0
Article |

Magnetic Resonance Imaging Hyperintensities in Alzheimer's Disease

William M. McDonald, MD; P. Murali Doraiswamy, MD; K. Ranga R. Krishnan, MD
Arch Neurol. 1991;48(5):468-468. doi:10.1001/archneur.1991.00530170028011
Text Size: A A A
Published online

To the Editor.  —This letter is a commentary on Leys and coworkers' article in the May 1990 issue of the Archives.1 We commend Leys and coworkers on their effort to determine the significance of white matter and periventricular changes in patients with Alzheimer's disease. The pathological significance of these changes are particularly difficult to assess since, as Leys and coworkers indicate, they are found in many neurologically and psychiatrically normal controls. However, we feel that several methodological issues may make it difficult to generalize the findings in this study. First, the authors excluded 11 of 31 subjects due to poor quality in magnetic resonance imaging scans. They were not clear why more than one third of the patients with Alzheimer's disease had technical difficulties in imaging. We agree with the authors' concern that exclusion on the basis of an inability to cooperate with the magnetic resonance imaging scan may

REFERENCES

Leys D, Soetaert G, Petit H.  Periventricular and white matter magnetic resonance imaging hyperintensities do not differ between Alzheimer's disease and normal aging . Arch Neurol . 1990;;47:524-527.
Drayer BP.  Imaging of the aging brain, I: normal findings . Radiology . 1988;;166:785-796.
Doraiswamy PM, Figiel GS, Husain MM, et al.  Subcortical changes in normal aging . Biol Psychiatry . 1990;;27( (suppl 9A) ):124.
Krishnan KRR, Goli V, Ellinwood EH, et al.  Leukoencephalopathy in patients diagnosed as major depressive . Biol Psychiatry . 1988;;23:519.
McDonald WM, Krishnan KR, Doraiswamy PM, Blazer DG.  The occurrence of subcortical hyperintensities in elderly subjects with mania . Biol Psychiatry . 1990;;27( (suppl) )9A-162A.
Heston LL, Mastri AR, Anderson VE, et al.  Dementia of the Alzheimer type: clinical genetics, natural history, and associated conditions . Arch Gen Psychiatry . 1981;;38:1085-1090.

First Page Preview

First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Leys D, Soetaert G, Petit H.  Periventricular and white matter magnetic resonance imaging hyperintensities do not differ between Alzheimer's disease and normal aging . Arch Neurol . 1990;;47:524-527.
Drayer BP.  Imaging of the aging brain, I: normal findings . Radiology . 1988;;166:785-796.
Doraiswamy PM, Figiel GS, Husain MM, et al.  Subcortical changes in normal aging . Biol Psychiatry . 1990;;27( (suppl 9A) ):124.
Krishnan KRR, Goli V, Ellinwood EH, et al.  Leukoencephalopathy in patients diagnosed as major depressive . Biol Psychiatry . 1988;;23:519.
McDonald WM, Krishnan KR, Doraiswamy PM, Blazer DG.  The occurrence of subcortical hyperintensities in elderly subjects with mania . Biol Psychiatry . 1990;;27( (suppl) )9A-162A.
Heston LL, Mastri AR, Anderson VE, et al.  Dementia of the Alzheimer type: clinical genetics, natural history, and associated conditions . Arch Gen Psychiatry . 1981;;38:1085-1090.

Correspondence

CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.