Increased biomagnetic activity in healthy elderly with subjective memory complaints

OBJECTIVE Subjective memory complaints (SMCs) are frequently reported by elderly people with or without objective cognitive impairment (OMI) as assessed by neuropsychological tests. We investigate whether SMCs are associated with altered brain biomagnetic patterns even in the absence of OMI. METHODS We report spatio-temporal patterns of brain magnetic activity recorded with magnetoencephalography during a memory task in 51 elderly participants divided into the following groups: patients with mild cognitive impairment (MCI) with SMC and OMI, individuals with SMC but not OMI, and healthy controls without neither SMC nor OMI. Exclusion criteria for all three groups included a diagnosis of depression or any other psychiatric condition. RESULTS No statistically significant differences were found between MCI patients and participants with SMC. However, the SMC showed higher activation, between 200 and 900 ms after stimulus onset, than the control group in posterior ventral regions and in the dorsal pathway. MCI patients showed higher activation than the control group in the posterior part of the ventral pathway. CONCLUSIONS These findings suggest that similar physiological mechanisms may underlie SMC and MCI, which could be two stages in a cognitive continuum. SIGNIFICANCE MEG provide different neurophysiological profiles between SMC and control subjects.

[1]  J C Mazziotta,et al.  Automated labeling of the human brain: A preliminary report on the development and evaluation of a forward‐transform method , 1997, Human brain mapping.

[2]  Mony J. de Leon,et al.  Hypometabolism and Altered Cerebrospinal Fluid Markers in Normal Apolipoprotein E E4 Carriers with Subjective Memory Complaints , 2008, Biological Psychiatry.

[3]  Olaf Hauk,et al.  Keep it simple: a case for using classical minimum norm estimation in the analysis of EEG and MEG data , 2004, NeuroImage.

[4]  J. Yesavage Geriatric Depression Scale: Consistency of Depressive Symptoms over Time , 1991, Perceptual and motor skills.

[5]  H. Tuokko,et al.  Reliable change scores and their relation to perceived change in memory: implications for the diagnosis of mild cognitive impairment. , 2006, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[6]  Alan Sunderland,et al.  Do Laboratory Tests Predict Everyday Memory? A Neuropsychological Study. , 1983 .

[7]  J D Watson,et al.  Nonparametric Analysis of Statistic Images from Functional Mapping Experiments , 1996, Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism.

[8]  Panagiotis G. Simos,et al.  Modulation of brain magnetic activity by different verbal learning strategies , 2003, NeuroImage.

[9]  R. Ilmoniemi,et al.  Interpreting magnetic fields of the brain: minimum norm estimates , 2006, Medical and Biological Engineering and Computing.

[10]  J. Sarvas Basic mathematical and electromagnetic concepts of the biomagnetic inverse problem. , 1987, Physics in medicine and biology.

[11]  Francisco del Pozo,et al.  Oscillatory activity in prefrontal and posterior regions during implicit letter-location binding , 2010, NeuroImage.

[12]  Lukas Scheef,et al.  Volume reduction of the entorhinal cortex in subjective memory impairment , 2006, Neurobiology of Aging.

[13]  J L Lancaster,et al.  Automated Talairach Atlas labels for functional brain mapping , 2000, Human brain mapping.

[14]  R. Cabeza Hemispheric asymmetry reduction in older adults: the HAROLD model. , 2002, Psychology and aging.

[15]  Faiza Admiraal-Behloul,et al.  Memory complaints in patients with normal cognition are associated with smaller hippocampal volumes , 2004, Journal of Neurology.

[16]  Thomas E. Nichols,et al.  Nonparametric permutation tests for functional neuroimaging: A primer with examples , 2002, Human brain mapping.

[17]  P. Scheltens,et al.  Self-perceived memory impairment and cognitive performance in an elderly independent population with age-related white matter changes , 2007, Journal of Neurology, Neurosurgery, and Psychiatry.

[18]  J Arrazola,et al.  Spatio-temporal patterns of brain magnetic activity during a memory task in Alzheimer's disease , 2001, Neuroreport.

[19]  Paul C. Fletcher,et al.  Is the parietal lobe necessary for recollection in humans? , 2008, Neuropsychologia.

[20]  Khaled Abdulrab,et al.  Subjective Memory Impairment. A review of its definitions indicates the need for a comprehensive set of standardised and validated criteria , 2008, European Psychiatry.

[21]  C. Jack,et al.  Mild cognitive impairment can be distinguished from Alzheimer disease and normal aging for clinical trials. , 2004, Archives of neurology.

[22]  Christina Elfgren,et al.  Stability in the clinical characteristics of patients with memory complaints. , 2010, Archives of gerontology and geriatrics.

[23]  A. Lobo,et al.  [Cognocitive mini-test (a simple practical test to detect intellectual changes in medical patients)]. , 1979, Actas luso-espanolas de neurologia, psiquiatria y ciencias afines.

[24]  C. Jonker,et al.  Are memory complaints predictive for dementia? A review of clinical and population‐based studies , 2000, International journal of geriatric psychiatry.

[25]  Zuzana Walker,et al.  Subjective cognitive impairment: increased prefrontal cortex activation compared to controls during an encoding task , 2009, International journal of geriatric psychiatry.

[26]  P. Campo,et al.  Increased biomagnetic activity in the ventral pathway in mild cognitive impairment , 2008, Clinical Neurophysiology.

[27]  M. Rugg,et al.  Human recognition memory: a cognitive neuroscience perspective , 2003, Trends in Cognitive Sciences.

[28]  F. Jessen,et al.  Patterns of subjective memory impairment in the elderly: association with memory performance , 2007, Psychological Medicine.

[29]  L. Gjerstad,et al.  White Matter Lesion Subtypes and Cognitive Deficits in Patients with Memory Impairment , 2008, Dementia and Geriatric Cognitive Disorders.

[30]  Mony J. de Leon,et al.  Subjective Memory Complaints: Presence, Severity and Future Outcome in Normal Older Subjects , 2007, Dementia and Geriatric Cognitive Disorders.

[31]  E. Sinforiani,et al.  Cognitive disturbances in non-demented subjects: heterogeneity of neuropsychological pictures. , 2007, Archives of gerontology and geriatrics.

[32]  M. Chee,et al.  fMRI study of maintenance and manipulation processes within working memory in first-episode schizophrenia. , 2005, The American journal of psychiatry.

[33]  S. DeKosky,et al.  Mild cognitive impairment, amnestic type , 2004, Neurology.

[34]  W. Jagust,et al.  Degree of discrepancy between self and other‐reported everyday functioning by cognitive status: dementia, mild cognitive impairment, and healthy elders , 2005, International journal of geriatric psychiatry.

[35]  F. Morrell,et al.  A 'stress' test for memory dysfunction. Electrophysiologic manifestations of early Alzheimer's disease. , 1991, Archives of neurology.

[36]  G. Frisoni,et al.  Markers of Alzheimer's disease in a population attending a memory clinic , 2009, Alzheimer's & Dementia.

[37]  A. Mitchell,et al.  The clinical significance of subjective memory complaints in the diagnosis of mild cognitive impairment and dementia: a meta‐analysis , 2008, International journal of geriatric psychiatry.

[38]  P. Renshaw,et al.  Greater depression severity in elderly patients with memory complaints is associated with decreased left temporal-parietal dominance indicated by dynamic susceptibility contrast magnetic resonance imaging cerebral blood volume measures. , 2007, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[39]  R. Petersen Mild cognitive impairment as a diagnostic entity , 2004, Journal of internal medicine.

[40]  Wouter Hulstijn,et al.  Prefrontal, parietal and basal activation associated with the reordering of a two-element list held in working memory , 2010, Biological Psychology.

[41]  E. Halgren,et al.  Dynamic Statistical Parametric Mapping Combining fMRI and MEG for High-Resolution Imaging of Cortical Activity , 2000, Neuron.

[42]  A. Mitchell,et al.  Is it time to separate subjective cognitive complaints from the diagnosis of mild cognitive impairment? , 2008, Age and ageing.

[43]  M. Albert,et al.  Increased hippocampal activation in mild cognitive impairment compared to normal aging and AD , 2005, Neurology.

[44]  R. Stewart,et al.  A prospective study of changes in subjective memory complaints and onset of dementia in South Korea. , 2006, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.