SYNOPSIS Thirty-five elderly patients were investigated because of clinical signs of dementia. The presence of diffuse cerebral atrophy, and its severity, were determined by the use of computed tomography (CT scan). All of the patients were also examined by electroencephalography (EEG), and the presence of diffuse abnormalities, especially diffuse slowing, was noted. Specifically, patients with normal or near-normal EEGs were compared with those with severe diffuse slowing. No correlation between the presence or severity of diffuse EEG abnormalities and the degree of cerebral atrophy as measured by CT scan was found. Though the EEG is clearly identifying physiological dysfunction of nerve cells in demented patients it does not appear to be a reliable tool for the prediction of diffuse cerebral atrophy in this population.Senile dementia in association with diffuse cerebral atrophy is one of the problems commonly encountered by the clinical neurologist. In numerous studies the EEG of demented individuals was found to undergo significant changes. However, few studies have been reported which attempt to correlate the degree ofcerebral atrophy with the severity of the EEG abnormalities in mentally deteriorating aging persons (MundyCastle et al., 1954;Weiner and Schuster, 1956;Busse and Wang, 1965;Muller and Kral, 1967).The present study was designed to explore the correlation between these two variables in order to assess whether the EEG might be a reliable tool for the detection of cerebral atrophy in the elderly demented patient.
METHODSThirty-five patients over 59 years of age were among a larger group hospitalized on the basis of having clinical signs of dementia. Senile dementia was