The clinical course of Alzheimer's disease (AD) is generally character
ized by progressive gradual deterioration, although large clinical var
iability exists. Motivated by the recent quantitative reports of synap
tic changes in AD, we use a neural network model to investigate how th
e interplay between synaptic deletion and compensation determines the
pattern of memory deterioration, a clinical hallmark of AD. Within the
model we show that the deterioration of memory retrieval due to synap
tic deletion can be much delayed by multiplying all the remaining syna
ptic weights by a common factor, which keeps the average input to each
neuron at the same level. This parallels the experimental observation
that the total synaptic area per unit volume (TSA) is initially prese
rved when synaptic deletion occurs. By using different dependencies of
the compensatory factor on the amount of synaptic deletion one can de
fine various compensation strategies, which can account for the observ
ed variation in the severity and progression rate of AD.