Ambiguous idiom comprehension was examined in 15 patients with mild probable Alzheimer's disease (AD) by means of two tasks: a string-to-picture matching task and a string-to-word matching task. In the first, patients had to choose among four pictures, while in the second they chose among four words. For both tasks the alternatives were the picture/word corresponding to the figurative meaning, a semantic associate (picture/word) to the last word of the idiom, and two unrelated alternatives, which were, in the case of words, an unrelated foil preserving the semantic class and a literal continuation foil (a word that can follow the verb in that sentence), while in the case of pictures the first was substituted by an unrealistic foil. The patients were also submitted to three language, one visuo-perceptual, and two executive tasks. Idiom comprehension was poor, particularly when the string-to-picture matching task was used, and correlated with executive tests. We confirm that linguistic and extralinguistic factors must be taken into account to explain ambiguous idiom interpretation, and we underline the role of the testing modality in the case of pathological populations.

No abstract

The presenilin-1 (PSEN1) L226F mutation has been linked to very early onset of prominent behavioral and psychiatric disturbances followed by cognitive decline within a few years. We report a novel case of early-onset Alzheimer disease that was originally diagnosed as psychotic depression in a patient with this gene mutation. We also compare our patient's clinical data to those of other cases of this mutation that have been described in the literature.Because atypical behavioral and psychiatric disturbances in young (<40 years) individuals can herald Alzheimer disease, a tight collaboration between psychiatrists and neurologists is crucial for an early diagnosis.

The Paced Auditory Serial Addition Task (PASAT) is a neuropsychological instrument designed to measure attention, working memory and speed of information processing in a complex manner. It is currently used to evaluate different neurological diseases. the purpose of this study was to establish PASAT normative data for the healthy Italian population using the standardized methodology of Equivalents Scores. the brief PASAT auditory version included in the Multiple Sclerosis Functional Composite was administered to 146 healthy Italian participants, distributed for gender (70 men; 76 women), age (range 18-83) and education (8-19). We found that age and education, but not gender, were significant PASAT score predictors. PASAT normative Italian data may represent a useful application for clinicians and researchers to document mild executive deficits in different neurological populations.

No abstract