Patients suffering from Alzheimer's disease (AD) or semantic dementia (SD) both exhibit deficits on explicit tasks of semantic memory. Semantic priming (SP) paradigms provide a very pure and precise implicit measurement of semantic memory impairment, and a previous study of AD (Giffard et al., 2002) using one such paradigm revealed that AD patients in the initial stages of semantic deterioration presented an abnormally large priming effect (hyperpriming) in a category-coordinate condition, compared with controls. This astonishing phenomenon could stem from the specific loss of distinctive attributes that make it possible to distinguish between semantically close concepts, while attributes shared by different concepts belonging to a given category remain intact. To test this hypothesis and compare the degradation of semantic memory in AD and SD, we devised an SP paradigm in which word pairs had either a category-coordinate or an attribute relationship. In accordance with our hypothesis, we distinguished between shared (duck-feathers) versus distinctive attributes (zebra-stripes) and close (tiger-lion) versus distant (elephant-crocodile) category-coordinate relationships. This paradigm, together with two explicit semantic memory tasks (picture-naming and categorization), was administered to 16 AD and 8 SD patients and 30 elderly control subjects. The AD patients, at the very beginning of semantic deterioration, only displayed impaired SP effects in the distinctive attribute condition, whereas in the SD patients, who had more severe semantic deterioration, we observed an extinction of SP effects in both attribute conditions. In SD patients, we also report hyperpriming effects in both category-coordinate conditions. Our results suggest that semantic memory impairment follows the same course in both AD and SD, affecting distinctive attributes first and then shared ones. In accordance with distributed models of semantic memory, the loss of distinctive attributes leads to a confusion between close concepts and it is this which causes the transient hyperpriming phenomenon.

Theory of mind (ToM) allows one"s own and others" cognitive and emotional mental states to be inferred. Although many patients with Alzheimer"s disease (AD) display impaired social functioning as their disease progresses, very few studies have investigated ToM in AD.Those that have done so suggest that patients" ToM deficits are the consequence of other cognitive impairments. The aim of this study was thus to investigate changes in both the cognitive and the affective dimensions of ToM in AD, using tasks designed to circumvent the patients" comprehension difficulties. Sixteen mild to moderate AD patients and 15 healthy controls matched on age, sex and education level underwent cognitive (preference judgment and first-and second-order false belief) and affective (Reading the Mind in the Eyes) ToM assessments. Comprehension of false belief stories was verified and an additional neuropsychological examination was undergone. We observed impaired performances by AD patients on all the ToM tasks. While working memory and executive functioning impairments contributed to the deterioration in the more complex aspects of cognitive ToM abilities as highlighted by a correlation analysis, we failed to observe any comprehension difficulties in patients who performed poorly on simple cognitive ToM tasks, which suggests that AD truly affects cognitive ToM.

Semantic dementia is characterized by semantic deficits and behavioural abnormalities that occur in the wake of bilateral inferolateral and predominantly left-sided anterior temporal lobe atrophy. The temporal poles have been shown to be involved in theory of mind, namely the ability to ascribe cognitive and affective mental states to others that regulates social interactions by predicting and interpreting human behaviour. However, very few studies have examined theory of mind in semantic dementia. In this study, we investigated both cognitive and affective theory of mind in a group of patients with semantic dementia, using separate objective and subjective assessment tasks. Results provided objective evidence of an impact of semantic dementia on cognitive and affective theory of mind, consistent with the patients' atrophy in the left temporal lobe and hypometabolism in the temporal lobes and the medial frontal cortex. However, the subjective assessment of theory of mind suggested that awareness of the affective but not cognitive theory of mind deficit persists into the moderate stage of the disease.

WM is impaired by acute hypobaric hypoxia. Given the importance of WM in aircraft piloting and its sensitivity to hypoxia, the PASAT, in association with SpO2 and EEG recordings, could improve both hypoxia training and our understanding of the effects of hypoxia on memory.

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Verbal fluency tasks are commonly used to explore semantic memory and executive functions. The aim of this study was to gain a better understanding of the cognitive and neural mechanisms underlying verbal fluency impairment in the frontal variant of frontotemporal dementia (fv-FTD) and in semantic dementia (SD). Semantic and phonemic fluency tasks were performed by 36 fv-FTD and SD patients and 18 elderly controls. We also carried out a neuropsychological investigation of semantic memory, working memory and shifting and updating processes. We performed correlative and regression analyses of fluency scores and neuropsychological data. In addition, patients underwent a resting positron emission tomography examination, and statistical parametric mapping was used to establish correlations between resting-state FDG uptake in the whole brain and fluency scores for each patient group. Both patient groups displayed impaired performances on both fluency tasks compared with controls, but with different patterns. While fv-FTD patients scored higher than SD patients on semantic fluency, their performances on the phonemic task did not differ. Correlation and regression analyses clearly demonstrated that the fv-FTD patients' performances on both fluency tasks depended on their executive abilities, while those of the SD patients were hampered by the impairment of their semantic memory store. Correlations with resting FDG uptake were consistent with the results of the cognitive study. In fv-FTD, both fluency performances were related to the metabolism of the frontal lobes, while we observed significant correlations between performances on both fluency tasks and the left temporal lobe metabolism in SD.

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