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Published in: BMC Neurology 1/2014

Open Access 01-12-2014 | Research article

Card-placing test in amnestic mild cognitive impairment and its neural correlates

Authors: Seong-Joon Lee, Young-Sil An, Tae Sung Lim, So Young Moon

Published in: BMC Neurology | Issue 1/2014

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Abstract

Backgroud

We investigated anatomical correlates of the card-placing test (CPT) in patients with amnestic mild cognitive impairment (aMCI).

Methods

Fifteen aMCI patients underwent part A and part B of the CPT and FDG-PET. The CPT scores and MMSE scores of 29 cognitively normal people were used for comparison. Statistical parametric mapping (SPM) correlation analysis was used to extract the regions whose changes in regional cerebral metabolism correlated significantly with part A and B of the CPT with adjustment of age, education and sex of patients.

Results

The aMCI patients had significantly lower MMSE scores (26.0 ± 2.0 vs. 28.2 ± 1.4, p < 0.001), CPT A (25.5 ± 3.5 vs. 27.7 ± 2.7, p = 0.026) and CPT B scores (16.3 ± 4.4 vs. 19.7 ± 3.7, p = 0.011) compared to the normal population. The test scores of part B of the CPT correlated well with hypometabolism of the posterior cingulate gyrus and precuneus.

Conclusions

This study suggests that the CPT B may reflect the functional status of the posterior cingulate gyrus in patients with aMCI.
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Literature
1.
go back to reference Aguirre GK, D'Esposito M: Topographical disorientation: a synthesis and taxonomy. Brain. 1999, 122 (Pt 9): 1613-1628.CrossRefPubMed Aguirre GK, D'Esposito M: Topographical disorientation: a synthesis and taxonomy. Brain. 1999, 122 (Pt 9): 1613-1628.CrossRefPubMed
2.
go back to reference Takahashi N, Kawamura M, Shiota J, Kasahata N, Hirayama K: Pure topographic disorientation due to right retrosplenial lesion. Neurology. 1997, 49: 464-469. 10.1212/WNL.49.2.464.CrossRefPubMed Takahashi N, Kawamura M, Shiota J, Kasahata N, Hirayama K: Pure topographic disorientation due to right retrosplenial lesion. Neurology. 1997, 49: 464-469. 10.1212/WNL.49.2.464.CrossRefPubMed
3.
go back to reference Hashimoto R, Tanaka Y, Nakano I: Heading disorientation: a new test and a possible underlying mechanism. Eur Neurol. 2010, 63: 87-93. 10.1159/000276398.CrossRefPubMed Hashimoto R, Tanaka Y, Nakano I: Heading disorientation: a new test and a possible underlying mechanism. Eur Neurol. 2010, 63: 87-93. 10.1159/000276398.CrossRefPubMed
4.
go back to reference Taylor H, Tversky B: Spatial mental models derived from survey and route descriptions. J Mem Lang. 1992, 31: 261-282. 10.1016/0749-596X(92)90014-O.CrossRef Taylor H, Tversky B: Spatial mental models derived from survey and route descriptions. J Mem Lang. 1992, 31: 261-282. 10.1016/0749-596X(92)90014-O.CrossRef
5.
go back to reference Huang C, Wahlund LO, Svensson L, Winblad B, Julin P: Cingulate cortex hypoperfusion predicts Alzheimer's disease in mild cognitive impairment. BMC Neurol. 2002, 2: 9-10.1186/1471-2377-2-9.CrossRefPubMedPubMedCentral Huang C, Wahlund LO, Svensson L, Winblad B, Julin P: Cingulate cortex hypoperfusion predicts Alzheimer's disease in mild cognitive impairment. BMC Neurol. 2002, 2: 9-10.1186/1471-2377-2-9.CrossRefPubMedPubMedCentral
6.
go back to reference Minoshima S, Giordani B, Berent S, Frey KA, Foster NL, Kuhl DE: Metabolic reduction in the posterior cingulate cortex in very early Alzheimer's disease. Ann Neurol. 1997, 42: 85-94. 10.1002/ana.410420114.CrossRefPubMed Minoshima S, Giordani B, Berent S, Frey KA, Foster NL, Kuhl DE: Metabolic reduction in the posterior cingulate cortex in very early Alzheimer's disease. Ann Neurol. 1997, 42: 85-94. 10.1002/ana.410420114.CrossRefPubMed
7.
go back to reference Whitwell JL, Przybelski SA, Weigand SD, Knopman DS, Boeve BF, Petersen RC, Jack CR: 3D maps from multiple MRI illustrate changing atrophy patterns as subjects progress from mild cognitive impairment to Alzheimer's disease. Brain. 2007, 130 (Pt 7): 1777-1786.CrossRefPubMedPubMedCentral Whitwell JL, Przybelski SA, Weigand SD, Knopman DS, Boeve BF, Petersen RC, Jack CR: 3D maps from multiple MRI illustrate changing atrophy patterns as subjects progress from mild cognitive impairment to Alzheimer's disease. Brain. 2007, 130 (Pt 7): 1777-1786.CrossRefPubMedPubMedCentral
8.
go back to reference Petersen RC: Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004, 256: 183-194. 10.1111/j.1365-2796.2004.01388.x.CrossRefPubMed Petersen RC: Mild cognitive impairment as a diagnostic entity. J Intern Med. 2004, 256: 183-194. 10.1111/j.1365-2796.2004.01388.x.CrossRefPubMed
9.
go back to reference Oh E, Kang Y, Shin JH, Yeon BK: A validity study of K-MMSE as a screening test for dementia: Comparison against a comprehensive neuropsychological evaluation. Dementia Neurocognitive Disord. 2010, 9: 8-12. Oh E, Kang Y, Shin JH, Yeon BK: A validity study of K-MMSE as a screening test for dementia: Comparison against a comprehensive neuropsychological evaluation. Dementia Neurocognitive Disord. 2010, 9: 8-12.
10.
go back to reference Ahn HJ, Chin J, Park A, Lee BH, Suh MK, Seo SW, Na DL: Seoul neuropsychological screening battery-dementia version (SNSB-D): A useful tool for assessing and monitoring cognitive impairments in dementia patients. J Korean Med Sci. 2010, 25: 1071-1076. 10.3346/jkms.2010.25.7.1071.CrossRefPubMedPubMedCentral Ahn HJ, Chin J, Park A, Lee BH, Suh MK, Seo SW, Na DL: Seoul neuropsychological screening battery-dementia version (SNSB-D): A useful tool for assessing and monitoring cognitive impairments in dementia patients. J Korean Med Sci. 2010, 25: 1071-1076. 10.3346/jkms.2010.25.7.1071.CrossRefPubMedPubMedCentral
11.
go back to reference Hort J, Laczó J, Vyhnálek M, Bojar M, Bures J, Vlcek K: Spatial navigation deficit in amnestic mild cognitive impairment. Proc Natl Acad Sci U S A. 2007, 104: 4042-4047. 10.1073/pnas.0611314104.CrossRefPubMedPubMedCentral Hort J, Laczó J, Vyhnálek M, Bojar M, Bures J, Vlcek K: Spatial navigation deficit in amnestic mild cognitive impairment. Proc Natl Acad Sci U S A. 2007, 104: 4042-4047. 10.1073/pnas.0611314104.CrossRefPubMedPubMedCentral
12.
go back to reference Lim TS, Iaria G, Moon SY: Topographical disorientation in mild cognitive impairment: a voxel-based morphometry study. J Clin Neurol. 2010, 6: 204-211. 10.3988/jcn.2010.6.4.204.CrossRefPubMedPubMedCentral Lim TS, Iaria G, Moon SY: Topographical disorientation in mild cognitive impairment: a voxel-based morphometry study. J Clin Neurol. 2010, 6: 204-211. 10.3988/jcn.2010.6.4.204.CrossRefPubMedPubMedCentral
13.
go back to reference DeIpolyi AR, Rankin KP, Mucke L, Miller BL, Gorno-Tempini ML: Spatial cognition and the human navigation network in AD and MCI. Neurology. 2007, 69: 986-997. 10.1212/01.wnl.0000271376.19515.c6.CrossRefPubMed DeIpolyi AR, Rankin KP, Mucke L, Miller BL, Gorno-Tempini ML: Spatial cognition and the human navigation network in AD and MCI. Neurology. 2007, 69: 986-997. 10.1212/01.wnl.0000271376.19515.c6.CrossRefPubMed
14.
go back to reference Chen LL, Lin LH, Green EJ, Barnes CA, McNaughton BL: Head-direction cells in the rat posterior cortex. I. Anatomical distribution and behavioral modulation. Exp Brain Res. 1994, 101: 8-23. 10.1007/BF00243212.CrossRefPubMed Chen LL, Lin LH, Green EJ, Barnes CA, McNaughton BL: Head-direction cells in the rat posterior cortex. I. Anatomical distribution and behavioral modulation. Exp Brain Res. 1994, 101: 8-23. 10.1007/BF00243212.CrossRefPubMed
15.
go back to reference Taube JS: Head direction cells and the neurophysiological basis for a sense of direction. Prog Neurobiol. 1998, 55: 225-256. 10.1016/S0301-0082(98)00004-5.CrossRefPubMed Taube JS: Head direction cells and the neurophysiological basis for a sense of direction. Prog Neurobiol. 1998, 55: 225-256. 10.1016/S0301-0082(98)00004-5.CrossRefPubMed
16.
go back to reference Seo SW, Im K, Lee JM, Kim YH, Kim ST, Kim SY, Yang DW, Kim SI, Cho YS, Na DL: Cortical thickness in single- versus multiple-domain amnestic mild cognitive impairment. Neuroimage. 2007, 36: 289-297. 10.1016/j.neuroimage.2007.02.042.CrossRefPubMed Seo SW, Im K, Lee JM, Kim YH, Kim ST, Kim SY, Yang DW, Kim SI, Cho YS, Na DL: Cortical thickness in single- versus multiple-domain amnestic mild cognitive impairment. Neuroimage. 2007, 36: 289-297. 10.1016/j.neuroimage.2007.02.042.CrossRefPubMed
17.
go back to reference Gainotti G, Almonti S, Di Betta AM, Silverci MC: Retrograde amnesia in a patient with retrosplenial tumour. Neurocase. 1998, 4: 519-526. 10.1080/13554799808410644.CrossRef Gainotti G, Almonti S, Di Betta AM, Silverci MC: Retrograde amnesia in a patient with retrosplenial tumour. Neurocase. 1998, 4: 519-526. 10.1080/13554799808410644.CrossRef
Metadata
Title
Card-placing test in amnestic mild cognitive impairment and its neural correlates
Authors
Seong-Joon Lee
Young-Sil An
Tae Sung Lim
So Young Moon
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2014
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/1471-2377-14-123

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