Background. The mental status examination of an extreme case of longev
ity, J. C., aged 118 years and 9 months, is documented in order to fur
ther knowledge regarding profiles of morbidity in the extremely elderl
y. J. C. is presently considered to have the longest authenticated lif
e-span in the history of the human species. Method. Neuropsychological
tests were improvised taking into account the subject's severe percep
tual deficits. The examination was carried out over a six-month period
. A CT scan was also conducted. Results. The subject's performance on
tests of verbal memory and language fluency is comparable to that of p
ersons with the same level of education in their eighties and nineties
. Frontal lobe functions are relatively spared and there is no evidenc
e of depressive symptomatology or other functional illness. Cognitive
functioning was found to slightly improve over a six-month period. Con
clusions. The subject shows no evidence of progressive neurological di
sease. A high initial level of intellectual ability may have constitut
ed a protective factor.