Progressive Decline of Semantic Memory with Preservation of Number Processing and Calculation

A 75-year-old man with seven years of formal education displayed a syndrome of progressive and severe lexical impairments to word comprehension and production (semantic dementia). While he lost the ability to recognize written arithmetical signs, he could still retrieve the arithmetical facts for ad...

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Main Author: H. F. A. Diesfeldt
Format: Article
Language:English
Published: Wiley 1993-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-1993-6411
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author H. F. A. Diesfeldt
author_facet H. F. A. Diesfeldt
author_sort H. F. A. Diesfeldt
collection DOAJ
description A 75-year-old man with seven years of formal education displayed a syndrome of progressive and severe lexical impairments to word comprehension and production (semantic dementia). While he lost the ability to recognize written arithmetical signs, he could still retrieve the arithmetical facts for addition and subtraction of all number combinations of 1 to 9 and 11 to 19, though his mastery of multiplication tables (2 to 9) was unreliable. Calculation procedures were intact. Over the course of 18 months the components of the calculation system dissolved selectively: arithmetical procedures and number reading were spared, despite increasing damage to the arithmetic fact store. He retained the ability to read the time on analogue clocks. Selective preservation of components of the calculation system in the context of severe language deficits and dementia, supports the independent status of numerical abilities. The dissociation between intact arithmetical procedures and impaired table fact retrieval was paralleled by a dissociation between preserved procedures of phonology and syntax of language and impaired retrieval of content words, suggesting that the core deficit was a degradation of the central semantic store of learned knowledge of both words and arithmetic table facts.
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spelling doaj-art-e66b0702c7854834a4c113e4126b553d2025-08-20T02:21:04ZengWileyBehavioural Neurology0953-41801875-85841993-01-016423924210.3233/BEN-1993-6411Progressive Decline of Semantic Memory with Preservation of Number Processing and CalculationH. F. A. Diesfeldt0Stichting Verpleeghuiszorg Nederland, Department of Psychogeriatrics, Naarderstraat 81, 1251 BG Laren, The NetherlandsA 75-year-old man with seven years of formal education displayed a syndrome of progressive and severe lexical impairments to word comprehension and production (semantic dementia). While he lost the ability to recognize written arithmetical signs, he could still retrieve the arithmetical facts for addition and subtraction of all number combinations of 1 to 9 and 11 to 19, though his mastery of multiplication tables (2 to 9) was unreliable. Calculation procedures were intact. Over the course of 18 months the components of the calculation system dissolved selectively: arithmetical procedures and number reading were spared, despite increasing damage to the arithmetic fact store. He retained the ability to read the time on analogue clocks. Selective preservation of components of the calculation system in the context of severe language deficits and dementia, supports the independent status of numerical abilities. The dissociation between intact arithmetical procedures and impaired table fact retrieval was paralleled by a dissociation between preserved procedures of phonology and syntax of language and impaired retrieval of content words, suggesting that the core deficit was a degradation of the central semantic store of learned knowledge of both words and arithmetic table facts.http://dx.doi.org/10.3233/BEN-1993-6411
spellingShingle H. F. A. Diesfeldt
Progressive Decline of Semantic Memory with Preservation of Number Processing and Calculation
Behavioural Neurology
title Progressive Decline of Semantic Memory with Preservation of Number Processing and Calculation
title_full Progressive Decline of Semantic Memory with Preservation of Number Processing and Calculation
title_fullStr Progressive Decline of Semantic Memory with Preservation of Number Processing and Calculation
title_full_unstemmed Progressive Decline of Semantic Memory with Preservation of Number Processing and Calculation
title_short Progressive Decline of Semantic Memory with Preservation of Number Processing and Calculation
title_sort progressive decline of semantic memory with preservation of number processing and calculation
url http://dx.doi.org/10.3233/BEN-1993-6411
work_keys_str_mv AT hfadiesfeldt progressivedeclineofsemanticmemorywithpreservationofnumberprocessingandcalculation