In a previous paper [6] we were able to show that the attribution of f
amiliar handwriting samples to specific persons is much more often dis
turbed in patients suffering from damage to the right hemisphere than
in patients with a damaged left hemisphere, even if marked aphasia or
alexia is present. The aim of this study was to extend these findings
to demented patients in order to contribute to the question whether th
is visual and obviously not language-related task is impaired in demen
tia and, if this is so, to what extent it depends on its severity. The
assessment of 17 patients with dementias of various etiologies (11 Al
zheimer's dementias, 3 vascular dementias, 1 normal pressure hydroceph
alus, 1 Pick's disease, 7 unspecified) clearly showed that starting wi
th dementias of medium severity (Mini-Mental Status Test less than or
equal to 17, Global Deterioration Scale greater than or equal to 4) th
e patients were unable to recognise the handwritten script samples of
close relatives. These results are related to the familiarity aspect o
f environmental re-cognition and are therefore of practical importance
.