Cognitive evaluation of patients with chronic neurolathyrism.

Abstract:

OBJECTIVE:The object of the present study was to evaluate whether patients with neurolathyrism (NL) have cognitive abnormalities, and whether the cognitive decline, if found, correlates with the motor deficit. BACKGROUND:NL is a neurological syndrome that develops following ingestion of the grass pea (Lathyrus Sativus). These beans have excellent nutritional properties but contain the neurotoxin beta-N-oxalylamino-l-alanine (BOAA), suggested to be responsible for the development of CNL with the main symptom being spastic paraparesis. BOAA is closely related to beta-metyl-amino-alanine (BMA), the putatove phytotoxin involved in the pathogenesis of the ALS-PD complex of Guam. As the latter includes dementia, we investigated the cognitive functions of CNL patients. METHODS:NL patients (n=30), all subjects over 65-years old, and 30 aged matched controls underwent a neurological examination including a structured cognitive evaluation diagnosed according to DSM-IV criteria. In addition, all the participants were tested with the Wechsler Memory Scale (WMS). Patients' motor function was divided into five stages according to disease severity. Statistical analysis was performed using Student's t-test. RESULTS:Only one patient was found to be demented. The 30 CNL patients had a mean total WMS score of 57.2+/-18.2 and a memory quotient (MQ) of 128.9+/-28.5. The corresponding values for controls were 57.1+/-13.2 and 124+/-15.2 and there were no significant statistical differences between the two groups. No correlation was found between the cognitive and motor state of the CNL patients. CONCLUSION:The cognitive state of CNL patients does not show a decline.

authors

Paleacu D,Cohn DF,Rabey JM

doi

10.1016/s1353-8020(99)00016-4

subject

Has Abstract

pub_date

1999-04-01 00:00:00

pages

55-8

issue

1-2

eissn

1353-8020

issn

1873-5126

pii

S1353-8020(99)00016-4

journal_volume

5

pub_type

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