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4%), followed by impairments in all 4 domains (n = 15; 14.3%). Interestingly, visuospatial impairment was always accompanied by executive dysfunction; however, visuospatial impairment alone, or in combination with attention, memory, or both attention and memory impairments, did not occur in any of the subjects. Fig. 6 Numbers of PD patients with different combinations of impaired cognitive domains according to Level I testing for PD-D (n = 304) [11]. E = Executive function; M = memory; A = attention; V = visuospatial function. Possible Alternatives to Level I Testing For the purpose of screening PD patients for dementia, it is necessary to use a test in which achievement does not decline in PD patients who have normal global cognitive efficiency (as measured by the total MMSE or MoCA score) but declines in those patients with impaired selleck chemicals global cognitive efficiency indicative of dementia. buy PD184352 With regard to the hypothesis that an appropriate test is one in which the high- and middle-total-score groups by the MMSE or the MoCA maintain a score ��70% while the low-total-score group scores recall subtests, but not the phonemic fluency or pentagon copying subtests. As regards evaluating executive function, scores for the phonemic fluency test declined markedly to approximately 50% in the high-MoCA-score group, whose scores (24-30) were consistent with PD without dementia [16]. This suggests that it may lack specificity for dementia screening. The other subtest that evaluates executive function in Level I testing is the clock drawing test. Scores for this test declined to Semagacestat visuospatial function, scores for the pentagon copying test stayed at ��70% even in the low-MMSE-score group, whose scores (12-25) were below the 26-point cutoff for PD-D [11]. This suggests that it may lack sensitivity for dementia when screening PD patients. No alternative to the pentagon copying test is given in Level I testing. The authors of the original MoCA test indicated that the cube copying and clock drawing tests are concerned with visuospatial function [17], but in Level I testing, the clock drawing test is used for executive function.

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