The neural basis of naming impairments in Alzheimer's disease revealed through positron emission tomography.
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1999-05
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Abstract
The naming impairments in Alzheimer's disease (AD) have been attributed to a variety of cognitive processing deficits, including impairments in semantic memory, visual perception, and lexical access. To further understand the underlying biological basis of the naming failures in AD, the present investigation 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). Errors committed on a visual naming test were categorized according to a cognitive processing schema and then examined in relationship to metabolism within specific brain regions. The results revealed an association of semantic errors 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 function. The findings suggest that specific brain areas mediate the perceptual, semantic, and lexical processing demands of visual naming and that visual naming problems in dementia are related to dysfunction in specific neural circuits.
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Scholars@Duke
David C. Rubin
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My main research interest has been in long-term memory, especially for complex (or "real-world") stimuli. This work includes the study of autobiographical memory and oral traditions, as well as prose. I have also studied memory as it is more commonly done in experimental psychology laboratories using lists. In addition to this purely behavioral research, which I plan to continue, I work on memory in clinical populations with the aid of a National Institute of Mental Health grant to study PTSD and on the underlying neural basis of memory the aid of a National Institute of Aging grant to study autobiographical memory using fMRI.
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