações interpessoais e promover a inclusão social do indivíduo. O presente artigo teve por objetivo realizar uma revisão sistemática a respeito de trabalhos científicos sobre a associação entre a Doença de Alzheimer e a Linguagem. Os artigos foram pesquisados em três bases de dados: Scielo, Lilacs e Bireme, sendo utilizados como principais descritores de busca bibliográfica: Doença de Alzheimer, Linguagem e Comunicação, no período de outubro a dezembro de 2013. A amostra final formou-se por 07 artigos, sendo incluídos aqueles que caracterizavam a linguagem na Doença Alzheimer em seus diferentes estágios. Através dos resultados desse estudo, foi possível verificar a existência de alterações da linguagem em todos os estágios da Doença e a importância da identificação precoce de tais alterações. Essa identificação pode proporcionar tempo ao paciente e seus familiares de programarem e organizarem seu futuro, buscando serviços de assistência ao paciente, bem como auxílio no processo de comunicação do indivíduo e na qualidade de vida. Esses achados apontam para a importância do conhecimento das principais alterações apresentadas pelos indivíduos com a doença de Alzheimer, sejam elas de linguagem, cognitivas ou de comportamento. É fundamental o desenvolvimento de estudos que contemplem a relação entre testes utilizados para identificarem as principais alterações de linguagem em indivíduos com Doença de Alzheimer.
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Parente MADMP, Baradel RR, Fonseca RP, Pereira N, Carthery-Goulart MT. Evolution of language assessment in patients with acquired neurological disorders in Brazil. Dement Neuropsychol 2014; 8:196-206. [PMID: 29213904 PMCID: PMC5619395 DOI: 10.1590/s1980-57642014dn83000002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 04/18/2014] [Indexed: 12/02/2022] Open
Abstract
The objective of this paper was to describe the evolution of language assessments in patients with acquired neurological diseases over a period of around 45 years from 1970, when interdisciplinarity in Neuropsychology first began in Brazil, to the present day. The first twenty years of data was based on memories of Speech Pathology University Professors who were in charge of teaching aphasia. We then show the contributions of Linguistics, Cognitive Psychology, as well as Psycholinguistic and Psychometric criteria, to language evaluation. Finally, the current panorama of adaptations and creations of validated and standardized instruments is given, based on a search of the databases Pubmed, Scopus and Lilacs. Our closing remarks highlight the diversity in evaluation approaches and the recent tendency of language evaluations linked to new technologies such as brain imaging and computational analysis.
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Affiliation(s)
- Maria Alice de Mattos Pimenta Parente
- Senior Professor (PVNS/ CAPES) at UFABC – Universidade
Federal do ABC. Center of Mathematics, Computation and Cognition. Neuroscience and
Cognition Post-graduate Program. Language and Cognition Research Group (GELC-UFABC),
Santo André, SP, Brazil
| | - Roberta Roque Baradel
- Post-graduate student (MSc). Neuroscience and Cognition
Post-graduate Program, UFABC – Universidade Federal do ABC. Language and Cognition
Research Group (GELC-UFABC), Santo André, SP, Brazil
| | - Rochele Paz Fonseca
- Adjunct Professor with the Psychology Department,
Post-Graduate Program in Psychology, Human Cognition Pontifical Catholic University
of Rio Grande do Sul (PUCRS)
| | - Natalie Pereira
- Post-graduate student (MSc). Post-Graduate Program in
Psychology, Human Cognition; Pontifical Catholic University of Rio Grande do Sul
(PUCRS)
| | - Maria Teresa Carthery-Goulart
- Professor at UFABC – Universidade Federal do ABC. Center
of Mathematics, Computation and Cognition. Neuroscience and Cognition Post-graduate
Program. Language and Cognition Research Group (GELC-UFABC), Santo André, SP,
Brazil. Researcher at the Behavioural and Cognitive Neurology Unit, University of
São Paulo, School of Medicine, São Paulo, Brazil
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de Paula JJ, Bertola L, Ávila RT, Moreira L, Coutinho G, de Moraes EN, Bicalho MAC, Nicolato R, Diniz BS, Malloy-Diniz LF. Clinical applicability and cutoff values for an unstructured neuropsychological assessment protocol for older adults with low formal education. PLoS One 2013; 8:e73167. [PMID: 24066031 PMCID: PMC3774762 DOI: 10.1371/journal.pone.0073167] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2013] [Accepted: 07/17/2013] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The neuropsychological exam plays a central role in the assessment of elderly patients with cognitive complaints. It is particularly relevant to differentiate patients with mild dementia from those subjects with mild cognitive impairment. Formal education is a critical factor in neuropsychological performance; however, there are few studies that evaluated the psychometric properties, especially criterion related validity, neuropsychological tests for patients with low formal education. The present study aims to investigate the validity of an unstructured neuropsychological assessment protocol for this population and develop cutoff values for clinical use. METHODS AND RESULTS A protocol composed by the Rey-Auditory Verbal Learning Test, Frontal Assessment Battery, Category and Letter Fluency, Stick Design Test, Clock Drawing Test, Digit Span, Token Test and TN-LIN was administered to 274 older adults (96 normal aging, 85 mild cognitive impairment and 93 mild Alzheimer`s disease) with predominantly low formal education. Factor analysis showed a four factor structure related to Executive Functions, Language/Semantic Memory, Episodic Memory and Visuospatial Abilities, accounting for 65% of explained variance. Most of the tests showed a good sensitivity and specificity to differentiate the diagnostic groups. The neuropsychological protocol showed a significant ecological validity as 3 of the cognitive factors explained 31% of the variance on Instrumental Activities of Daily Living. CONCLUSION The study presents evidence of the construct, criteria and ecological validity for this protocol. The neuropsychological tests and the proposed cutoff values might be used for the clinical assessment of older adults with low formal education.
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Affiliation(s)
- Jonas Jardim de Paula
- Laboratory of Neuropsychological Investigations (LIN), Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Laiss Bertola
- Laboratory of Neuropsychological Investigations (LIN), Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Rafaela Teixeira Ávila
- Laboratory of Neuropsychological Investigations (LIN), Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Lafaiete Moreira
- Laboratory of Neuropsychological Investigations (LIN), Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Gabriel Coutinho
- Clinical Staff, D'Or Institute for Research and Education (ID'Or), Rio de Janeiro, Rio de Janeiro, Brazil
- Programa de Pós-graduação em Ciências Morfológicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Edgar Nunes de Moraes
- Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | - Rodrigo Nicolato
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Breno Satler Diniz
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Leandro Fernandes Malloy-Diniz
- Laboratory of Neuropsychological Investigations (LIN), Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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de Paula JJ, Cintra MTG, Miranda DM, Bicalho MAC, Moares EN, Malloy-Diniz LF. Remission of cognitive deficits in Parkinson's disease: recovery from a nonamnestic mild cognitive impairment or psychiatric symptoms remission? Case Rep Psychiatry 2012; 2012:427698. [PMID: 23193494 PMCID: PMC3501808 DOI: 10.1155/2012/427698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2012] [Accepted: 10/01/2012] [Indexed: 12/02/2022] Open
Abstract
Mild cognitive impairment is a clinical condition more frequent in patients with Parkinson's disease than in general population. The nonamnestic presentations, usually characterized by executive dysfunction, are most prevalent. We present a case report of a Parkinson's disease patient diagnosed with nonamnestic mild cognitive impairment that showed complete remission of cognitive symptoms after one year. We discuss the possible causes for the remission, focusing on the treatment of medical conditions such as a major depressive episode and vitamin B12 deficiency, in addition to the change of pharmacological treatment. In a third assessment, cognitive performance remained normal. The case report highlights the importance of controlling clinical comorbidities on the assessment and followup of mild cognitive impairment, especially on Parkinson's disease.
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Affiliation(s)
- Jonas Jardim de Paula
- Laboratório de Investigações Neuropsicológicas (LIN), Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Avenida Alfredo Balena 190, 30130-100 Belo Horizonte, MG, Brazil
- Instituto Jenny de Andrade Faria de Atenção à Saúde do Idoso, Hospital das Clínicas, Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
| | - Marco Túlio Gualberto Cintra
- Instituto Jenny de Andrade Faria de Atenção à Saúde do Idoso, Hospital das Clínicas, Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
| | - Débora Marques Miranda
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Avenida Alfredo Balena 190, 30130-100 Belo Horizonte, MG, Brazil
| | - Maria Aparecida Camargos Bicalho
- Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
| | - Edgar Nunes Moares
- Instituto Jenny de Andrade Faria de Atenção à Saúde do Idoso, Hospital das Clínicas, Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
- Departamento de Clínica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
| | - Leandro Fernandes Malloy-Diniz
- Laboratório de Investigações Neuropsicológicas (LIN), Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
- INCT de Medicina Molecular, Faculdade de Medicina, Universidade Federal de Minas Gerais, Avenida Alfredo Balena 190, 30130-100 Belo Horizonte, MG, Brazil
- Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, 31270-901 Belo Horizonte, MG, Brazil
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