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New study links 'motion blindness' to Alzheimer's

(March 23, 1999 12:49 a.m. EST http://www.nandotimes.com) - A study
published Tuesday suggests that people with Alzheimer's disease tend to
become lost in familiar surroundings not so much because they're mentally
confused but because they are visually impaired.

The condition, called "motion blindness," may be the result of isolated
damage in one part of the brain, according to the study published in the
journal Neurology, scientific journal of the American Academy of Neurology.

Scientists at the University of Rochester in New York studied the ability of
three different groups of subjects to see and interpret visual patterns -
six healthy young people, 12 healthy elderly people, and 11 people with
Alzheimer's.

In one test, participants viewed a panoramic computer display with radiating
patterns of visual motion, simulating what you see as you move through your
surroundings. They were then asked whether they seemed to be moving left or
right. The Alzheimer's patients had more than twice as much difficulty
interpreting the patterns than the other groups.

The researchers also tested participants' spatial navigation by walking them
from the hospital lobby to the lab, telling them they would be asked
questions about the route. The young people answered questions correctly 88
percent of the time and the healthy elderly 72 percent of the time. But the
Alzheimer's patients answered correctly only 32 percent of the time.

The study counters the generally accepted impression that Alzheimer's is
just a memory disorder, the researchers said. "People with Alzheimer's get
lost not because they don't remember where they've been, but because they
can't see where they're going," said the lead author, Dr. Charles Duffy.

"This study gives us a whole new insight into what's going wrong with the
brain in Alzheimer's and also gives us a way to measure how debilitated an
individual will be by the disease," said Duffy, a neurologist.

Visual disorientation is often one of the first symptoms that shows up in
Alzheimer's patients and thus could be useful in making an early diagnosis.
The tests could also be used to identify those at particular risk for
getting lost, Duffy said, such as those who shouldn't be driving due to
their visual disorientation.

The researchers also suspect that the visual impairment of Alzheimer's
patients is so specific that patients may retain other perceptual tools or
strategies for finding their way around. Identifying these adjustments might
suggest ways to retrain Alzheimer's patients to use other clues to find
their way, Duffy said.

By LEE BOWMAN

Lee Bowman covers health and science for Scripps Howard News Service and can
be reached at [log in to unmask]

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Copyright © 1999 Scripps Howard News Service
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janet paterson - 52 now /41 dx /37 onset - almonte/ontario/canada
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