Me. Watson et al., The neural basis of naming impairments in Alzheimer's disease revealed through positron emission tomography, ARCH CLIN N, 14(4), 1999, pp. 347-357
The naming impairments in Alzheimer's disease (AD) have been attributed to
a variety of cognitive processing deficits, including impairments in semant
ic memory, visual perception, and lexical access. To further understand the
underlying biological basis of the naming failures in AD, the present inve
stigation examined the relationship of various classes of naming errors to
regional brain measures of cerebral glucose metabolism as measured with 18
F-Fluoro-2-deoxyglucose (FDG) and positron emission tomography (PET). Error
s committed on a visual naming test were categorized according to a cogniti
ve processing schema and then examined in relationship to metabolism within
specific brain regions. The results revealed an association of semantic er
rors with glucose metabolism in the frontal and temporal regions. Language
access errors, such as circumlocutions, and word blocking nonresponses were
associated with decreased metabolism in areas within the left hemisphere.
Visuoperceptive errors were related to right inferior parietal metabolic fu
nction The findings suggest that specific brain areas mediate the perceptua
l semantic, and lexical processing demands of visual naming and that visual
naming problems in dementia are related to dysfunction in specific neural
circuits. (C) 1999 National Academy of Neuropsychology. Published by Elsevi
er Science Ltd.