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NEUROLOGY 1994;44:609
© 1994 American Academy of Neurology

The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part V. A normative study of the neuropsychological battery

K. A. Welsh, PhD, N. Butters, PhD, R. C. Mohs, PhD, D. Beekly, BS, S. Edland, MS, G. Fillenbaum, PhD and A. Heyman, MD

Duke University Medical Center, Durham, NC (Drs. Welsh, Fillenbanm, and Heyman)
Veterans Administration Medical Center and University of California at San Diego, La Jolla, CA (Dr. Butters)
Mount Sinai School of Medicine, New York, NY (Dr. Mohs)
University of Washington, Seattle, WA (D. Beekly and S. Edland).

The neuropsychological tests developed for the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) are currently used to measure cognitive impairments of Alzheimer's disease (AD) in clinical investigations of this disorder. This report presents the normative information for the CERAD battery, obtained in a large sample (n = 413) of control subjects (ages 50 to 89) who were enrolled in 23 university medical centers in the United States participating in the CERAD study from 1987 to 1992. We compared separately the performance of subjects with high (≥12) and low (<12) years of formal education. For many of the individual cognitive measures in the highly educated group, we observed significant age and gender effects. Only the praxis measure showed a significant age effect in the low-education group. Delayed recall, when adjusted for amount of material acquired (savings), was relatively unaffected by age, gender, and level of education. Our findings suggest that the savings scores, in particular, may be useful in distinguishing between AD and normal aging.

Address correspondence and reprint requests to Dr. Kathleen Welsh, Bryan Alzheimer's Disease Research Center, Duke University Medical Center, 2200 West Main Street, Suite A-230, Durham, NC 27705.

Supported by NIA grants AG06790 and AG05128 to Duke University Medical Center by funds from the Veterans Administration, Washington, DC, and NIA grants AG08024 and AG05131 to the University of California at San Diego, CA.

Received August 4, 1993. Accepted for publication in final form September 15, 1993.




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[Abstract] [Full Text] [PDF]


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Arch NeurolHome page
D. A. Evans, D. A. Bennett, R. S. Wilson, J. L. Bienias, M. C. Morris, P. A. Scherr, L. E. Hebert, N. Aggarwal, L. A. Beckett, R. Joglekar, et al.
Incidence of Alzheimer Disease in a Biracial Urban Community: Relation to Apolipoprotein E Allele Status
Arch Neurol, February 1, 2003; 60(2): 185 - 189.
[Abstract] [Full Text] [PDF]


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Arch NeurolHome page
M. C. Morris, D. A. Evans, J. L. Bienias, C. C. Tangney, D. A. Bennett, N. Aggarwal, J. Schneider, and R. S. Wilson
Dietary Fats and the Risk of Incident Alzheimer Disease
Arch Neurol, February 1, 2003; 60(2): 194 - 200.
[Abstract] [Full Text] [PDF]


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J. Neurol. Neurosurg. PsychiatryHome page
R S Wilson, J L Bienias, E Berry-Kravis, D A Evans, and D A Bennett
The apolipoprotein E {varepsilon}2 allele and decline in episodic memory
J. Neurol. Neurosurg. Psychiatry, December 1, 2002; 73(6): 672 - 677.
[Abstract] [Full Text] [PDF]


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Arch NeurolHome page
M. Riemenschneider, N. Lautenschlager, S. Wagenpfeil, J. Diehl, A. Drzezga, and A. Kurz
Cerebrospinal Fluid Tau and {beta}-Amyloid 42 Proteins Identify Alzheimer Disease in Subjects With Mild Cognitive Impairment
Arch Neurol, November 1, 2002; 59(11): 1729 - 1734.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
D. Mungas, B. R. Reed, W. J. Jagust, C. DeCarli, W. J. Mack, J. H. Kramer, M. W. Weiner, N. Schuff, and H. C. Chui
Volumetric MRI predicts rate of cognitive decline related to AD and cerebrovascular disease
Neurology, September 24, 2002; 59(6): 867 - 873.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
R. S. Wilson, L. L. Barnes, C. F. Mendes de Leon, N. T. Aggarwal, J. S. Schneider, J. Bach, J. Pilat, L. A. Beckett, S. E. Arnold, D. A. Evans, et al.
Depressive symptoms, cognitive decline, and risk of AD in older persons
Neurology, August 13, 2002; 59(3): 364 - 370.
[Abstract] [Full Text] [PDF]


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Arch NeurolHome page
R. S. Wilson, J. A. Schneider, L. L. Barnes, L. A. Beckett, N. T. Aggarwal, E. J. Cochran, E. Berry-Kravis, J. Bach, J. H. Fox, D. A. Evans, et al.
The Apolipoprotein E {epsilon}4 Allele and Decline in Different Cognitive Systems During a 6-Year Period
Arch Neurol, July 1, 2002; 59(7): 1154 - 1160.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
M. Riemenschneider, S. Wagenpfeil, J. Diehl, N. Lautenschlager, T. Theml, B. Heldmann, A. Drzezga, T. Jahn, H. Forstl, and A. Kurz
Tau and A{beta}42 protein in CSF of patients with frontotemporal degeneration
Neurology, June 11, 2002; 58(11): 1622 - 1628.
[Abstract] [Full Text] [PDF]


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Arch NeurolHome page
D. Pratico, C. M. Clark, F. Liun, V. Y.-M. Lee, and J. Q. Trojanowski
Increase of Brain Oxidative Stress in Mild Cognitive Impairment: A Possible Predictor of Alzheimer Disease
Arch Neurol, June 1, 2002; 59(6): 972 - 976.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
K. M. Gosche, J. A. Mortimer, C. D. Smith, W. R. Markesbery, and D. A. Snowdon
Hippocampal volume as an index of Alzheimer neuropathology: Findings from the Nun Study
Neurology, May 28, 2002; 58(10): 1476 - 1482.
[Abstract] [Full Text] [PDF]


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J. Neurol. Neurosurg. PsychiatryHome page
M Riemenschneider, J Diehl, U Muller, H Forstl, and A Kurz
Apolipoprotein E polymorphism in German patients with frontotemporal degeneration
J. Neurol. Neurosurg. Psychiatry, May 1, 2002; 72(5): 639 - 641.
[Abstract] [Full Text] [PDF]


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JAMAHome page
R. S. Wilson, C. F. Mendes de Leon, L. L. Barnes, J. A. Schneider, J. L. Bienias, D. A. Evans, and D. A. Bennett
Participation in Cognitively Stimulating Activities and Risk of Incident Alzheimer Disease
JAMA, February 13, 2002; 287(6): 742 - 748.
[Abstract] [Full Text] [PDF]


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Journals of Gerontology Series B: Psychological Sciences and Social ScienceHome page
J. H. Lee, K. U. Lee, D. Y. Lee, K. W. Kim, J. H. Jhoo, J. H. Kim, K. H. Lee, S. Y. Kim, S. H. Han, and J. I. Woo
Development of the Korean Version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): Clinical and Neuropsychological Assessment Batteries
J. Gerontol. B. Psychol. Sci. Soc. Sci., January 1, 2002; 57(1): P47 - 53.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
D. Mungas, W. J. Jagust, B. R. Reed, J. H. Kramer, M. W. Weiner, N. Schuff, D. Norman, W. J. Mack, L. Willis, and H. C. Chui
MRI predictors of cognition in subcortical ischemic vascular disease and Alzheimer's disease
Neurology, December 26, 2001; 57(12): 2229 - 2235.
[Abstract] [Full Text] [PDF]


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J. Neurol. Neurosurg. PsychiatryHome page
F E Chukwudelunzu, J F Meschia, N R Graff-Radford, and J A Lucas
Extensive metabolic and neuropsychological abnormalities associated with discrete infarction of the genu of the internal capsule
J. Neurol. Neurosurg. Psychiatry, November 1, 2001; 71(5): 658 - 662.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
A. Collie, P. Maruff, R. Shafiq-Antonacci, M. Smith, M. Hallup, P. R. Schofield, C. L. Masters, and J. Currie
Memory decline in healthy older people: Implications for identifying mild cognitive impairment
Neurology, June 12, 2001; 56(11): 1533 - 1538.
[Abstract] [Full Text] [PDF]


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J Geriatr Psychiatry NeurolHome page
D. S. Derrer, D. B. Howieson, E. A. Mueller, R. M. Camicioli, G. Sexton, and J. A. Kaye
Memory Testing in Dementia: How Much Is Enough?
J Geriatr Psychiatry Neurol, March 1, 2001; 14(1): 1 - 6.
[Abstract] [PDF]


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JNMHome page
J. M. Hoffman, K. A. Welsh-Bohmer, M. Hanson, B. Crain, C. Hulette, N. Earl, and R. E. Coleman
FDG PET Imaging in Patients with Pathologically Verified Dementia
J. Nucl. Med., November 1, 2000; 41(11): 1920 - 1928.
[Abstract] [Full Text] [PDF]


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StrokeHome page
S. S. Moudgil, M. Azzouz, A. Al-Azzaz, M. Haut, and L. Gutmann
Amnesia due to Fornix Infarction
Stroke, June 1, 2000; 31(6): 1418 - 1419.
[Abstract] [Full Text] [PDF]


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NeurologyHome page
J. T. Tschanz, K. A. Welsh-Bohmer, I. Skoog, N. West, M. C. Norton, B. W. Wyse, R. Nickles, and J. C. S. Breitner
Dementia diagnoses from clinical and neuropsychological data compared: The Cache County study
Neurology, March 28, 2000; 54(6): 1290 - 1296.
[Abstract] [Full Text] [PDF]


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Journals of Gerontology Series B: Psychological Sciences and Social ScienceHome page
K. P. Riley, D. A. Snowdon, A. M. Saunders, A. D. Roses, J. A. Mortimer, and N. Nanayakkara
Cognitive Function and Apolipoprotein E in Very Old Adults: Findings From the Nun Study
J. Gerontol. B. Psychol. Sci. Soc. Sci., March 1, 2000; 55(2): 69S - 75.
[Abstract] [Full Text]


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Journals of Gerontology Series A: Biological Sciences and Medical SciencesHome page
M. C. Morris, P. A. Scherr, L. E. Hebert, D. A. Bennett, R. S. Wilson, R. J. Glynn, and D. A. Evans
The Cross-sectional Association Between Blood Pressure and Alzheimer's Disease in a Biracial Community Population of Older Persons
J. Gerontol. A Biol. Sci. Med. Sci., March 1, 2000; 55(3): 130M - 136.
[Abstract] [Full Text]


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J. Neurol. Neurosurg. PsychiatryHome page
F. Manes, J. Springer, R. Jorge, and R. G Robinson
Verbal memory impairment after left insular cortex infarction
J. Neurol. Neurosurg. Psychiatry, October 1, 1999; 67(4): 532 - 534.
[Abstract] [Full Text] [PDF]


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Arch NeurolHome page
C. M. Clark, L. Sheppard, G. G. Fillenbaum, D. Galasko, J. C. Morris, E. Koss, R. Mohs, A. Heyman, and and the CERAD Investigators
Variability in Annual Mini-Mental State Examination Score in Patients With Probable Alzheimer Disease: A Clinical Perspective of Data From the Consortium to Establish a Registry for Alzheimer's Disease
Arch Neurol, July 1, 1999; 56(7): 857 - 862.
[Abstract] [Full Text] [PDF]


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BrainHome page
T. D. Bird, D. Nochlin, P. Poorkaj, M. Cherrier, J. Kaye, H. Payami, E. Peskind, T. H. Lampe, E. Nemens, P. J. Boyer, et al.
A clinical pathological comparison of three families with frontotemporal dementia and identical mutations in the tau gene (P301L)
Brain, April 1, 1999; 122(4): 741 - 756.
[Abstract] [Full Text] [PDF]


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SEMIN CARDIOTHORAC VASC ANESTHHome page
M. F. Newman, D. T. Laskowitz, A. M. Saunders, A. M. Grigore, and H. P. Grocott
Genetic Predictors of Perioperative Neurologic and Neuropsychological Injury and Recovery
Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 1999; 3(1): 34 - 46.
[Abstract] [PDF]


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JAMAHome page
D. A. Snowdon, L. H. Greiner, J. A. Mortimer, K. P. Riley, P. A. Greiner, and W. R. Markesbery
Brain Infarction and the Clinical Expression of Alzheimer Disease: The Nun Study
JAMA, March 12, 1997; 277(10): 813 - 817.
[Abstract] [PDF]




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