Naming is associated with left temporal pole metabolite levels in neurodegenerative diseases

Dement Geriatr Cogn Disord. 2008;25(3):212-7. doi: 10.1159/000113728. Epub 2008 Jan 23.

Abstract

Aim: To investigate the relationship between performance in language tests and levels of brain metabolites in two selected left temporal lobe regions.

Methods: Ninety-five subjects were included: 26 controls, 30 amnestic mild cognitive impairment subjects, 27 Alzheimer's disease and 12 frontotemporal lobar degeneration (FTLD) patients. Language was assessed by a naming test: Boston Naming Test (BNT) and by a semantic verbal fluency test. Other cognitive functions: verbal and visual memory, visual perception, attention and executive function, and praxis were also assessed. Single voxel magnetic resonance spectroscopy was obtained in the left temporal pole (L-TPOLE), and in the left posterior temporoparietal region (L-TPAR).

Results: BNT scores were significantly associated with N-acetylaspartate/creatine ratios (r = 0.45; p < 0.001) and choline/creatine ratios (r = 0.33; p < 0.005) in the L-TPOLE. No significant associations were found between BNT and metabolite levels in the L-TPAR. No significant associations were found between the semantic verbal fluency test and other cognitive tests and metabolite levels either in the L-TPOLE or in the L-TPAR.

Conclusion: Naming performance is related to metabolite levels in the anterior L-TPOLE.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Amnesia / diagnosis
  • Amnesia / etiology
  • Amnesia / physiopathology
  • Anomia / diagnosis
  • Anomia / epidemiology
  • Anomia / etiology*
  • Aspartic Acid / analogs & derivatives
  • Aspartic Acid / metabolism
  • Choline / metabolism
  • Cognition Disorders / diagnosis
  • Creatine / metabolism
  • Dementia* / complications
  • Dementia* / metabolism
  • Dementia* / pathology
  • Female
  • Humans
  • Magnetic Resonance Spectroscopy
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Prevalence
  • Severity of Illness Index
  • Temporal Lobe / metabolism*
  • Temporal Lobe / pathology*

Substances

  • Aspartic Acid
  • N-acetylaspartate
  • Creatine
  • Choline