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Temporal and Hippocampal Metabolic Rate During an Olfactory Memory Task Assessed by Positron Emission Tomography in Patients With Dementia of the Alzheimer Type and ControlsPreliminary Studies
Monte S. Buchsbaum, MD;
J. Patrick Kesslak, PhD;
Gary Lynch, PhD;
Helena Chui, MD;
Joseph Wu, MD;
Nancy Sicotte;
Erin Hazlett;
Evelyn Teng, PhD;
Carl W. Cotman, PhD
Arch Gen Psychiatry. 1991;48(9):840-847.
Abstract
Positron emission tomography with fludeoxyglucose F 18 was used to assess cortical metabolic rate during an olfactory memory task in six patients with dementia of the Alzheimer type. Metabolic activity was compared with that of both agematched controls performing the olfactory task and controls resting with their eyes closed. Patients had lower metabolic rates in the anterior portion of the medial-temporal cortex than did controls, and the difference was greatest between patients and the controls performing the memory task. This region is known to receive a large olfactory input and has been implicated in the encoding of human memory. Normal controls resting with their eyes closed had significantly lower metabolic rates in this area when compared with normal controls performing the task. Our results are consistent with those of earlier reports of temporal lobe decreases in metabolic rate and extend them through the examination of areas salient to the behavioral loss.
Author Affiliations
From the Brain Imaging Center, University of California, Irvine (Drs Buchsbaum, Kesslak, Lynch, Wu, and Cotman and Ms Sicotte), and from the University of Southern California, Los Angeles (Drs Chui and Teng and Ms Hazlett).
Footnotes
Accepted for publication February 14, 1991.
Reprint requests to the Brain Imaging Center, Room 164, Whitby Research Building, University of California, Irvine, Irvine, CA 92717 (Dr Buchsbaum).
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