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NEUROLOGY 1986;36:1179
© 1986 American Academy of Neurology

Heterogeneity of cognitive impairment in progressive supranuclear palsy, Parkinson's disease, and Alzheimer's disease

Bernard Pillon, Bruno Dubois, François Lhermitte and Yves Agid

Clinique de Neurologie et Neuropsychologie and INSERM U 289, C.H.U. Pitié-Salpêtrière, Paris, France.

Patterns of cognitive and behavioral impairment were analyzed in patients with progressive supranuclear palsy (PSP), Parkinson's disease (PD), and senile dementia of Alzheimer's type (SDAT), matched for age, sex, manual laterality, educational level, and degree of intellectual deterioration. The scores of the three groups of patients were significantly lower than those of controls and were comparable on tests of verbal and visuospatial functions as well as global memory. Patients with SDAT could be distinguished by the severity of verbal memory disorders; patients with PSP, and to a lesser degree those with PD, by impaired performances on tests sensitive to frontal lobe dysfunction.

Address correspondence and reprint requests to Dr. Agid, Clinique de Neurologie et Neuropsychologie, C.H.U. Pitié-Salpêtrière, 91, Boulevard de 1'Hôpital, 75634 Paris Cedex 13, France.

The authors gratefully acknowledge the financial support of INSERM. Dr. B. Dubois is the recipient of a grant from the Fonds d'Etude du Corps Médical des Hôpitaux de Paris.

Accepted for publication January 29, 1986.




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