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. 2004 Nov-Dec;12(6):648-52.
doi: 10.1176/appi.ajgp.12.6.648.

Neural basis for the cognitive continuum in episodic memory from health to Alzheimer disease

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Neural basis for the cognitive continuum in episodic memory from health to Alzheimer disease

Georg Grön et al. Am J Geriatr Psychiatry. 2004 Nov-Dec.

Abstract

Objective: The authors hypothesize that, behaviorally, episodic memory in health and disease reflects a continuum.

Methods: Subjects (N=12) with very mild Alzheimer disease (AD) and normal subjects (N=24) were investigated with functional magnetic resonance imaging (fMRI) during an episodic memory task.

Results: Recruitment of a posterior medio-temporal network was correlated with memory performance across the spectrum from high- and low-performing normal subjects to patients with early AD.

Conclusions: The behavioral spectrum from health to disease in episodic memory function is mirrored neurobiologically with graded recruitment of neuronal activation in medio-temporal regions. The results call for longitudinal assessment of behavioral decline and neuronal recruitment in future studies.

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