Background: The effects of animal assisted therapy on patients with dementia were investigated through the use of mental state batteries.

The effect of the lavender odorant on a Japanese version of Cox and Mackay's stress/arousal adjective checklist for three groups was studied. One group of 14 was placed into a (2 x 2- x 3 m) sound protected room for 20 min without the presentation of an odor, an analogous group of 15 received the odor oil, and one group of 13 received a nonstressful condition. Analysis suggested that lavender odorants were associated with reduced mental stress and increased arousal rate.

We report a case of typical auditory agnosia. It is unique in that the clinical picture began with generalized auditory agnosia for verbal and nonverbal sounds and changed, over a period of two months, to a restricted auditory agnosia, confined to the recognition of nonverbal sounds. The lesions, confirmed by CT scanning and MRI, were subcortical bilaterally, without evidence of cortical damage, and have not previously been described. The results of audiological studies on temporal discrimination were similar to those described for bilateral temporal lobe lesions. The relationships between click intervals and the threshold to detect sound, and between numbers of clicks and the threshold, were also examined. We observed a tendency for the threshold to decline as the number of clicks was increased or the interval between two clicks was shortened. These phenomena are similar to temporal summation in cellular neurophysiology and we speculate that this phenomenon is an important factor in the auditory disturbances shown by the present case.

No abstract

The P300 component of auditory event-related potential was studied in 39 patients with temporal lobe epilepsy (TLE), 26 with idiopathic generalized epilepsy (IGE) and 28 controls. The age-corrected P300 latencies were significantly longer in TLE patients compared with those in IGE patients and controls. Neither the duration of epilepsy nor clinical manifestation was related to the P300 component in the same epileptic syndrome. The age-corrected P300 latencies recorded from Cz were significantly prolonged in TLE patients with bilateral temporal EEG foci compared with those with unilateral focus. The effects of anti-epileptic drugs on the P300 component were not significant. Our findings imply that prolonged P300 latency in TLE patients, especially in those with bilateral EEG foci is due to damage of the hippocampus, which is potentially an epileptogenic focus.

Backgrounds: The digit symbol substitution test (DSST) is a clinically useful and widely accepted tool for the detection of various psychiatric disorders. Investigating neural activity during the DSST is useful when considering the relationship between the poor performance on the DSST and neurocognitive deficits. However, obtaining reliable functional imaging of the neural mechanisms associated with this test is challenging due to motion artifacts. Aims: To circumvent this problem, we examined frontal lobe activity during the DSST using multichannel near-infrared spectroscopy, a noninvasive functional imaging technique that does not interfere with the DSST procedure. Methods: Twenty-five healthy volunteers were enrolled in this study. Changes in the concentration of oxygenated hemoglobin (oxyHb) during the DSST were determined bilaterally in 52 measurement points (channels) on the frontal area. Results: We found significant increases in oxyHb in more than 70% of the channels, with the intensity of the increase being more pronounced in the left hemisphere. Several channels showed significant positive correlations between changes in oxyHb and DSST performance. Some of the channels with a significant increase in oxyHb during the DSST did not show a correlation with the DSST performance. Conclusions: Our findings indicate that the DSST could prove useful as a frontal lobe stimulating task. Further examinations of DSST/near-infrared spectroscopy analyses of neural mechanisms in patients with psychiatric and neurological diseases are necessary to assess its effectiveness in clinical practice for the evaluation of neuropsychopathology.

We report the identical monozygotic twin cases of agenesis of the corpus callosum that demonstrated schizophrenic disorder. Patients were 26-year-old twin brothers and both cases were diagnosed as having schizophrenia using DSM-III-R diagnostic criteria. On magnetic resonance imagings both cases demonstrated the total agenesis of the corpus callosum and the anterior commissure was hypertrophic. We speculated that the developmental disturbance of the corpus callosum might be related to the cause of the psychiatric disorders in the present cases.

Background: Olfactory function in vascular dementia has not been extensively investigated to date. We studied olfactory function in vascular dementia (VD) and dementia of Alzheimer's type (DAT). Methods: We studied olfactory functioning in 12 patients suffering from dementia of Alzheimer's type, 11 patients with vascular dementia and 30 normal subjects. For these subjects we examined a 12-item version of the Pennsylvania smell identification test and mini-mental state examinations. These three groups were matched for age, sex and educational level. Results: Although the dementia scores were comparable in the DAT and VD groups, the smell identifications were low in DAT patients compared with VD patients and normal control subjects. Conclusions: These results suggest that the smell identification test may be useful in differential diagnosis between DAT and VD patients