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Letters: Come Together

Dassel, Kara PhD

doi: 10.1097/01.NNN.0000394641.71549.07


I have a couple of comments regarding “Come Together” (November/December 2010). I enjoyed the article overall, but found two sections to be erroneous. First, the third paragraph of the article states “I took my mom to a neurologist. After two days of tests, he said she had ‘frontal lobe syndrome’ but couldn't provide a definitive Alzheimer's diagnosis.” In my opinion, it is inaccurate to describe Alzheimer's disease as a frontal lobe syndrome; AD is primarily a disease of the medial temporal lobes (i.e., memory). It does eventually affect the frontal lobes, but not until later in the disease process.

Secondly, the second to last paragraph in the section entitled “Treatments and Prevention” Tucker states “Since brain exercises have been shown to have some effect in warding off dementia…” I feel that readers are not being provided the most current National Institutes of Health consensus, which stated that there is no convincing evidence to support the claim that brain exercises are able to reduce risk or delay the onset of Alzheimer's disease.

—Kara Dassel, PhD

©2011 American Academy of Neurology