PMID- 21813038 OWN - NLM STAT- MEDLINE DCOM- 20120228 LR - 20191210 IS - 1741-203X (Electronic) IS - 1041-6102 (Linking) VI - 23 IP - 10 DP - 2011 Dec TI - Perseverative errors on the Wisconsin Card Sorting Test and brain perfusion imaging in mild Alzheimer's disease. PG - 1552-9 LID - 10.1017/S1041610211001463 [doi] AB - BACKGROUND: The Wisconsin Card Sorting Test (WCST) has long been used to investigate deficits in executive function in humans. The majority of studies investigating deficient WCST performance focused on the number of categories achieved (CA) and the number of perseverative errors of the Nelson type (PEN). However, there is insufficient evidence that these two measures reflect the same neural deficits. METHODS: Twenty AD patients with high PEN scores, and 20 age- and sex-matched AD patients with low PEN scores were selected. All 40 subjects underwent brain SPECT, and the SPECT images were analyzed by Statistical Parametric Mapping. RESULTS: No significant differences were found between high and low PEN score groups with respect to years of education, Addenbrooke's Cognitive Examination scores, and Mini-Mental State Examination scores. However, higher z scores for hypoperfusion in the bilateral rectal and orbital gyri were observed in the high PEN score group compared with the low PEN score group. CONCLUSIONS: Our results suggest that functional activity of the bilateral rectal and orbital gyri is closely related to PEN scores on a modified WCST (mWCST). The PEN score on a mWCST might be a promising index of dysfunction of the orbitofrontal area among patients with mild AD. FAU - Terada, Seishi AU - Terada S AD - Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. terada@cc.okayama-u.ac.jp FAU - Sato, Shuhei AU - Sato S FAU - Honda, Hajime AU - Honda H FAU - Kishimoto, Yuki AU - Kishimoto Y FAU - Takeda, Naoya AU - Takeda N FAU - Oshima, Etsuko AU - Oshima E FAU - Yokota, Osamu AU - Yokota O FAU - Uchitomi, Yosuke AU - Uchitomi Y LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110804 PL - England TA - Int Psychogeriatr JT - International psychogeriatrics JID - 9007918 SB - IM MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/*diagnostic imaging/*psychology MH - Brain/*diagnostic imaging MH - Case-Control Studies MH - Cerebrovascular Circulation MH - *Executive Function MH - Female MH - Humans MH - Male MH - Neuropsychological Tests/*standards MH - Severity of Illness Index MH - *Tomography, Emission-Computed, Single-Photon EDAT- 2011/08/05 06:00 MHDA- 2012/03/01 06:00 CRDT- 2011/08/05 06:00 PHST- 2011/08/05 06:00 [entrez] PHST- 2011/08/05 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] AID - S1041610211001463 [pii] AID - 10.1017/S1041610211001463 [doi] PST - ppublish SO - Int Psychogeriatr. 2011 Dec;23(10):1552-9. doi: 10.1017/S1041610211001463. Epub 2011 Aug 4.