Cognitive profile in mild cognitive impairment with Lewy bodies

Introduction: This study aimed to elucidate the cognitive profile of patients with mild cognitive impairment with Lewy bodies (MCI-LB) and to compare it to that of patients with mild cognitive impairment due to Alzheimer’s disease (MCI-AD). Methods: Subjects older than 60 years with probable MCI-LB...

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Main Authors: Shuai Liu, Chunyan Liu, Xiao-Dan Wang, Huiru Lu, Yong Ji
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2023-08-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2022085
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author Shuai Liu
Chunyan Liu
Xiao-Dan Wang
Huiru Lu
Yong Ji
author_facet Shuai Liu
Chunyan Liu
Xiao-Dan Wang
Huiru Lu
Yong Ji
author_sort Shuai Liu
collection DOAJ
description Introduction: This study aimed to elucidate the cognitive profile of patients with mild cognitive impairment with Lewy bodies (MCI-LB) and to compare it to that of patients with mild cognitive impairment due to Alzheimer’s disease (MCI-AD). Methods: Subjects older than 60 years with probable MCI-LB (n = 60) or MCI-AD (n = 60) were recruited. All patients were tested with Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to assess their global cognitive profile. Results: The MCI-AD and MCI-LB patients did not differ in total MMSE and MoCA scores. However, some sub-items in MMSE and MoCA were shown to be screening markers for differentiating MCI-LB from MCI-AD. In the visuoconstructive test, the total score and hands subitem score in the clock-drawing test were significantly lower in MCI-LB than in MCI-AD. As for the executive function, the ‘animal fluency test’, ‘repeat digits backward test’ and ‘take paper by your right hand’ in MMSE all showed lower scores in MCI-LB compared with MCI-AD. As for memory, ‘velvet’ and ‘church’ in MoCA and ‘ball’ and ‘national flag’ in MMSE had lower scores in MCI-AD than in MCI-LB. Conclusion: This study presents the cognitive profile of patients with MCI-LB. In line with the literature on Dementia with Lewy bodies, our results showed lower performance on tests for visuoconstructive and executive function, whereas memory remained relatively spared in the early period.
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spelling doaj-art-8b88b46ea8ed4b9e95b67895ddb539d92025-02-09T13:56:35ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352023-08-0164848749210.11622/smedj.2022085Cognitive profile in mild cognitive impairment with Lewy bodiesShuai LiuChunyan LiuXiao-Dan WangHuiru LuYong JiIntroduction: This study aimed to elucidate the cognitive profile of patients with mild cognitive impairment with Lewy bodies (MCI-LB) and to compare it to that of patients with mild cognitive impairment due to Alzheimer’s disease (MCI-AD). Methods: Subjects older than 60 years with probable MCI-LB (n = 60) or MCI-AD (n = 60) were recruited. All patients were tested with Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to assess their global cognitive profile. Results: The MCI-AD and MCI-LB patients did not differ in total MMSE and MoCA scores. However, some sub-items in MMSE and MoCA were shown to be screening markers for differentiating MCI-LB from MCI-AD. In the visuoconstructive test, the total score and hands subitem score in the clock-drawing test were significantly lower in MCI-LB than in MCI-AD. As for the executive function, the ‘animal fluency test’, ‘repeat digits backward test’ and ‘take paper by your right hand’ in MMSE all showed lower scores in MCI-LB compared with MCI-AD. As for memory, ‘velvet’ and ‘church’ in MoCA and ‘ball’ and ‘national flag’ in MMSE had lower scores in MCI-AD than in MCI-LB. Conclusion: This study presents the cognitive profile of patients with MCI-LB. In line with the literature on Dementia with Lewy bodies, our results showed lower performance on tests for visuoconstructive and executive function, whereas memory remained relatively spared in the early period.https://journals.lww.com/10.11622/smedj.2022085clock-drawing testlewy bodiesmild cognitive impairmentmini-mental state examinationmontreal cognitive assessment
spellingShingle Shuai Liu
Chunyan Liu
Xiao-Dan Wang
Huiru Lu
Yong Ji
Cognitive profile in mild cognitive impairment with Lewy bodies
Singapore Medical Journal
clock-drawing test
lewy bodies
mild cognitive impairment
mini-mental state examination
montreal cognitive assessment
title Cognitive profile in mild cognitive impairment with Lewy bodies
title_full Cognitive profile in mild cognitive impairment with Lewy bodies
title_fullStr Cognitive profile in mild cognitive impairment with Lewy bodies
title_full_unstemmed Cognitive profile in mild cognitive impairment with Lewy bodies
title_short Cognitive profile in mild cognitive impairment with Lewy bodies
title_sort cognitive profile in mild cognitive impairment with lewy bodies
topic clock-drawing test
lewy bodies
mild cognitive impairment
mini-mental state examination
montreal cognitive assessment
url https://journals.lww.com/10.11622/smedj.2022085
work_keys_str_mv AT shuailiu cognitiveprofileinmildcognitiveimpairmentwithlewybodies
AT chunyanliu cognitiveprofileinmildcognitiveimpairmentwithlewybodies
AT xiaodanwang cognitiveprofileinmildcognitiveimpairmentwithlewybodies
AT huirulu cognitiveprofileinmildcognitiveimpairmentwithlewybodies
AT yongji cognitiveprofileinmildcognitiveimpairmentwithlewybodies