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October 01, 1996; 47 (4) VIEWS AND REVIEWS

Neuropsychiatric aspects of Alzheimer's disease

The cholinergic hypothesis revisited

Jeffrey L. Cummings, Daniel Kaufer
First published October 1, 1996, DOI: https://doi.org/10.1212/WNL.47.4.876
Jeffrey L. Cummings
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Daniel Kaufer
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Citation
Neuropsychiatric aspects of Alzheimer's disease
The cholinergic hypothesis revisited
Jeffrey L. Cummings, Daniel Kaufer
Neurology Oct 1996, 47 (4) 876-883; DOI: 10.1212/WNL.47.4.876

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Abstract

Altered cholinergic function is a prominent feature of AD.The neuropsychological impairments of AD are attributed, at least partially, to the cholinergic disturbance, and current approaches to treatment of the cognitive abnormalities attempt to enhance cholinergic function. Behavioral changes are common in AD and include psychosis, agitation, depression, anxiety, personality alterations, and neurovegetative changes. The contribution of the cholinergic deficiency to the behavioral alterations has been little explored, but neurochemical, neuroanatomic, pharmacologic, and clinical observations suggest that the cholinergic deficiency contributes importantly to the neuropsychiatric dimension of AD. Investigation of the role of cholinergic dysfunction in the behavioral changes of AD will improve understanding of the pathophysiologic basis of these abnormalities and may lead to new types of therapy for the neuropsychiatric disturbances associated with this common dementing disorder.

NEUROLOGY 1996;47: 876-883

  • Copyright 1996 by Advanstar Communications Inc.
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  • Article
    • Abstract
    • Anatomy of the cholinergic system.
    • Cholinergic function and psychosis.
    • Cholinergic function and depression.
    • Cholinergic function and agitation.
    • Cholinergic function and personality alterations.
    • Behavioral responses to cholinergic therapy in AD.
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