The aim of the present study was to determine whether a cognitive decline,
related to multiple sclerosis (MS), also involves deficits in semantic memo
ry. Semantic memory function was evaluated by studying the conscious unders
tanding of conceptual meanings. A group of MS patients with cognitive decli
ne was presented with four tasks concerning concepts, their attributes and
relationships to other concepts. The tasks were designed to measure spontan
eous, cued and recognition performance separately. The patients had difficu
lties in understanding conceptual meanings. Easing the retrieval demands of
the tasks did not help them to improve their performance which was poorer
than the control group's on every task used. The results indicate a retriev
al deficit combined with an underlying storage deficit in the semantic memo
ry of MS patients with cognitive decline. (C) 1999 Elsevier Science B.V. Al
l rights reserved.