Introduction     Diagnosis of Mild Cognitive Impairment and Alzheimer's Disease Karen L. Bell, M.D.     Treatment Strategies for Dementia and Mild Cognitive Impairment Mary Sano, Ph.D.     Treatment of Depression, Agitation, and Psychosis in Dementia Davangere P. Devanand, M.D.     Recognition of Vascular Dementia, Dementia with Lewy Bodies, and Frontotemporal Dementia Lawrence S. Honig, M.D., Ph.D.     Neuropsychology of Mild Cognitive Impairment, Alzheimer's Disease, Dementia with Lewy Bodies, and Frontotemporal Dementia Penne Sims, Ph.D.     What is Assessed       Neuropsychology in Differential Diagnosis       Screening Measures       Protocol of a Declining Patient         Protocol for Lewy Bodies       Protocol for FTLD       Benefits of Testing     Neuroimaging in Dementia Scott A. Small, M.D.     Genetics of Neurodegenerative Disease: Alzheimer's Disease, Frontotemporal Dementia Jennifer Williamson-Catania, M.S.     Legal and Ethical Issues for Patients with Dementia Daniel G. Fish, Esq.     Posttest         Accreditation     Reference List     Acknowledgements		Neuropsychology of Mild Cognitive Impairment, Alzheimer's Disease, Dementia with Lewy Bodies, and Frontotemporal Dementia Penne Sims, Ph.D. Protocol for Lewy Bodies   In cases of Lewy bodies, we typically see a memory disorder similar to that in AD. Unlike with AD, however, we see a greater visual-spatial deficit relative to other deficits in its profile, and we see some executive problems.   In the example of JC, a 71-year-old man with 12 years of education, there was no VIQ or PIQ testing here because JC was already a bit more progressed when he presented to us. JC's memory performance is very consistent with that of HW. On the SRT, the wordlist-learning task, he was able to recall three of five words, and he benefited from provision of cues presented in a recognition yes/no format.         Neuropsychological profile of LBD (JC) VIQ N/A PIQ N/A SRT-LTS 1%ile CLTR 5%ile Trial 6 5/12 Delay 3/12 Recog 9/12 VRI 3%ile VRII 8%ile CFL Fluency <1%ile Category Fluency 3%ile Naming 38/60 z=-3.18 Rosen 3/5 Orientation 3/10 GDS 16/30   The neuropsychological profile of 71-year-old patient JC, diagnosed with Lewy-body disease. Courtesy of Penne Sims, Ph.D.     We found JC to be moderately depressed, with a score of 16 out of 30 on the Geriatric Depression Scale (GDS). He also had some difficulties with construction, measured by the Rosen Drawing Test, named after the person who developed this particular task. This requires a person to perform a drawing task of various geometric figures of varying complexity.   The major point of note for JC is that we see poor scores on both, immediate and delayed visual memory. He was not able to encode visual information, in contrast to HW who, even when he had trouble with delay, was still able to encode the information.     PREVIOUS | NEXT