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Cognitive impairments associated with medial temporal atrophy and white matter hyperintensities: an MRI study in memory clinic patients

Overview of attention for article published in Frontiers in Aging Neuroscience, May 2014
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Title
Cognitive impairments associated with medial temporal atrophy and white matter hyperintensities: an MRI study in memory clinic patients
Published in
Frontiers in Aging Neuroscience, May 2014
DOI 10.3389/fnagi.2014.00098
Pubmed ID
Authors

Eduard J. Overdorp, Roy P. C. Kessels, Jurgen A. Claassen, Joukje M. Oosterman

Abstract

In this retrospective study, we investigated the independent effects of white matter hyperintensities (WMH) and hippocampal atrophy on cognitive functions in a broad sample of patients seen in a memory clinic. To ensure generalizability, these associations were examined irrespective of diagnosis and with minimal exclusion criteria. Next to these independent effects, interactions between WMH and hippocampal atrophy were examined. Between January 2006 and September 2011 a total of 500 patients visited the memory clinic, 397 of whom were included. Magnetic resonance images of 397 patients were visually analyzed for WMH, medial temporal atrophy (MTA), and global atrophy. We evaluated the association of WMH and MTA with the following cognitive domains: global cognition, episodic memory, working memory, executive function and psychomotor speed. Main effects and interaction effects were examined by means of correlation and regression analyses. In the regression analyses, we controlled for potential confounding effects of global atrophy. The correlational results revealed that WMH were associated with global cognition, executive function and psychomotor speed, whereas a trend was found for episodic memory. MTA was associated with all these four cognitive domains; an additional trend was observed for working memory. Hierarchical regression analyses revealed main independent effects of MTA for episodic memory, executive function, psychomotor speed and global cognition; WMH were only associated with global cognition. The interaction between MTA and WMH was significant for episodic memory only. This study demonstrates that predominantly MTA is an independent predictor not only for memory function, with which is it classically associated, but also for global cognition and executive function. Taken together, MTA may be an important correlate of cognitive deficits found in people attending the memory clinic.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 2%
Unknown 47 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 9 19%
Researcher 6 13%
Student > Master 6 13%
Student > Postgraduate 5 10%
Student > Bachelor 3 6%
Other 8 17%
Unknown 11 23%
Readers by discipline Count As %
Psychology 15 31%
Medicine and Dentistry 10 21%
Neuroscience 7 15%
Agricultural and Biological Sciences 2 4%
Unspecified 1 2%
Other 0 0%
Unknown 13 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 July 2014.
All research outputs
#18,374,472
of 22,758,248 outputs
Outputs from Frontiers in Aging Neuroscience
#4,018
of 4,747 outputs
Outputs of similar age
#163,059
of 226,572 outputs
Outputs of similar age from Frontiers in Aging Neuroscience
#44
of 54 outputs
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