Twenty five patients with probable mild Alzheimer's disease were asses
sed for deficits in executive functioning and the impact of these defi
cits on performance in other neuropsychological domains. The Wisconsin
card sorting test, the release from proactive interference paradigm,
the verbal fluency test, and the Stroop test were adopted to classify
patients with (AD+) and without (AD-) executive deficits. Seven of the
patients showed an impairment in executive function (AD+), defined as
a performance below the cut off score in at least two of these tests.
There were no significant differences in clinical assessments, demogr
aphic features, or other cognitive functions between patients. Executi
ve dysfunction may be an early additional feature in a subgroup of pat
ients with mild Alzheimer's disease. Impairment on frontal lobe tests
does not seem to be related to the severity or duration of disease, or
to a different pattern of impairment in other cognitive domains.