A Retrospective Survey on Rotated Drawing in Persons With Mild Cognitive Impairment or Degenerative Dementia

Isella, Valeria; Traficante, D.; Tagliabue, Chiara F.; Mapelli, Cristina; Ferri, Francesca; Caffarra, Paolo; Appollonio, Ildebrando

doi:10.1080/13854046.2013.845246

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…Behaviorally, beside impairments of constructional abilities, the neuropsychological profile comprised deficits of visual attention and executive functions. These patterns are in line with previous reports on patients with degenerative disorders and Mild Cognitive Impairment [ 2 , 3 ]. Critically, patient DDA exhibited network-specific hyper-connectivity of the undamaged (i.e., left) hemisphere within the DAN (i) and frontoparietal executive-control (ii) networks.…”

Section: Discussionsupporting

confidence: 93%

“…Rotated drawing is a constructional phenomenon in which when coping or recalling from memory a complex figure, the model is reproduced rotated of ± 90° or 180°, although spatial relationships among basic elements are preserved [ 1 ]. Rotation has been reported in several clinical cohorts such as neurodegenerative [ 2 ] and stroke [ 3 ] patients, with a slightly higher frequency after right hemisphere lesion. Previous neuroimaging findings [ 2 , 3 ] indicated that rotation on copy is related to dysfunctional activity in parietal regions belonging to the so-called dorsal attention network (DAN) involved in control of the visuospatial attention [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Rotation has been reported in several clinical cohorts such as neurodegenerative [ 2 ] and stroke [ 3 ] patients, with a slightly higher frequency after right hemisphere lesion. Previous neuroimaging findings [ 2 , 3 ] indicated that rotation on copy is related to dysfunctional activity in parietal regions belonging to the so-called dorsal attention network (DAN) involved in control of the visuospatial attention [ 4 ]. Based on neuropsychological evidence, it has also been suggested that rotation on recall might be associated with executive deficits.…”

Section: Introductionmentioning

confidence: 99%

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Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing

et al. 2021

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In the present case report, we investigated the cortical networks of a patient (DDA) affected by right parietal stroke who showed a constructional phenomenon, in which when coping and recalling from memory a complex figure, the model was reproduced rotated of 90° along the vertical axis. Previous studies suggested that rotation on copy is associated with visuospatial impairments and abnormalities in parietal cortex, whereas rotation on recall might be related to executive deficits and dysfunction of frontal regions. Here, we computed the DDA’s resting-state functional connectivity (FC) derived from cortical regions of the dorsal attention (DAN) and the frontal portion of the executive-control network (fECN), which are involved in the control of visuospatial attention and multiple executive functions, respectively. We observed that, as compared to a control group of right stroke patients without drawing rotation, DDA exhibited selective increased FC of the DAN and fECN, but not of task-irrelevant language network, within the undamaged hemisphere. These patterns might reflect a pathological communication in such networks leading to impaired attentional and executive operations required to reproduce the model in the correct orientation. Notably, such enhancement of FC was not detected in a patient with a comparable neuropsychological profile as DDA, yet without rotated drawing, suggesting that network-specific modulations in DDA might be ascribed to the constructional phenomenon of rotated drawing.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing

et al. 2021

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“…In a retrospective study on a large sample of patients with MCI or degenerative dementia who underwent copy and recall of the ROCF, Isella et al [182] observed rotation on the copy condition in 2.7% patients and on recall in 3.3% patients. In a subsequent prospective study on a mixed sample of patients with degenerative dementias or focal brain lesions, rotation at the copy of the ROCF was associated with visuospatial and selective attention impairments, and with more severe temporo-parietooccipital atrophy or hypometabolism, whereas no specific profile of cognitive impairment distinguished patients with rotation at recall of the ROCF, in whom frontal abnormalities were more frequent [183].…”

Section: Rotationmentioning

confidence: 99%

Drawing Disorders in Alzheimer’s Disease and Other Forms of Dementia

Trojano

Gainotti

2016

JAD

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Abstract. Drawing is a multicomponential process that can be impaired by many kinds of brain lesions. Drawing disorders are very common in Alzheimer's disease and other forms of dementia, and can provide clinical information for the distinction of the different dementing diseases. In our review we started from an overview of the neural and cognitive bases of drawing, and from a recollection of the drawing tasks more frequently used for assessing individuals with dementia. Then, we analyzed drawing disorders in dementia, paying special attention to those observed in Alzheimer's disease, from the prodromal stages of the amnesic mild cognitive impairment to the stages of full-blown dementia, both in the sporadic forms with late onset in the entorhino-hippocampal structures and in those with early onset in the posterior neocortical structures. We reviewed the drawing features that could differentiate Alzheimer's disease from vascular dementia and from the most frequent forms of degenerative dementia, namely frontotemporal dementia and Lewy body disease. Finally, we examined some peculiar aspects of drawing disorders in dementia, such as perseverations, rotations, and closing-in. We argue that a careful analysis of drawing errors helps to differentiate the different forms of dementia more than overall accuracy in drawing.

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“…ROCFT is classically used in dementia and mild cognitive impairment (11). It has been reported that the addition of a nonverbal memory and executive functioning test, such as ROCFT, to the standard mini-mental state examination could improve the detection of mild cognitive impairment (12).…”

Section: Introductionmentioning

confidence: 99%

Application of the Rey-Osterrieth complex figure test for assessment of cognitive impairment in multiple sclerosis

Dimitrov

Kirkova

Kaprelyan

et al. 2015

SSM

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INTRODUCTION: Cognitive impairment is frequent in multiple sclerosis and predominantly affects visuospatial abilities, memory, attention, and executive functions. Because of the specific cognitive profile, different from that in Alzheimer's disease and other frequent disorders presenting with dementia, specific neuropsychological instruments need to be used in multiple sclerosis. The aim of the present study is to assess the applicability of the Rey-Osterrieth complex figure test (ROCFT) for assessing cognitive impairment in patients with multiple sclerosis in comparison with a control group. MATERIAL AND METHODS: One hundred and two individuals, 70 patients with MS and 32 healthy control subjects were assessed using ROCFT. A standardized system for assessment by points and percentages was used. The results from both groups were compared statistically using independent samples t-test. RESULTS: On the copying task, the differences between patients and controls reached statistical significance, p<0.05 for the raw score, and p<0.001 after results were grouped by percentiles. On the drawing by memory task the differences between the two groups also showed statistical significance, p<0.01. CONCLUSION: ROCFT shows statistically significant differences between patients with multiple sclerosis and healthy subjects. Highest levels of significance were observed for copying, scored by percentiles, and for drawing by memory. The application of ROCFT can provide valuable information about cognitive dysfunction in multiple sclerosis.

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A Retrospective Survey on Rotated Drawing in Persons With Mild Cognitive Impairment or Degenerative Dementia

Cited by 4 publications

References 26 publications

Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing

Cortical Hyper-Connectivity in a Stroke Patient with Rotated Drawing

Drawing Disorders in Alzheimer’s Disease and Other Forms of Dementia

Application of the Rey-Osterrieth complex figure test for assessment of cognitive impairment in multiple sclerosis

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