We present two studies aimed at elucidating why patients with dysexecutive syndrome encounter difficulties with the use of tools and technical devices. Two different groups of patients with dysexecutive syndrome took part in them. Their results were compared with those of two groups of normal controls and in the first study also with those of patients with posterior left or right brain lesions. The first study contrasted single step with multi-step actions and explored the role of novelty and consecutive demands on problem solving. Dysexecutive patients encountered problems only with the multi-step actions. The rank order of strength of impairment corresponded to the presumed rank order of demands on problem solving, but the analysis of individual results demonstrated high variability of this pattern which moreover could not be fully replicated when the same tests were applied in the second study. The second study pursued the hypothesis that maintenance of goals and constraints in working memory is the crucial factor for difficulties of dysexecutive patients. Support for this hypothesis was less ambiguous, but as this study did not include patients with posterior lesions it remains open whether this factor is specific for dysexecutive syndrome and prefrontal brain damage or applies to brain damage regardless of its location.
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http://dx.doi.org/10.1016/s0010-9452(08)70467-2 | DOI Listing |
Background: Digital neuropsychological assessment easily captures behavior previously not obtainable by traditional pencil-and-paper tests. Verbal serial list learning tests are commonly used to assess for putative neurogenerative syndromes. Recognition test performance is often expressed compiling simple 'yes/ no' responses, but fail to assess process metrics such as the latency to respond to individual recognition test items.
View Article and Find Full Text PDFAlzheimers Dement
December 2024
Linus Health, Boston, MA, USA.
Background: Digital neuropsychological assessment easily captures behavior previously not obtainable by traditional pencil-and-paper tests. Verbal serial list learning tests are commonly used to assess for putative neurogenerative syndromes. Recognition test performance is often expressed compiling simple 'yes/ no' responses, but fail to assess process metrics such as the latency to respond to individual recognition test items.
View Article and Find Full Text PDFNeurology
January 2025
From the IRCCS Neuromed (M.I.D.B., G.L., S.P., A.C., A.B., G.F., P.P., D.B.), Pozzilli; Department of Human Neurosciences (A.O., G.L., C.P., S.P., M.C., F.D.A., S.B., R.M., G.B., A.C., A.B., G.F., P.P., D.B.), Sapienza University of Rome; Department of Microscopic and Ultrastructural Anatomy (G.V.), Campus Biomedico University of Rome; Department of Neuroscience (M.C.), Istituto Superiore di Sanità, Rome; and Cognitive and Motor Rehabilitation and Neuroimaging Unit (F.D.A.), IRCCS Fondazione Santa Lucia, Rome, Italy.
Background And Objectives: According to the dual syndrome hypothesis, patients with Parkinson disease (PD) with visuospatial deficits are more likely to progress to dementia, compared with patients with a prevalent dysexecutive syndrome. In this study, we aimed to investigate whether early connectivity changes in the dorsolateral prefrontal cortex (DLPFC) and the precuneus (PCun)-which are critical to fronto-executive and visuospatial functions, respectively-can identify distinct cognitive phenotypes in cognitively intact newly diagnosed patients with PD.
Methods: Newly diagnosed, drug-naïve patients with PD (≤2 years from clinical onset) with normal Montreal Cognitive Assessment (MoCA), were consecutively enrolled from our Movement Disorders Clinics in Italy.
Brain Behav
November 2024
Fédération ENAC ISAE-SUPAERO ONERA, Université de Toulouse, Toulouse, France.
Background: Acquired brain injury (ABI) leads to cognitive deficiencies, alteration of brain activity associated with an increase in slow-wave (delta and theta bands) power, and reduced fast-wave (alpha, beta, and gamma bands) power. To compensate for the cognitive deficits that impact autonomy and quality of life, patients in a chronic phase can benefit from cognitive intervention.
Objective: This study explores the effects of cognitive intervention on brain activity, measured by electroencephalography (EEG), and on executive functioning, assessed by the Test of Attentional Performance (TAP) battery.
Cerebrovasc Dis
September 2024
Department of Neurology, Torrecárdenas University Hospital, Almería, Spain.
Research on the benefits of non-invasive brain stimulation in stroke patients to improve executive functions is scarce. The objective of this study was to investigate the effectiveness of transcranial direct current stimulation (tDCS) in combination with cognitive training for the rehabilitation of executive functions in acute and subacute stroke patients as well as to explore the underlying physiological mechanisms. A triple-blinded, randomized-controlled clinical trial will be conducted involving 60 stroke patients with frontal or basal ganglia lesions and a Montreal Cognitive Assessment (MoCA) score less than 26.
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