Semin Neurol 2007; 27(1): 007-021
DOI: 10.1055/s-2006-956751
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Neuropsychology of Cortical versus Subcortical Dementia Syndromes

David P. Salmon1 , J. Vincent Filoteo2
  • 1Department of Neurosciences, University of California, San Diego
  • 2Department of Psychiatry, University of California, San Diego, and Psychology Service, San Diego Veterans Affairs Medical Center, La Jolla, California
Further Information

Publication History

Publication Date:
17 January 2007 (online)

ABSTRACT

Neuropsychological studies have shown that there are several prominent differences in the patterns of cognitive deficits that occur in neurodegenerative disorders that have their primary etiology in either cortical or subcortical brain dysfunction. Quantitative and qualitative differences are apparent across many cognitive domains, including memory (in all its aspects), attention, executive functions, language and semantic knowledge, and visuospatial abilities. These distinct patterns of deficits have been broadly characterized as forming cortical and subcortical dementia syndromes. Differentiating between cortical and subcortical dementia provides a heuristically useful model for understanding brain-behavior relationships in neurodegenerative diseases and may improve the ability to clinically distinguish among various dementing disorders.

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  • 141 Salmon D P, Chan A S. Semantic memory deficits associated with Alzheimer's disease. In: Cermak LS Neuropsychological Explorations of Memory and Cognition: Essays in Honor of Nelson Butters. New York; Plenum Press 1994: 61-76
  • 142 Brandt J, Butters N. The neuropsychology of Huntington's disease.  Trends Neurosci. 1986;  9 118-120
  • 143 Brouwers P, Cox C, Martin A, Chase T, Fedio P. Differential perceptual-spatial impairment in Huntington's and Alzheimer's dementias.  Arch Neurol. 1984;  41 1073-1076
  • 144 Caine E D, Bamford K A, Schiffer R B, Shoulson I, Levy S. A controlled neuropsychological comparison of Huntington's disease and multiple sclerosis.  Arch Neurol. 1986;  43 249-254
  • 145 Josiassen R C, Curry L M, Mancall E L. Development of neuropsychological deficits in Huntington's disease.  Arch Neurol. 1983;  40 791-796
  • 146 Lawrence A D, Watkins L H, Sahakian B J, Hodges J R, Robbins T W. Visual object and visuospatial cognition in Huntington's disease: implications for information processing in corticostriatal circuits.  Brain. 2000;  123 1349-1364
  • 147 Bamford K A, Caine E D, Kido D K, Plassche W M, Shoulson I. Clinical-pathologic correlations in Huntington's disease: neuropsychology and computed tomography study.  Neurology. 1989;  39 796-801
  • 148 Strauss M E, Brandt J. Is there increased WAIS pattern variability in Huntington's disease?.  J Clin Exp Neuropsychol. 1985;  7 122-126
  • 149 Bylsma F W, Brandt J, Strauss M E. Personal and extrapersonal orientation in Huntington's disease patients and those at risk.  Cortex. 1992;  28 113-122
  • 150 Cronin-Golomb A, Amick M. Spatial abilities in aging, Alzheimer's disease, and Parkinson's disease. In: Boller F, Cappa SF Handbook of Neuropsychology. 2nd ed. Vol. 6: Aging and Dementia. Amsterdam; Elsevier 2001: 119-143
  • 151 Lineweaver T T, Salmon D P, Bondi M W, Corey-Bloom J. Distinct effects of Alzheimer's disease and Huntington's disease on performance of mental rotation.  J Int Neuropsychol Soc. 2005;  11 30-39
  • 152 Festa E K, Insler R Z, Salmon D P, Paxton J, Hamilton J M, Heindel W C. Neocortical disconnectivity disrupts sensory integration in Alzheimer's disease.  Neuropsychology. 2005;  19 728-738
  • 153 De Lacoste M C, White C L. The role of cortical connectivity in Alzheimer's disease pathogenesis: a review and model system.  Neurobiol Aging. 1993;  14 1-16
  • 154 Rouleau I, Salmon D P, Butters N, Kennedy C, McGuire K. Quantitative and qualitative analyses of clock drawings in Alzheimer's and Huntington's disease.  Brain Cogn. 1992;  18 70-87

David P SalmonPh.D. 

Department of Neurosciences (0948), University of California, San Diego

9500 Gilman Drive, La Jolla, CA 92093-0948

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