| EDITORIAL
FOREWORD |
It is with great pleasure that I welcome you to the
first issue of International Abstracts on Alzheimer's Disease.
I plan to update readers on recent advances in the research on the causes
and treatments of Alzheimer's disease (AD). Such an initiative is timely
as new medications for the symptomatic treatment of AD are becoming available
for general prescription use. This will increase the interest in early diagnosis
and provide impetus for improvement in disease management at all stages
of disease progression. This first issue will look at highlights of recently
published reports on differential diagnosis, natural history and treatments
of AD. Additional abstracts are available from the FAX-back section. |
DIFFERENTIAL DIAGNOSIS OF
ALZHEIMER DISEASE
| EDITORIAL
COMMENT: |
The article by Gelbacher and Whitehouser, from a
supplement of Neurology, edited by S. DeKosky on Managing Alzheimer's disease,
is a short and well-referenced review of diagnostic issues in AD. There
are also recent publications on the differentiation between AD and cortico-basal
ganglionic degeneration (Schneider et al), and from Pick's disease (Litvan
et al). |
Differential diagnosis of Alzheimer's disease
(NEUROLOGY 1997;48(SUPPL 6):S2-S9)
Corticobasal degeneration: Neuropathologic and clinical
heterogeneity
(NEUROLOGY 1997;48:959-969)
J.A. SCHNEIDER, MD,
R.L. WATTS, MD,
M. GEARING, PHD,
R.P. BREWER, MD,
S.S. MIRRA, MD,
ATLANTA, GA |
To view abstract in
PubMed
|
What are the obstacles for an accurate clinical diagnosis of Pick's
disease? A clinicopathologic study
(NEUROLOGY 1997;49:62-69)
I. LITVAN, MD,
Y. AGID, MD, PHD,
N. SASTRJ, BS,
J. JANKOVIC, MD,
ET AL,
PARIS, FRANCE,
LONDON, UK,
VARIOUS CENTRES,
USA |
To view abstract in
PubMed
|
NATURAL HISTORY OF ALZHEIMER DISEASE
| EDITORIAL
COMMENT: |
There is great interest in knowing the natural history
of AD, vascular disease and mixed dementia, as new treatments are being
tested to slow down the expected decline. Bowler et al report on
the University of Western Ontario registry, whereas Clark et al
and Heyman et al report from the CERAD data base. A canadian initiative
led by Drs Howard Feldman and Ken Rockwood is also building a country-wide
data base, under the MRC/PMAC Health Program funded ACCORD project. |
Comparative evolution of Alzheimer disease, vascular dementia,
and mixed dementia
(ARCH NEUROL 1997;54:697-703)
JOHN V. BOWLER,
MB, MD, MRCP,
MICHAEL ELIASZIW, PHD,
RUNA STEENHUIS, PHD,
DAVID G. MUNOZ,
MD, FRCPC,
ET AL,
LONDON, ON |
|
The relationship between extrapyramidal signs and cognitive
performance in patients with Alzheimer's disease enrolled in the
CERAD study
NEUROLOGY 1997;49:70-75)
C.M. CLARK, MD,
D. EWBANK, PHD,
A. LERNER, MD,
R. DOODY, MD, PHD,
ET AL,
AND THE CERAD
COLLABORATORS,
VARIOUS CENTRES,
USA |
To view abstract in
PubMed
|
Predictors of time to institutionalization of patients with
Alzheimer's disease: THE CERAD experience, Part XVII
(NEUROLOGY 1997;48:1304-1309)
TREATMENTS FOR ALZHEIMER DISEASE
| EDITORIAL
COMMENT: |
Using the activities of daily living (ADL) domains
of the Clinical Dementia Rating scale, Friedhoff and Rogers found that the
cholinesterase inhibitor donepezil delays loss of ADL abilities. A similar
"time to substantial loss" approach was used by Sano et al in the use of
selegiline and tocopherol. Bodick et al report about the clinical
efficacy of the muscarinic agonist xanomeline on cognitive function, ADL
and disturbing behaviors, although gastro-intestinal side-effects and syncope
at therapeutic dose caused many drop-outs. Negative results regarding the
efficacy of linopirdine, an acetylcholine releasing agent, were reported
by Rockwood et al. These results are compounded by the fact that participation
in clinical trials per se has a therapeutic benefit, as demonstrated by
Albert et al. |
Donepezil lengthens time to loss of activities of daily living in
patients with mild to moderate Alzheimer's disease -- results of a
preliminary evaluation
(NEUROLOGY 1997;48:PA100)
LAWRENCE FRIEDHOFF,
SHARON L. ROGERS,
TEANECK, NJ |
Sorry,
This abstract not available for hyperlinking |
.
A controlled trial of selegiline, alpha-tocopherol, or both as
treatment for Alzheimer's disease
(N ENGL J MED 1997;336:1216-1222)
MARY SANO, PHD,
CHRISTOPHER
ERNESTO, MS,
RONALD G.
THOMAS, PHD,
MELVILLE R.
KLAUBER, PHD,ET AL,
FOR THE MEMBERS
OF THE
ALZHEIMER'S
DISEASE
COOPERATIVE STUDY,
VARIOUS CENTRES,
USA |
|
Effects of xanomeline, a selective muscarinic receptor agonist, on
cognitive function and behavioral symptoms in Alzheimer disease
(ARCH NEUROL 1997;54:465-473)
NEIL C. BODICK, MD,
PHD,
WALTER W. OFFEN, PHD,
ALLAN I. LEVEY, MD,
PHD,
NEAL R. CUTLER, MD,
ET AL,
VARIOUS CENTRES, USA
VERDUN, QC |
|
A randomized, controlled trial of linopirdine in the treatment of
Alzheimer's disease
(CAN J NEUROL SCI 1997;24:140-145)
KENNETH ROCKWOOD,
B. LYNN BEATTIE,
M. ROBIN EASTWOOD,
HOWARD FELDMAN,
ET AL,
VARIOUS CENTRES,
CANADA |
|
Participation in clinical trials and long-term outcomes in
Alzheimer's disease
(NEUROLOGY 1997;49:38-43)
S.M. ALBERT, PHD,
M. SANO, PHD,
K. MARDER, MD,
D.M. JACOBS, PHD,
ET AL,
NEW YORK, NY,
BALTIMORE, MD,
BOSTON, MA |
To view abstract in
PubMed
|
Vitamin E supplementation and in vivo immune response in health
elderly subjects: a randomized controlled trial
(JAMA 1997;277:1380-1386)
SIMIN NIKBIN MEYDANI,
DVM, PHD,
MOHSEN MEYDANI,
DVM, PHD,
JEFFREY B.
BLUMBERG, PHD,
LYNETTE S. LEKA,
ET AL,
BOSTON, MA |
To view abstract in
PubMed
|