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Departments of Neurology (Drs. Soininen, Pitkänen, Hallikainen, Koivisto, and Riekkinen, and T. Hänninen) and Clinical Radiology (Dr. Partanen and P. Vainio), University Hospital of Kuopio, University of Kuopio, Finland.
Age-associated memory impairment (AAMI) is a common but disputed entity. It is unclear whether AAMI is a phenomenon of normal aging or an early sign of Alzheimer's disease. The present study aimed to identify possible structural abnormalities in the medial temporal lobe of AAMI subjects. We measured volumes of the hippocampus and amygdala by MRI in 16 AAMI subjects and in 16 age- and sex-matched controls and correlated the volumes with subjects' performance on two visual memory tasks (the Benton and the Heaton visual retention tests) and on a verbal memory task (the Buschke-Fuld Selective Reminding Test). The mean hippocampal and amygdaloid volumes normalized for brain size per se did not differ between the two study groups. In controls, but not in AAMI subjects, the right hippocampus was larger than the left. Accordingly, the volumetric asymmetry between the right and left hippocampi was smaller in AAMI subjects than in controls (Student's t test, p <0.05). The volume of the right hippocampus (r = 0.37, n = 32, p <0.05) and the magnitude of the asymmetry between the right and left hippocampi (r = 0.38, n = 32, p <0.05) correlated with total score on the Benton test. We also found significant correlations between the amygdaloid volumes and the performance on visual memory tests but not with score on the verbal memory test. Furthermore, a subgroup of seven AAMI subjects with the lowest visual memory scores (
5 on the Benton test) had smaller right and left amygdala (13%, p <0.05) than the six controls with the highest scores (=9 on the Benton test). Thus, we demonstrate that minor structural changes are present in both the hippocampus and the amygdala in AAMI subjects compared with age-matched controls. Follow-up of the subjects will be necessary to determine whether these minor structural abnormalities predict development of dementia or just reflect increased variability of cognitive performance in elderly humans.
Address correspondence and reprint requests to Dr. Hilkka Soininen, Department of Neurology, University of Kuopio, P.O. Box 1627, FIN-70211 Kuopio, Finland.
Supported by the Medical Research Council of the Academy of Finland.
Received November 9, 1993. Accepted in final form February 24, 1994.
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