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BukuVerbal episodic memory declines prior to diagnosis in Huntington’s disease (in Neuropsychologia 45)
Bibliografi
Author: Solomon, Andrea C. ; Stout, Julie C. ; Johnson, Shannon A. ; Langbehn, Douglas R. ; Aylward, Elizabeth ; Brandt, Jason ; Ross, Christopher A. ; Beglinger, Leigh ; Hayden, Michael R. ; Kieburtz, Karl ; Kayson, Elise ; Julian-Baros, Elaine ; Duff, Kevin ; Guttman, Mark ; Nance, Martha ; Oakes, David ; Shoulson, Ira ; Penziner, Elizabeth ; Paulsen, Jane S.
Topik: Cognitive; Early Detection; Genetic Risk; CAG; Striatum; Basal Ganglia
Bahasa: (EN )    
Penerbit: Elsevier     Tempat Terbit: New York    Tahun Terbit: 2007    
Jenis: Article - diterbitkan di jurnal ilmiah internasional
Fulltext: Neuropsychologia 2007 Apr 9 vol 45 (no 8 pp. 1767-76.pdf (428.89KB; 2 download)
Abstract
Previous studies of verbal episodic memory in pre-diagnostic Huntington’s disease (HD) have yielded mixed results; some evidence suggests that memory decline is evident prior to the onset of pronounced neurological signs of HD, whereas other data indicate that memory function remains normal throughout the pre-diagnostic period. This study examines verbal episodic memory in a sample of CAG expanded individuals who have not yet been clinically diagnosed, and who represent a wide range of points along the continuum from health to disease. The Hopkins Verbal Learning Test—Revised (HVLT-R) was administered to 479 participants (428 with the HD CAG expansion and 51 without), and performance was compared to neurobiological indices of disease progression, including a DNA-based estimate of proximity to clinical diagnosis, magnetic resonance imaging (MRI) measures of striatal volume, and neurologist ratings of motor signs. Lower HVLT-R scores were associated with closer proximity to clinical diagnosis and smaller striatal volumes; these relationships were found even in groups with no neurological signs of HD. The CAG expanded groups, including those with only minimal neurological signs, had significantly lower HVLT-R scores than the control group, and performance was worse in sub-groups that had more neurological signs consistent with HD. These findings indicate that verbal episodic memory is affected in early pre-diagnostic HD and may decline as striatal volumes decrease and individuals approach the motor diagnostic threshold.
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