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Sensory- and memory-mediated olfactory dysfunction in Huntington's disease

Published online by Cambridge University Press:  26 February 2009

Steven Nordin
Affiliation:
University of California Medical Center, San Diego, CA 92103 Department of Psychology, San Diego State University, San Diego, CA 92182-0350
Jane S. Paulsen
Affiliation:
San Diego Department of Veterans Affairs Medical Center, San Diego, CA 92161 Department of Psychiatry, School of Medicine, University of California, San Diego, CA 92161
Claire Murphy
Affiliation:
University of California Medical Center, San Diego, CA 92103 Department of Psychology, San Diego State University, San Diego, CA 92182-0350

Abstract

Neuropathology in Huntington's disease (HD) known to project to areas that process olfactory information raises the questions of which olfactory function, if any, is most affected in HD, and how to explain such dysfunction in terms of olfactory sensitivity and cognition. These questions were studied by comparing HD patients and controls (matched for age, gender, and education) on absolute detection, intensity discrimination, quality discrimination, short-term recognition memory, and lexical- and picture-based identification for odor. Taste or vision were used as comparison modalities. The results suggest that whereas odor-recognition memory is not affected in patients with HD, these patients have impaired olfactory functioning with respect to absolute detection, intensity discrimination, quality discrimination, and identification. The three latter impairments were significantly explained by poor detection sensitivity. Odor identification was the function most affected. (JINS, 1995, I, 281–290.)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 1995

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References

Alexander, G.E., DeLong, M.R., & Strick, P.L. (1986). Parallel organization of functionally segregated circuits linking basal ganglia and cortex. Annual Review of Neuroscience, 9, 357381.Google Scholar
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders. Washington, DC: Author.Google Scholar
Benjamin, R.M. & Jackson, J.C. (1974). Unit discharges in mediodorsal nucleus of squirrel monkey evoked by electrical stimulation of olfactory bulb. Brain Research, 75, 181191.Google Scholar
Brandt, J. (1985). Access to knowledge in the dementia of Huntington's disease. Developmental Neuropsychology, 1, 335348.CrossRefGoogle Scholar
Brandt, J. & Butters, N. (1995). Neuropsychological characteristics of Huntington's disease. In Grant, I. & Adams, K. (Eds.), Neuropsychological assessment of neuropsychiatric disorders (2nd ed.). New York: Oxford University Press.Google Scholar
Brouwers, P., Cox, C., Martin, A., Chase, T., & Fedio, P. (1984). Differential perceptual-spatial impairment in Huntington's and Alzheimer's dementias. Archives of Neurology, 41, 10731076.Google Scholar
Butters, N., Sax, D., Montgomery, K., & Tarlow, S. (1978). Comparison of the neuropsychological deficits associated with early and advanced Huntington's disease. Archives of Neurology, 35, 585589.Google Scholar
Butters, N., Wolfe, J., Martone, M., Granholm, E., & Cermak, L.S. (1985). Memory disorders associated with Huntington's disease: Verbal recall, verbal recognition, and procedural memory. Neuropsychologia, 23, 729743.Google Scholar
Cain, W.S. (1989). Testing olfaction in a clinical setting. Ear, Nose and Throat Journal, 68, 7886.Google Scholar
Caine, E.D., Ebert, M., & Weingartner, H. (1977). An outline for the analysis of dementia: The memory disorder of Huntington's disease. Neurology, 27, 10871092.Google Scholar
Caine, E.D., Hunt, R.D., Weingartner, H., & Ebert, M.H. (1978). Huntington's dementia: Clinical and neuropsychological features. Archives of Genetic Psychiatry, 35, 378384.CrossRefGoogle ScholarPubMed
Clements, J. (1975). Chronology of the United States. New York: McGraw-Hill.Google Scholar
Cornsweet, T.N. (1962). The staircase method in psychophysics. American Journal of Psychology, 75, 485491.CrossRefGoogle Scholar
De la Monte, S.M., Vonsattel, J.-P., & Richardson, E.P. (1988). Morphometric demonstration of atrophic changes in the cerebral cortex, white matter, and neostriatum in Huntington's disease. Journal of Neuropathology and Experimental Neurology, 47, 516525.CrossRefGoogle ScholarPubMed
Dom, R., Malfroid, M., & Baro, F. (1976). Neuropathology of Huntington's chorea. Neurology, 26, 6468.Google Scholar
Doty, R.L. (1991). Olfactory dysfunction in neurodegenerative disorders. in Getchell, T.V., Doty, R.L., Bartoshuk, L.M., & Snow, J.B. Jr., (Eds.), Smell and taste in health and disease (pp. 735751). New York: Raven Press.Google Scholar
Doty, R.L., Reyes, P.F., & Gregor, T. (1987). Presence of both identification and detection deficits in Alzheimer's disease. Brain Research Bulletin, 18, 597600.CrossRefGoogle ScholarPubMed
Doty, R.L., Shaman, P., & Dann, M. (1984). Development of the University of Pennsylvania Smell Identification Test: A standardized microencapsulated test of olfactory function. Physiology & Behavior, 32, 489502.Google Scholar
Folstein, S.E. (1989). Huntington's disease: A disorder of families. Baltimore: The John Hopkins University Press.Google Scholar
Folstein, S.E., Brandt, J., & Folstein, M.F. (1990). Huntington's disease. In Cummings, J.L. (Ed.), Subcortical dementia (pp. 87107). New York: Oxford University Press.Google Scholar
Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.Google Scholar
Gescheider, G.A. (1985). Psychophysics: Method, theory, and application. Hillsdale, NJ: Erlbaum.Google Scholar
Gilmore, M.M. & Murphy, C. (1989). Aging is associated with increased Weber ratios for caffeine, but not for sucrose. Perception & Psychophysics, 46, 555559.Google Scholar
Hedreen, J.C., Peyser, C.E., Folstein, S.E., & Ross, C.A. (1991). Neuronal loss in layers V and VI of the cerebral cortex in Huntington's disease. Neuroscience Letters, 133, 257261.CrossRefGoogle ScholarPubMed
Huntington's Disease Collaborative Research Group. (1993). A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington's disease chromosomes. Cell, 72, 971983.Google Scholar
Martone, M., Butters, N., Payne, M., Becker, J.T., & Sax, D.S. (1984). Dissociation between skill learning and verbal recognition in amnesia and dementia. Archives of Neurology, 41, 965970.CrossRefGoogle ScholarPubMed
Mattis, S. (1976). Mental status examination for organic mental syndrome in the elderly patient. In Bellak, L. & Katasu, T.B. (Eds.), Geriatric psychiatry: A handbook for psychiatrists and primary care physicians (pp. 77121). New York: Grune & Stratton.Google Scholar
Moberg, P.J., Pearlson, G.D., Speedie, L.J., Lipsey, J.R., Strauss, M.E., & Folstein, S.E. (1987). Olfactory recognition: Differential impairments in early and late Huntington's and Alzheimer's disease. Journal of Clinical and Experimental Neuropsychology, 9, 650664.Google Scholar
Moss, M.B., Albert, M.S., Butters, N., & Payne, M. (1986). Differential patterns of memory loss among patients with Alzheimer's disease, Huntington's disease, and alcoholic Korsakoff's syndrome. Archives of Neurology, 43, 239246.Google Scholar
Murphy, C., Cain, W.S., Gilmore, M.M., & Skinner, B. (1991). Sensory and semantic factors in recognition memory for odors and graphic stimuli: Elderly versus young persons. American Journal of Psychology, 104, 161192.Google Scholar
Murphy, C. & Gilmore, M.M. (1989). Quality-specific effects of aging on the human taste system. Perception & Psychophysics, 45, 121128.CrossRefGoogle ScholarPubMed
Murphy, C., Gilmore, M.M., Seery, C.S., Salmon, D.P., & Lasker, B.R. (1990). Olfactory thresholds are associated with degree of dementia in Alzheimer's disease. Neurobiology of Aging, 11, 465469.Google Scholar
Nauta, W.J.H. (1960). Anatomical relationships between the amygdaloid complex, the dorsomedial thalamic nucleus and the orbitofrontal cortex in the monkey. Anatomical Record, 136, 251.Google Scholar
Potter, H. & Butters, N. (1980). Continuities in the olfactory deficits of chronic alcoholics and alcoholics with the Kor-sakoff syndrome. In Galanter, M. (Ed.), Currents in alcoholism. Vol. VII. New York: Grune & Stratton.Google Scholar
Potter, H. & Nauta, W.J.H. (1979). A note on the problem of olfactory associations of the orbitofrontal cortex in the monkey. Neuroscience, 4, 361367.Google Scholar
Powell, T.P.S., Cowan, W.M., & Raisman, G. (1965). The central olfactory connections. Journal of Anatomy, 99, 791813.Google Scholar
Rose, J.E. & Woolsey, C.N. (1948). The orbitofrontal cortex and its connections with the mediodorsal nucleus in rabbit, sheep and cat. Research Publications Association for Research in Nervous and Mental Disease, 27, 210232.Google ScholarPubMed
Simpson, J., Yates, C.M., Gordon, A., & St.Clair, D.M. (1984). Olfactory tubercle choline acetyltransferase activity in Alzheimer-type dementia, Down's syndrome and Huntington's disease. Journal of Neurology, Neurosurgery, and Psychiatry, 47, 11381139.CrossRefGoogle Scholar
Sotrel, A., Paskevich, P.A., Kiely, D.K., Bird, E.D., Williams, R.S., & Myers, R.H. (1991). Morphometric analysis of the prefrontal cortex in Huntington's disease. Neurology, 41, 11171123.CrossRefGoogle ScholarPubMed
Spokes, E.G.S. (1980). Neurochemical alterations in Huntington's chorea: A study of post-mortem brain tissue. Brain, 103, 179210.Google Scholar
Swets, J.A. (1986). Indices of discrimination or diagnostic accuracy: Their ROCs and implied models. Psychological Bulletin, 99, 181198.Google Scholar
Tanabe, T., lino, M., & Takagi, S.F. (1975). Discrimination of odors in olfactory bulb, pyriform-amygdaloid areas, and orbitofrontal cortex of the monkey. Journal of Neurophysiology, 38, 12841296.Google Scholar
Tanabe, T., Yarita, H., lino, M., Ooshima, Y., & Takagi, S.F. (1975). An olfactory projection area in orbitofrontal cortex of the monkey. Journal of Neurophysiology, 38, 12691283.CrossRefGoogle ScholarPubMed
Van Hoesen, G.W. & Pandya, D.N. (1975). Cortical afferents to the entorhinal cortex of the Rhesus monkey. Science, 175, 14711473.CrossRefGoogle Scholar
Vollmecke, T.A. & Doty, R.L. (1985). Development of the Picture Identification Test (PIT): A research companion to the University of Pennsylvania Smell Identification Test (UPSIT). Chemical Senses, 10, 413414.Google Scholar
Von Bonin, G. & Green, J.R. (1949). Connections between orbital cortex and diencephalon in the macaque. Journal of Comparative Neurology, 92, 243254.Google Scholar
Vonsattel, J.-P., Myers, R.H., Stevens, T.J., Ferrante, R.J., Bird, E.D., & Richardson, E.P. Jr., (1985). Neuropathological classification of Huntington's disease. Journal of Neuropathological and Experimental Neurology, 44, 559577.Google Scholar
Walker, A.E. (1940). The medial thalamic nucleus: A comparative anatomical physiological and clinical study of the nucleus medialis dorsalis thalami. Journal of Comparative Neurology, 73, 87115.CrossRefGoogle Scholar
Weingartner, H., Caine, E.D., & Ebert, M.H. (1979). Encoding processes, learning, and recall in Huntington's disease. In Chase, T.N., Wexler, N.S., & Barbeau, A. (Eds.), Advances in neurology, Vol. 23: Huntington's disease (pp. 215226). New York: Raven Press.Google Scholar