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Agraphia in Korean patients with early onset Alzheimer's disease.

Authors
Yoon, JH; Suh, MK; Jeong, Y; Ahn, HJ; Moon, SY; Chin, J; Seo, SW; Na, DL
Citation
International psychogeriatrics, 23(8):1317-1326, 2011
Journal Title
International psychogeriatrics
ISSN
1041-61021741-203X
Abstract
BACKGROUND: Agraphia in Korean patients may be different from agraphia in other patients who use alphabetical writing systems due to the "visuoconstructional script" characteristics of the Korean writing system, Hangul. Patients with early onset Alzheimer's disease (EOAD) have a severe degree of hypometabolism in the parietal area, which is known to be involved in processing visuospatial function. Thus, we explored the diverse error patterns manifested in writing single syllables in Korean patients with EOAD.



METHODS: A study sample of 35 patients with EOAD and 18 healthy controls (HC) performed a Hangul writing task. We analyzed the erroneous responses of the subjects according to visuoconstructional and linguistic characteristics. In addition, we evaluated the relationship between Hangul writing and the neuropsychological variables as well as the severity of dementia.



RESULTS: When comparing the total number of erroneous responses between EOAD and HC groups, the performances of EOAD patients were significantly worse than those of HC. EOAD patients demonstrated visuoconstructional errors even in the early stages of the disease. Severity of dementia and multiple cognitive domains such as attention, language, immediate memory, and frontal executive functions significantly correlated with the performance of Hangul writing.



CONCLUSION: Our findings suggest that patients with EOAD exhibit not only linguistic errors but also visuoconstructional manifestations of agraphia, which are associated with cognitive impairments in the multiple domains.
MeSH terms
AdultAge of OnsetAgedAgraphia/*etiologyAlzheimer Disease/complications/*psychologyCase-Control StudiesExecutive FunctionFemaleHandwritingHumansLanguage TestsMaleMiddle AgedNeuropsychological TestsPsycholinguisticsPsychomotor PerformanceRepublic of Korea
DOI
10.1017/S1041610211000822
PMID
21615977
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurology
AJOU Authors
문, 소영
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