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  • The retrogression of the Alzheimer's disease for 5 years through a cognitive rehabilitation intervention. A case report

    • 1,
    • 2,
    • 1 and
    • 3
    Annals of General Psychiatry20087 (Suppl 1) :S354

    • Published:


    • Dementia
    • Mild Cognitive Impairment
    • Cortical Area
    • Cholinesterase
    • Normal Aging


    Although Alzheimer's disease is a neurodegenerative type of dementia, the recent literature suggests that cognitive rehabilitation intervention has satisfactory effects lasting at least for 2 years. We present a case-report of a 78 year high educated old man following such a program and the results of this program.

    Materials and methods

    The patient met the DSM-IV and NINCDS-ADRDA criteria. Laboratory, neuroimaging exams and detailed neuropsychological assessment were also performed. The neuroimaging data (MRI) showed atrophy of hippocampus and hypometabolism (SPECT) in temporal, parietal and frontal cortical areas. The formal diagnosis was probable Alzheimer's disease. We scheduled an individual cognitive intervention program 5 days a week for 4 months. A follow up, 6 months after the end of the program, showed a clinical and neuropsychological image compatible to normal aging. The following 4 years he was doing cognitive exercises for one hour, 3 times a week. During this program the patient was also treated with a cholinesterase inhibitor.


    In the 5th year of the follow up our subject showed a clinical and neuropsychological image of a mild cognitive impairment (MCI) patient. A summary of neuropsychological assessment is as follow: MMSE=25, FRSSD=5, Trail Making A=68”, Trail Making B'=254, RBMT: direct and indirect story recall 3 and 0 respectively, Digit Forward and Backward of WAIS-R 5 and 3 respectively, Pyramids and Palm Tree 44/52, Boston Naming Test=36/60, RAVT= 5 (Trial1), 1 (Trial I-V), 3 (Trial V-VI), Verbal fluency=18, Clock design=2/3.


    The progress of Alzheimer's disease can be retrograded, in some cases, even for 5 years under a well-structured cognitive intervention program.

    Authors’ Affiliations

    Geriatric Unit, Memory Clinic, 2nd Dept. Internal Medicine, Aristotle University of Thessaloniki, Hippocration Hospital, Thessaloniki, Greece
    3rd Dept. Neurology, School of Medicine, Aristotle University of Thessaloniki, G. Papanikolaou Hospital, Thessaloniki, Greece
    School of Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece


    © Tsantali et al.; licensee BioMed Central Ltd. 2008

    This article is published under license to BioMed Central Ltd.