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NEUROLOGY 1986;36:1079
© 1986 American Academy of Neurology

Cholinergic enhancement and REM sleep latency in the aged

Lecithin does not reproduce physostigmine effect

Sheldon Kapen, MD, Peter D. Fleming, MD and David A. Drachman, MD

Department of Neurology, University of Massachusetts Medical School, Worcester, MA; the Department of Neurology, Wayne State University Medical School, Detroit, MI; and the Department of Neurology, VA Medical Center, Allen Park, MI.

The administration of lecithin has failed to improve memory in aged or demented individuals. We studied the effect of lecithin on another cholinergic function, REM sleep latency. Intravenous doses of physostigmine shortened the latency to the first REM sleep period, but oral lecithin did not. In contrast to physostigmine, brain cholinergic function may not be enhanced by lecithin, which may explain why lecithin does not improve cognitive function.

Address correspondence and reprint requests to Dr. Kapen, Neurology Service (127), VA Medical Center, Southfield and Outer Drive, Allen Park, MI 48101.

Supported in part by BRSG#6–32459 and the Friedman Fund.

Presented in part at the thirty-seventh annual meeting of the American Academy of Neurology, Dallas, TX, May 1985.

Accepted for publication December 18, 1985.







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