PMID- 21447109 OWN - NLM STAT- MEDLINE DCOM- 20110809 LR - 20110330 IS - 1479-8301 (Electronic) IS - 1346-3500 (Linking) VI - 11 IP - 1 DP - 2011 Mar TI - Clinical profiles of late-onset semantic dementia, compared with early-onset semantic dementia and late-onset Alzheimer's disease. PG - 46-53 LID - 10.1111/j.1479-8301.2010.00351.x [doi] AB - BACKGROUND: Semantic dementia (SD) has been recognized as a representative of dementia with presenile onset; however, recent epidemiological studies have shown that SD also occurs in the elderly. There have been few studies about the differences of clinical profiles between early-onset SD (EO-SD) and late-onset SD (LO-SD). Age-associated changes in the brain might cause some additional cognitive and behavioural profiles of LO-SD in contrast to the typical EO-SD cases. The aim of the present study was to clarify the characteristics of neuropsychological, and behavioural and psychological symptoms of dementia (BPSD) profiles of LO-SD patients observed in screening tests in comparison with EO-SD patients and late-onset Alzheimer's disease (LO-AD) patients as controls. METHODS: Study participants were LO-SD (n = 10), EO-SD (n = 15) and LO-AD (n = 47). We examined the Mini-Mental State Examination (MMSE), the Raven's Coloured Progressive Matrices (RCPM), the Short-Memory Questionnaire (SMQ), the Neuropsychiatric Inventory (NPI) and the Stereotypy Rating Inventory (SRI). RESULTS: Both SD groups scored significantly lower than the LO-AD patients in 'naming' of the MMSE. In the 'construction' score of the MMSE and the RCPM score, however, the LO-SD patients as well as the LO-AD patients were significantly lower than the EO-SD patients. In the SMQ score, 'euphoria' and 'disinhibition' scores of the NPI, the SRI total and subscale scores, both SD groups were significantly higher, whereas in the 'delusion' score of the NPI, both SD groups were significantly lower than the LO-AD patients. CONCLUSIONS: Visuospatial and constructive skills of LO-SD patients might be mildly deteriorated compared with EO-SD patients, whereas other cognitive and behavioural profiles of LO-SD are similar to EO-SD. Age-associated changes in the brain should be considered when we diagnose SD in elderly patients. CI - (c) 2011 The Authors. Psychogeriatrics (c) 2011 Japanese Psychogeriatric Society. FAU - Shimizu, Hideaki AU - Shimizu H AD - Department of Neuropsychiatry, Neuroscience, Ehime University Graduate School of Medicine, Shitsukawa, Japan. FAU - Komori, Kenjiro AU - Komori K FAU - Fukuhara, Ryuji AU - Fukuhara R FAU - Shinagawa, Shunichiro AU - Shinagawa S FAU - Toyota, Yasutaka AU - Toyota Y FAU - Kashibayashi, Tetsuo AU - Kashibayashi T FAU - Sonobe, Naomi AU - Sonobe N FAU - Matsumoto, Teruhisa AU - Matsumoto T FAU - Mori, Takaaki AU - Mori T FAU - Ishikawa, Tomohisa AU - Ishikawa T FAU - Hokoishi, Kazuhiko AU - Hokoishi K FAU - Tanimukai, Satoshi AU - Tanimukai S FAU - Ueno, Shu-Ichi AU - Ueno S FAU - Ikeda, Manabu AU - Ikeda M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Psychogeriatrics JT - Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society JID - 101230058 SB - IM MH - Age of Onset MH - Aged MH - Alzheimer Disease/diagnosis/psychology MH - Behavioral Symptoms MH - Case-Control Studies MH - Cognition MH - Diagnosis, Differential MH - Female MH - Frontotemporal Lobar Degeneration/*diagnosis/*psychology MH - Humans MH - Male MH - Middle Aged MH - *Neuropsychological Tests MH - Stereotyped Behavior EDAT- 2011/03/31 06:00 MHDA- 2011/08/10 06:00 CRDT- 2011/03/31 06:00 PHST- 2011/03/31 06:00 [entrez] PHST- 2011/03/31 06:00 [pubmed] PHST- 2011/08/10 06:00 [medline] AID - 10.1111/j.1479-8301.2010.00351.x [doi] PST - ppublish SO - Psychogeriatrics. 2011 Mar;11(1):46-53. doi: 10.1111/j.1479-8301.2010.00351.x.