Volumetric MRI analysis of the amygdala and the hippocampus in subjects with age‐associated memory impairment

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Abstract
Age-associated memory impairment (AAMI) is a common but disputed entity. It is unclear whether AAMI is a phenomenon of normal aging or an early sign of Alzheimer's disease. The present study aimed to identify possible structural abnormalities in the medial temporal lobe of AAMI subjects. We measured volumes of the hippocampus and amygdala by MRI in 16 AAMI subjects and in 16 age- and sex-matched controls and correlated the volumes with subjects' performance on two visual memory tasks (the Benton and the Heaton visual retention tests) and on a verbal memory task (the Buschke-Fuld Selective Reminding Test). The mean hippocampal and amygdaloid volumes normalized for brain size per se did not differ between the two study groups. In controls, but not in AAMI subjects, the right hippocampus was larger than the left. Accordingly, the volumetric asymmetry between the right and left hippocampi was smaller in AAMI subjects than in controls (Student's t test, p p p p <0.05) than the six controls with the highest scores (=9 on the Benton test). Thus, we demonstrate that minor structural changes are present in both the hippocampus and the amygdala in AAMI subjects compared with age-matched controls. Follow-up of the subjects will be necessary to determine whether these minor structural abnormalities predict development of dementia or just reflect increased variability of cognitive performance in elderly humans.

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