Neuropsychological Assessment of Demented Patients

  • K. Poeck
Conference paper


A great variety of more or less standardized instruments are available for the assessment of cognitive impairment, some developed especially to identify patients with a progressive dementing illness, others belonging to the repertoire for testing stroke or trauma patients. The tests are more or less sophisticated, more or less reliable according to basic psychometric criteria, but they should not all be accepted at face value as serving the purpose for which they were developed. The most frequently used tests can be divided into three broad categories:
  1. 1.

    Brief mental status tests

  2. 2.

    Rating scales specific to the evaluation of dementia

  3. 3.

    Neuropsychological tests that assess a wide range of cognitive abilities



Amyotrophic Lateral Sclerosis Vascular Dementia Neuropsychological Assessment Demented Patient Psychological Function 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Albert ML, Feldman RG, Willis AL (1974) The “subcortical dementia” of progressive supranuclear palsy. J Neurol Neurosurg Psychiat 37:121–130PubMedCrossRefGoogle Scholar
  2. 2.
    De Renzi E (1986) Slowly progressive visual agnosia or apraxia without dementia. Cortex 22:171–180PubMedGoogle Scholar
  3. 3.
    Folstein MF, Folstein SE, McHugh PR (1975) “Mini Mental State.” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198PubMedCrossRefGoogle Scholar
  4. 4.
    Galasko D, Klauber MR, Hofstetter CR, Salmon DP, Lasker B, Thal LJ (1990) The Mini-Mental State Examination in the Early Diagnosis of Alzheimer’s Disease. Arch Neurol 47:49–52PubMedCrossRefGoogle Scholar
  5. 5.
    Graff-Radford NR, Damasio AR, Hyman BT, Hart MN, Tranel D, Damasio H, Van Hoesen GW, Rezai K (1990) Progressive aphasia in a patient with Pick’s disease: A neuropsychological, radiologic, and anatomic study. Neurology 40:620–626PubMedGoogle Scholar
  6. 6.
    Hachinski VC, Lassen NA, Marshall J (1974) Multi-infarct dementia. A cause of mental deterioration in the elderly. Lancet 2:207–210PubMedCrossRefGoogle Scholar
  7. 7.
    Hunt AL, Orrison WW, Yeo RA, Haaland KY, Rhyne RL, Garry PJ, Rosenberg GA (1989) Clinical significance of MRI white matter lesions in the elderly. Neurology 39:1470–1474PubMedGoogle Scholar
  8. 8.
    Kahn RL, Goldfarb AI, Pollack M et al. (1960) Brief objective measures for the determination of mental status in the aged. Am J Psychiatry 117:326–328PubMedGoogle Scholar
  9. 9.
    Katz DI, Alexander MP, Mandell AM (1987) Dementia following strokes in the mesencephalon and diencephalon. Arch Neurol 44:1127–1133PubMedCrossRefGoogle Scholar
  10. 10.
    Kirshner HS, Tanridag O, Thurman L, Whetsell Jr WO (1987) Progressive aphasia without dementia: two cases with focal spongiform degeneration. Ann Neurol 22:527–532PubMedCrossRefGoogle Scholar
  11. 11.
    Martin A, Brouwers P, Lalonde F, Cox C, Teleska P, Fedio P (1986) Towards a behavioral typology of Alzheimer’s patients. J Clin Exp Neuropsychol 8:594–610PubMedCrossRefGoogle Scholar
  12. 12.
    Mesulam MM (1982) Slowly progressive aphasia without generalized dementia. Ann Neurol 11:592–598PubMedCrossRefGoogle Scholar
  13. 13.
    Ochipa C, Gonzalez Rothi LJ, Heilman KM (to be published) Ideational apraxia in Alzheimer’s disease. BrainGoogle Scholar
  14. 14.
    Pfeiffer E (1975) A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc 23:433–441PubMedGoogle Scholar
  15. 15.
    Poeck K, Luzzatti C (1988) Slowly progressive aphasia in three patients. Brain 111: 151–168PubMedCrossRefGoogle Scholar
  16. 16.
    Rao SM, Mittenberg W, Bernardin L, Haughton V, Leo GJ (1989) Neuropsychological test findings in subjects with leukoaraiosis. Arch Neurol 46:40–44PubMedCrossRefGoogle Scholar
  17. 17.
    Tanaka Y, Tanaka O, Mizuno Y, Yoshida M (1989) A radiologic study of dynamic processes in lacunar dementia. Stroke 22:1488–1493CrossRefGoogle Scholar
  18. 18.
    Von Cramon D, Kühnlein J, Wolfram A (1981) Die thalamische Demenz. Fortschr Neurol Psychiat 49:129–135CrossRefGoogle Scholar
  19. 19.
    Whitehouse PJ (1986) The concept of subcortical and cortical dementia: another look. Ann Neurol 19:1–6PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • K. Poeck
    • 1
  1. 1.Department of NeurologyKlinikum der RWTH AachenAachenGermany

Personalised recommendations