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impacts of dementia

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impacts of dementia
c o r t e x 4 8 ( 2 0 1 2 ) 4 2 9 e4 4 6

Available online at www.sciencedirect.com

Journal homepage: www.elsevier.com/locate/cortex

Research report

Working memory, attention, and executive function in
Alzheimer’s disease and frontotemporal dementia
Cheryl L. Stopford*, Jennifer C. Thompson, David Neary, Anna M.T. Richardson and
Julie S. Snowden
Cerebral Function Unit, Greater Manchester Neuroscience Centre, Salford Royal NHS Foundation Trust and Clinical Neurosciences
Research Group, University of Manchester, UK

article info

abstract

Article history:

Working memory deficits are a recognised feature of Alzheimer’s disease (AD). They are

Received 8 March 2010

commonly ascribed to central executive impairment and assumed to relate to frontal lobe

Revised 21 May 2010

dysfunction. Performance failures on standard tests of attention and executive function

Accepted 7 December 2010

reinforce this interpretation. Nevertheless, early-onset AD patients do not show the frank

Action editor Sergio Della Sala

behavioural changes indicative of frontal lobe dysfunction, and the characteristic functional

Published online 21 December 2010

neuroimaging changes are in posterior hemispheres rather than frontal lobes. We explored this anomaly through a comparison of working memory, attention and executive test

Keywords:

performance in patients with AD (a ‘typical’ early-onset group with deficits in memory,

Alzheimer’s disease

language and perceptuospatial function and an ‘amnesic’ group) and frontotemporal

Working memory

dementia (FTD). Typical-AD and FTD patients both showed impaired performance, whereas

Executive function

amnesic-AD patients performed well. Despite similar quantitative performance measures,

Attention

typical-AD and FTD patients showed qualitatively distinct performance profiles. Impair-

Phenotypic variation

ments in FTD patients were interpreted in ‘frontal’ executive terms as

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