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Assessment with Cognitive Screening Instruments

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Dementia in Clinical Practice: A Neurological Perspective
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Abstract

This chapter examines the screening utility of selected cognitive screening instruments, including both multidomain and specific/single domain instruments, which have been examined in the author’s clinic for the assessment of cognitive complaints.

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References

  • Abdel-Aziz K, Larner AJ. Six-Item Cognitive Impairment Test (6CIT) for detection of dementia and cognitive impairment. Int Psychogeriatr. 2015;27:991–7.

    Article  CAS  PubMed  Google Scholar 

  • Aji BM, Ghadiali EJ, Jacob A, Larner AJ. Passage of an iron bar through the head: 50-year follow-up. J Neurol. 2012;259:1247–8.

    Article  CAS  PubMed  Google Scholar 

  • Aji BM, Medley G, O’Driscoll K, Larner AJ, Alusi SH. Perry syndrome: a disorder to consider in the differential diagnosis of parkinsonism. J Neurol Sci. 2013;330:117–8.

    Article  CAS  PubMed  Google Scholar 

  • Aji BM, Milburn-McNulty P, Larner AJ. Epilepsy: when family history holds the key to diagnosis. Prog Neurol Psychiatry. 2016;20(5):11–2.

    Article  Google Scholar 

  • Ala T, Hughes LF, Kyrouac GA, Ghobrial MW, Elble RJ. The Mini-Mental State exam may help in the differentiation of dementia with Lewy bodies and Alzheimer’s disease. Int J Geriatr Psychiatry. 2002;17:503–9.

    Article  PubMed  Google Scholar 

  • Ali R, Barborie A, Larner AJ, White RP. Psychiatric presentation of sporadic Creutzfeldt-Jakob disease: a challenge to current diagnostic criteria. J Neuropsychiatry Clin Neurosci. 2013;25:335–8.

    Article  PubMed  Google Scholar 

  • Allison RS. The senile brain. A clinical study. London: Edward Arnold; 1962.

    Google Scholar 

  • Banerjee S, Willis R, Matthews D, Contell F, Chan J, Murray J. Improving the quality of care for mild to moderate dementia: an evaluation of the Croydon Memory Service Model. Int J Geriatr Psychiatry. 2007;22:782–8.

    Article  PubMed  Google Scholar 

  • Belmin J, Pariel-Madjlessi S, Surun P, Bentot C, Feteanu D, Lefebvre des Noettes V, et al. The cognitive disorders examination (Codex) is a reliable 3-minute test for detection of dementia in the elderly (validation study in 323 subjects). Presse Med. 2007;36:1183–90.

    Article  PubMed  Google Scholar 

  • Bier JC, Ventura M, Donckels V, et al. Is the Addenbrooke’s Cognitive Examination effective to detect frontotemporal dementia? J Neurol. 2004;251:428–31.

    Article  CAS  PubMed  Google Scholar 

  • Bonello M, Larner AJ, Marson AG, et al. Profound amnesia after temporal lobectomy: an autoimmune process resembling patient H.M.? Case Rep Neurol. 2014;6:251–5.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bowie P, Branton T, Holmes J. Should the Mini Mental State Examination be used to monitor dementia treatments? Lancet. 1999;354:1527–8.

    Article  CAS  PubMed  Google Scholar 

  • Brooke P, Bullock R. Validation of a 6 item cognitive impairment test with a view to primary care usage. Int J Geriatr Psychiatry. 1999;14:936–40.

    Article  CAS  PubMed  Google Scholar 

  • Brown J. The use and misuse of short cognitive tests in the diagnosis of dementia. J Neurol Neurosurg Psychiatry. 2015;86:680–5.

    Article  PubMed  Google Scholar 

  • Brown JM. TYM (Test Your Memory) testing. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017. p. 209–29.

    Chapter  Google Scholar 

  • Brown J, Pengas G, Dawson K, Brown LA, Clatworthy P. Self administered cognitive screening test (TYM) for detection of Alzheimer’s disease: cross sectional study. BMJ. 2009;338:b2030.

    Article  PubMed Central  PubMed  Google Scholar 

  • Brown J, Wiggins J, Dong H, Harvey R, Richardson F, Dawson K, Parker RA. The H-TYM. Evaluation of a short cognitive test to detect mild AD and amnestic MCI. Int J Geriatr Psychiatry. 2014;29:272–80.

    Article  PubMed  Google Scholar 

  • Brown JM, Lansdall CJ, Wiggins J, et al. The Test Your Memory for Mild Cognitive Impairment (TYM-MCI). J Neurol Neurosurg Psychiatry. 2017;88:1045–51.

    Article  PubMed  Google Scholar 

  • Brugnolo A, Nobili F, Barbieri MP, et al. The factorial structure of the mini mental state examination (MMSE) in Alzheimer’s disease. Arch Gerontol Geriatr. 2009;49:180–5.

    Article  CAS  PubMed  Google Scholar 

  • Burkhardt H, Karaminejad E, Gladisch R. A short performance test can help to predict adherence to self-administration of insulin in elderly patients with diabetes. Age Ageing. 2006;35:449–50.

    Article  CAS  PubMed  Google Scholar 

  • Burns A, Lawlor B, Craig S. Assessment scales in old age psychiatry. 2nd ed. London: Martin Dunitz; 2004.

    Book  Google Scholar 

  • Buschke H, Kuslansky G, Katz M, et al. Screening for dementia with the Memory Impairment Screen. Neurology. 1999;52:231–8.

    Article  CAS  PubMed  Google Scholar 

  • Cagliarini AM, Price HL, Livemore ST, Larner AJ. Will use of the Six-Item Cognitive Impairment Test help to close the dementia diagnosis gap? Aging Health. 2013;9:563–6.

    Article  CAS  Google Scholar 

  • Can SS, Gencay-Can A, Gunendi Z. Validity and reliability of the clock drawing test as a screening tool for cognitive impairment in patients with fibromyalgia. Compr Psychiatry. 2012;53:81–6.

    Article  PubMed  Google Scholar 

  • Cannon P, Larner AJ. Errors in the scoring and reporting of cognitive screening instruments administered in primary care. Neurodegener Dis Manag. 2016;6:271–6.

    Article  PubMed  Google Scholar 

  • Carnero-Pardo C. Should the Mini-Mental State Examination be retired? Neurologia. 2014;29:473–81.

    Article  CAS  PubMed  Google Scholar 

  • Carnero Pardo C, editor. Test cognitivos breves. Madrid: Ediciones SEN; 2015.

    Google Scholar 

  • Caslake R, Summers F, McConachie D, et al. The Mini-Mental Parkinson’s (MMP) as a cognitive screening tool in people with Parkinson’s disease. Curr Aging Sci. 2013;6:273–9.

    Article  PubMed  Google Scholar 

  • Castiglioni S, Pelati O, Zuffi M, et al. The Frontal Assessment Battery does not differentiate frontotemporal dementia from Alzheimer’s disease. Dement Geriatr Cogn Disord. 2006;22:125–31.

    Article  PubMed  Google Scholar 

  • Ciesielska N, Sokolowski R, Mazue E, Podhorecka M, Polak-Szabela A, Kedziora-Kornatowska K. Is the Montreal Cognitive Assessment (MoCA) test better suited than the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60? Meta-analysis. Psychiatr Pol. 2016;50:1039–52.

    Article  PubMed  Google Scholar 

  • Connon P, Larner AJ. Fragile X-associated tremor/ataxia syndrome: cognitive presentations. Br J Hosp Med. 2017a;78:230–1.

    Article  CAS  Google Scholar 

  • Connon P, Larner AJ. Six-item Cognitive Impairment Test (6CIT): diagnostic test accuracy study in primary care referrals. Int J Geriatr Psychiatry. 2017b;32:583–4.

    Article  CAS  PubMed  Google Scholar 

  • Copeland JR, Davidson IA, Dewey ME, et al. Alzheimer’s disease, other dementias, depression and pseudodementia: prevalence, incidence and three-year outcome in Liverpool. Br J Psychiatry. 1992;161:230–9.

    Article  CAS  PubMed  Google Scholar 

  • Copeland JR, McCracken CF, Dewey ME, Wilson KC, Doran M, Gilmore C, Scott A, Larkin BA. Undifferentiated dementia, Alzheimer’s disease and vascular dementia: age- and gender-related incidence in Liverpool. The MRC-ALPHA study. Br J Psychiatry. 1999;175:433–8.

    Article  CAS  PubMed  Google Scholar 

  • Cox C, Larner AJ. Recurrent hypoglycaemia and cognitive impairment: a 14-year follow-up. Br J Hosp Med. 2016;77:540–1.

    Article  Google Scholar 

  • Crawford S, Whitnall L, Robertson J, Evans JJ. A systematic review of the accuracy and clinical utility of the Addenbrooke’s Cognitive Examination and the Addenbrooke’s Cognitive Examination-Revised in the diagnosis of dementia. Int J Geriatr Psychiatry. 2012;27:659–69.

    Article  PubMed  Google Scholar 

  • Crum RM, Anthony JC, Bassett SS, Folstein MF. Population-based norms for the Mini-Mental State Examination by age and educational level. JAMA. 1993;269:2386–91.

    Article  CAS  PubMed  Google Scholar 

  • Cullen B, O’Neill B, Evans JJ, Coen RF, Lawlor BA. A review of screening tests for cognitive impairment. J Neurol Neurosurg Psychiatry. 2007;78:790–9.

    Article  PubMed  Google Scholar 

  • Davey RJ, Jamieson S. The validity of using the mini mental state examination in NICE dementia guidelines. J Neurol Neurosurg Psychiatry. 2004;75:343–4.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Davies RR, Dawson K, Mioshi E, Erzinclioglu S, Hodges JR. Differentiation of semantic dementia and Alzheimer’s disease using the Addenbrooke’s Cognitive Examination (ACE). Int J Geriatr Psychiatry. 2008;23:370–5.

    Article  PubMed  Google Scholar 

  • Delaney BC, Hyde CJ, McManus RJ, et al. Systematic review of near patient test evaluations in primary care. BMJ. 1999;319:824–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Dick JPR, Guiloff RJ, Stewart A, et al. Mini-mental state examination in neurological patients. J Neurol Neurosurg Psychiatry. 1984;47:496–9.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Doran M, Larner AJ. EEG findings in dementia with Lewy bodies causing diagnostic confusion with sporadic Creutzfeldt-Jakob disease. Eur J Neurol. 2004;11:838–41.

    Article  CAS  PubMed  Google Scholar 

  • Dubois B, Slachevsky A, Litvan I, Pillon B. The FAB: a Frontal Assessment Battery at bedside. Neurology. 2000;55:1621–6.

    Article  CAS  PubMed  Google Scholar 

  • Dubois B, Touchon J, Portet F, Ousset PJ, Vellas B, Michel B. “The 5 words”: a simple and sensitive test for the diagnosis of Alzheimer’s disease [in French]. Presse Med. 2002;31:1696–9.

    PubMed  CAS  Google Scholar 

  • Dudas RB, Berrios GE, Hodges JR. The Addenbrooke’s Cognitive Examination (ACE) in the differential diagnosis of early dementias versus affective disorder. Am J Geriatr Psychiatry. 2005;13:218–26.

    Article  PubMed  Google Scholar 

  • Duff Canning SJ, Leach L, Stuss D, Ngo L, Black SE. Diagnostic utility of abbreviated fluency measures in Alzheimer disease and vascular dementia. Neurology. 2004;62:556–62.

    Article  Google Scholar 

  • Ellis RJ, Mbizvo GK, Jacob A, Doran M, Larner AJ. Relapsing polychondritis complicated by cognitive dysfunction: two distinct clinical phenotypes? Int J Neurosci. 2017;127:124–34.

    Article  CAS  PubMed  Google Scholar 

  • Feher EP, Mahurin RK, Doody RS, Cooke N, Sims J, Pirozzolo FJ. Establishing the limits of the Mini-Mental State Examination. Arch Neurol. 1992;49:87–92.

    Article  CAS  PubMed  Google Scholar 

  • Ferran J, Wilson K, Doran M, Ghadiali E, Johnson F, Cooper P, McCracken C. The early onset dementias: a study of clinical characteristics and service use. Int J Geriatr Psychiatry. 1996;11:863–9.

    Article  Google Scholar 

  • Fisher CAH, Larner AJ. Frequency and diagnostic utility of cognitive test instrument use by general practitioners prior to memory clinic referral. Fam Pract. 2007;24:495–7.

    Article  CAS  PubMed  Google Scholar 

  • Folstein MF, Folstein SE, McHugh PR. “Mini-Mental State.” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189–98.

    Article  CAS  PubMed  Google Scholar 

  • Freedman M, Leach L, Kaplan E, Winocur G, Shulman K, Delis DC. Clock drawing. A neuropsychological analysis. New York: Oxford University Press; 1994.

    Google Scholar 

  • Galasko D, Klauber MR, Hofstetter CR, Salmon DP, Lasker B, Thal LJ. The Mini-Mental State Examination in the early diagnosis of Alzheimer’s disease. Arch Neurol. 1990;47:49–52.

    Article  CAS  PubMed  Google Scholar 

  • Gale TM, Larner AJ. Six-Item Cognitive Impairment Test (6CIT). In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017. p. 241–53.

    Chapter  Google Scholar 

  • Galvin JE, Roe CM, Powlishta KK, et al. The AD8. A brief informant interview to detect dementia. Neurology. 2005;65:559–64.

    Article  CAS  PubMed  Google Scholar 

  • Ganguli M, Ratcliff G, Huff FJ, et al. Serial sevens versus world backwards: a comparison of the two measures of attention from the MMSE. J Geriatr Psychiatry Neurol. 1990;3:203–7.

    PubMed  CAS  Google Scholar 

  • Ghadiri-Sani M, Larner AJ. Cognitive screening instrument use in primary care: is it changing? Clin Pract. 2014;11:425–9.

    Article  CAS  Google Scholar 

  • Golding E. The Middlesex Elderly Assessment of Mental State. Bury St Edmunds: Thames Valley Test Company; 1989.

    Google Scholar 

  • Grober E, Buschke H. Genuine memory deficits in dementia. Dev Neuropsychol. 1987;3:13–36.

    Article  Google Scholar 

  • Han L, Cole M, Bellevance F, McCusker J, Primeau F. Tracking cognitive decline in Alzheimer’s disease using the Mini-Mental State Examination: a meta-analysis. Int Psychogeriatr. 2000;12:231–47.

    Article  CAS  PubMed  Google Scholar 

  • Hancock P, Larner AJ. The diagnosis of dementia: diagnostic accuracy of an instrument measuring activities of daily living in a clinic-based population. Dement Geriatr Cogn Disord. 2007;23:133–9.

    Article  CAS  PubMed  Google Scholar 

  • Hancock P, Larner AJ. Diagnostic utility of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) and its combination with the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in a memory clinic-based population. Int Psychogeriatr. 2009;21:526–30.

    Article  CAS  PubMed  Google Scholar 

  • Hancock P, Larner AJ. Test Your Memory (TYM) test: diagnostic utility in a memory clinic population. Int J Geriatr Psychiatry. 2011;26:976–80.

    Article  CAS  PubMed  Google Scholar 

  • Hancock P, Larner AJ. Cornell Scale for Depression in Dementia: clinical utility in a memory clinic. Int J Psychiatry Clin Pract. 2015;19:71–4.

    Article  PubMed  Google Scholar 

  • Hancock P, Wike J, Larner AJ. Clinical experience with CANTAB-PAL in the diagnosis of Alzheimer’s disease. Poster presentation, 17th Alzheimer Europe Conference, Estoril, Portugal, 9–11 May 2007.

    Google Scholar 

  • Hatfield CF, Dudas RB, Dening T. Diagnostic tools for dementia. Maturitas. 2009;63:181–5.

    Article  PubMed  Google Scholar 

  • Healey E. Elizabeth is missing. London: Penguin; 2015.

    Google Scholar 

  • Hennerici MG, Daffertshofer M, Caplan LR, Szabo K. Case studies in stroke. Common and uncommon presentations. Cambridge: Cambridge University Press; 2006.

    Book  Google Scholar 

  • Henry JD, Crawford JR, Phillips LH. Verbal fluency performance in dementia of the Alzheimer type: a meta-analysis. Neuropsychologia. 2004;42:1212–22.

    Article  PubMed  Google Scholar 

  • Hessler J, Bronner M, Etgen T, et al. Suitability of the 6CIT as a screening test for dementia in primary care patients. Aging Ment Health. 2014;18:515–20.

    Article  PubMed  Google Scholar 

  • Hodges JR, Larner AJ. Addenbrooke’s Cognitive Examinations: ACE, ACE-R, ACE-III, ACEapp, and M-ACE. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017. p. 109–37.

    Chapter  Google Scholar 

  • Hodges JR, Patterson K, Ward R, et al. The differentiation of semantic dementia and frontal lobe dementia (temporal and frontal variants of frontotemporal dementia) from early Alzheimer’s disease: a comparative neuropsychological study. Neuropsychology. 1999;13:31–40.

    Article  CAS  PubMed  Google Scholar 

  • Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17:427–42.

    Article  CAS  PubMed  Google Scholar 

  • Holmes C, Lovestone S. Long-term cognitive and functional decline in late onset Alzheimer’s disease: therapeutic implications. Age Ageing. 2003;32:200–4.

    Article  PubMed  Google Scholar 

  • Hsieh S, Schubert S, Hoon C, Mioshi E, Hodges JR. Validation of the Addenbrooke’s Cognitive Examination III in frontotemporal dementia and Alzheimer’s disease. Dement Geriatr Cogn Disord. 2013;36:242–50.

    Article  PubMed  Google Scholar 

  • Hsieh S, McGrory S, Leslie F, et al. The Mini-Addenbrooke’s Cognitive Examination: a new assessment tool for dementia. Dement Geriatr Cogn Disord. 2015;39:1–11.

    Article  PubMed  Google Scholar 

  • Ibrahim I, Young CA, Larner AJ. Fornix damage from solitary subependymal giant cell astrocytoma causing postoperative amnesic syndrome. Br J Hosp Med. 2009;70:478–9.

    Article  CAS  Google Scholar 

  • Ismail Z, Mulsant BH, Herrmann N, Rapoport M, Nilsson M, Shulman K. Canadian Academy of Geriatric Psychiatry survey of brief cognitive screening instruments. Can Geriatr J. 2013;16:54–60.

    Article  PubMed Central  PubMed  Google Scholar 

  • Julayanont P, Nasreddine ZS. Montreal Cognitive Assessment (MoCA): concept and clinical review. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017. p. 139–95.

    Chapter  Google Scholar 

  • Kalbe E, Kessler J. DemTect. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017. p. 197–208.

    Chapter  Google Scholar 

  • Kalbe E, Calabrese P, Schwalen S, Kessler J. The Rapid Dementia Screening Test (RDST): a new economical tool for detecting possible patients with dementia. Dement Geriatr Cogn Disord. 2003;16:193–9.

    Article  PubMed  Google Scholar 

  • Kalbe E, Kessler J, Calabrese P, et al. DemTect: a new, sensitive cognitive screening test to support the diagnosis of mild cognitive impairment and early dementia. Int J Geriatr Psychiatry. 2004;19:136–43.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. MMSE subscores and the diagnosis of dementia with Lewy bodies. Int J Geriatr Psychiatry. 2003;18:855–6.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Use of MMSE to differentiate Alzheimer’s disease from dementia with Lewy bodies. Int J Geriatr Psychiatry. 2004;19:1209–10.

    Article  Google Scholar 

  • Larner AJ. “Dementia unmasked”: atypical, acute aphasic, presentations of neurodegenerative dementing disease. Clin Neurol Neurosurg. 2005a;108:8–10.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. An audit of the Addenbrooke’s Cognitive Examination (ACE) in clinical practice. Int J Geriatr Psychiatry. 2005b;20:593–4.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. An audit of the Addenbrooke’s Cognitive Examination (ACE) in clinical practice. 2. Longitudinal change. Int J Geriatr Psychiatry. 2006;21:698–9.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Of clocks and mirrors: the Backward Clock Test. Eur J Neurol. 2007a;14(Suppl 1):100. (abstract P1265)

    Google Scholar 

  • Larner AJ. Addenbrooke’s Cognitive Examination (ACE) for the diagnosis and differential diagnosis of dementia. Clin Neurol Neurosurg. 2007b;109:491–4.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Addenbrooke’s Cognitive Examination-Revised (ACE-R) in day-to-day clinical practice. Age Ageing. 2007c;36:685–6.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. DemTect in the diagnosis of dementia: first 100 patients. In: Iqbal K, Winblad B, Avila J, editors. Alzheimer’s disease: new advances. Collection of selected articles of papers presented at the 10th International Conference on Alzheimer’s disease and related disorders. Madrid, Spain, July 15–20, 2006. Medimond: Bologna; 2007d. p. 177–81.

    Google Scholar 

  • Larner AJ. DemTect: 1-year experience of a neuropsychological screening test for dementia. Age Ageing. 2007e;36:326–7.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Addenbrooke’s Cognitive Examination-Revised in day-to-day clinical practice. Reply. Age Ageing. 2008a;37:350–1.

    Article  Google Scholar 

  • Larner AJ. Cambridge Behavioural Inventory: diagnostic and differential diagnostic utility. J Neurol Neurosurg Psychiatry. 2008b;79:351–2. (abstract 61)

    Google Scholar 

  • Larner AJ. ACE-R: cross-sectional and longitudinal use for cognitive assessment. In: Fisher A, Hanin I, editors. New trends in Alzheimer and Parkinson related disorders: ADPD 2009. Collection of selected free papers from the 9th International Conference on Alzheimer’s and Parkinson’s disease AD/PD. Prague, Czech Republic, March 11–15, 2009. Bologna: Medimond International Proceedings; 2009a. p. 103–7.

    Google Scholar 

  • Larner AJ. Addenbrooke’s Cognitive Examination-Revised: cross-sectional and longitudinal use for cognitive assessment. Neurodegener Dis. 2009b;6(Suppl 1):194.

    Google Scholar 

  • Larner AJ. Intrafamilial clinical phenotypic heterogeneity with MAPT gene splice site IVS10+16C>T mutation. J Neurol Sci. 2009c;287:253–6.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Is Mini-Mental Parkinson (MMP) a useful screening test in a cognitive clinic population? Eur J Neurol. 2010;17(Suppl 3):205. (abstract P1342)

    Google Scholar 

  • Larner AJ. Frontal Assessment Battery (FAB): a pragmatic study. Neurodegener Dis. 2011;8(Suppl 1):565.

    Google Scholar 

  • Larner AJ. Screening utility of the Montreal Cognitive Assessment (MoCA): in place of—or as well as—the MMSE? Int Psychogeriatr. 2012a;24:391–6.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Mini-Mental Parkinson (MMP) as a dementia screening test: comparison with the Mini-Mental State Examination (MMSE). Curr Aging Sci. 2012b;5:136–9.

    Article  PubMed  Google Scholar 

  • Larner AJ. FTDP-17: 2-year follow-up of motor and cognitive features after autologous stem-cell transplantation. J Neuropsychiatry Clin Neurosci. 2012c;24(2):E1–2.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ, editor. Cognitive screening instruments. A practical approach. London: Springer; 2013a.

    Google Scholar 

  • Larner AJ. Addenbrooke’s Cognitive Examination-Revised (ACE-R): pragmatic study of cross-sectional use for assessment of cognitive complaints of unknown aetiology. Int J Geriatr Psychiatry. 2013b;28:547–8.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Codex (cognitive disorders examination) for the detection of dementia and mild cognitive impairment. Codex pour la détection de la démence et du mild cognitive impairment. Presse Med. 2013c;42:e425–8.

    Article  PubMed  Google Scholar 

  • Larner AJ. Addenbrooke’s Cognitive Examination standardized verbal fluency scores for differential diagnosis of AD and FTLD. J Neurol Sci. 2013d;333:e292.

    Article  Google Scholar 

  • Larner AJ. Can the Frontal Assessment Battery (FAB) help in the diagnosis of behavioural variant frontotemporal dementia? A pragmatic study. Int J Geriatr Psychiatry. 2013e;28:106–7.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. AD8 informant questionnaire for cognitive impairment: pragmatic diagnostic test accuracy study. J Geriatr Psychiatry Neurol. 2015a;28:198–202.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Mini-Addenbrooke’s Cognitive Examination: a pragmatic diagnostic accuracy study. Int J Geriatr Psychiatry. 2015b;30:547–8.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Mini-Addenbrooke’s Cognitive Examination diagnostic accuracy for dementia: reproducibility study. Int J Geriatr Psychiatry. 2015c;30:1103–4.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Optimizing the cutoffs of cognitive screening instruments in pragmatic diagnostic accuracy studies: maximising accuracy or Youden index? Dement Geriatr Cogn Disord. 2015d;39:167–75.

    Article  PubMed  Google Scholar 

  • Larner AJ. Implications of changing the Six-item Cognitive Impairment Test cutoff. Int J Geriatr Psychiatry. 2015e;30:778–9.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Six Item Cognitive Impairment Test: suitable for the visually impaired? Prog Neurol Psychiatry. 2015f;19(6):20–2.

    Article  Google Scholar 

  • Larner AJ. Hard-TYM: a pragmatic study. Int J Geriatr Psychiatry. 2015g;30:330–1.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Cognitive screening instruments for the diagnosis of mild cognitive impairment. Prog Neurol Psychiatry. 2016a;20(2):21–6.

    Article  Google Scholar 

  • Larner AJ. Correlation or limits of agreement? Applying the Bland-Altman approach to the comparison of cognitive screening instruments. Dement Geriatr Cogn Disord. 2016b;42:247–54.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. M-ACE vs. MoCA: a weighted comparison. Int J Geriatr Psychiatry. 2016c;31:1089–90.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017a.

    Google Scholar 

  • Larner AJ. Introduction to cognitive screening instruments: rationale and desiderata. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017b. p. 3–13.

    Chapter  Google Scholar 

  • Larner AJ. MMSE variants and subscores. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017c. p. 49–66.

    Chapter  Google Scholar 

  • Larner AJ. MACE versus MoCA: equivalence or superiority? Pragmatic diagnostic test accuracy study. Int Psychogeriatr. 2017d;29:931–7.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. Short Montreal Cognitive Assessment: validation and reproducibility. J Geriatr Psychiatry Neurol. 2017e;30:104–8.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ. The usage of cognitive screening instruments: test characteristics and suspected diagnosis. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017f. p. 315–39.

    Chapter  Google Scholar 

  • Larner AJ. FRONTIER Executive Screen (FES). Poster P0034, Association of British Neurologists annual meeting, Liverpool, 3–5 May 2017g.

    Google Scholar 

  • Larner AJ. Assessment of cognitive function. In: Severn A, editor. Cognitive changes after surgery. London: Springer; 2018a.

    Google Scholar 

  • Larner AJ. Metamemory: a construct with diagnostic utility in a cognitive disorders clinic? Int J Geriatr Psychiatry. 2018b;33:553–4.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ, Bracewell RM. A new FRONTIER in dementia differential diagnosis? J R Coll Physicians Edinb. 2016;46:172–3.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ, Doran M. Broader assessment needed for treatment decisions in AD. Prog Neurol Psychiatry. 2002;6(3):5–6.

    Google Scholar 

  • Larner AJ, Hancock P. Does combining cognitive and functional scales facilitate the diagnosis of dementia? Int J Geriatr Psychiatry. 2012;27:547–8.

    Article  CAS  PubMed  Google Scholar 

  • Larner AJ, Hancock P. ACE-R or MMSE? A weighted comparison. Int J Geriatr Psychiatry. 2014;29:767–8.

    Article  PubMed  Google Scholar 

  • Larner AJ, Mitchell AJ. A meta-analysis of the accuracy of the Addenbrooke’s Cognitive Examination (ACE) and the Addenbrooke’s Cognitive Examination-Revised (ACE-R) in the detection of dementia. Int Psychogeriatr. 2014;26:555–63.

    Article  PubMed  Google Scholar 

  • Larner AJ, Young CA. Acute amnesia in multiple sclerosis revisited. Int MS J. 2009;16:102–4.

    PubMed  CAS  Google Scholar 

  • Larner AJ, Moffat MA, Ghadiali E, Majid S, English P, Williams G. Amnesia following profound hypoglycaemia in a type 1 diabetic patient. Eur J Neurol. 2003a;10(Suppl 1):92. (abstract P1170)

    Google Scholar 

  • Larner AJ, Downes JJ, Hanley JR, Tsivilis D, Doran M. Developmental prosopagnosia: a clinical and neuropsychological study. J Neurol. 2003b;250(Suppl 2):II156. (abstract P591)

    Google Scholar 

  • Larner AJ, Ray PS, Doran M. The R269H mutation in presenilin-1 presenting as late-onset autosomal dominant Alzheimer’s disease. J Neurol Sci. 2007;252:173–6.

    Article  CAS  PubMed  Google Scholar 

  • Law E, Connelly PJ, Randall E, et al. Does the Addenbrooke’s Cognitive Examination-revised add to the Mini-Mental State Examination in established Alzheimer disease? Results from a national dementia research register. Int J Geriatr Psychiatry. 2013;28:351–5.

    Article  PubMed  Google Scholar 

  • Leslie FVC, Foxe D, Daveson N, Flannagan E, Hodges JR, Piguet O. FRONTIER Executive Screen: a brief executive battery to differentiate frontotemporal dementia and Alzheimer’s disease. J Neurol Neurosurg Psychiatry. 2016;87:831–5.

    Article  CAS  PubMed  Google Scholar 

  • Levin P, editor. The Penguin book of the sonnet. 500 years of a classic tradition in English. London: Penguin; 2001.

    Google Scholar 

  • Lezak MD, Howieson DB, Bigler ED, Tranel D. Neuropsychological assessment. 5th ed. New York: Oxford University Press; 2012.

    Google Scholar 

  • Lindeboom J, Schmand B, Tulner L, Walstra G, Jonker C. Visual association test to detect early dementia of the Alzheimer type. J Neurol Neurosurg Psychiatry. 2002;73:126–33.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Lipton AM, Ohman KA, Womack KB, Hynan LS, Ninman ET, Lacritz LH. Subscores of the FAB differentiate frontotemporal lobar degeneration from AD. Neurology. 2005;65:726–31.

    Article  CAS  PubMed  Google Scholar 

  • Lozsadi DA, Larner AJ. Prevalence and causes of seizures at the time of diagnosis of probable Alzheimer’s disease. Dement Geriatr Cogn Disord. 2006;22:121–4.

    Article  CAS  PubMed  Google Scholar 

  • Magni E, Binetti G, Padovani A, Cappa SF, Bianchetti A, Trabucchi M. The Mini-Mental State Examination in Alzheimer’s disease and multi-infarct dementia. Int Psychogeriatr. 1996;8:127–34.

    Article  CAS  PubMed  Google Scholar 

  • Mahieux F, Michelet D, Manifacier M-J, Boller F, Fermanian J, Guillard A. Mini-Mental Parkinson: first validation study of a new bedside test constructed for Parkinson’s disease. Behav Neurol. 1995;8:15–22.

    Article  CAS  PubMed  Google Scholar 

  • Mainland BJ, Shulman KI. Clock Drawing Test. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017. p. 67–108.

    Chapter  Google Scholar 

  • Malloy PF, Cummings JL, Coffey CE, et al. Cognitive screening instruments in neuropsychiatry: a report of the Committee on Research of the American Neuropsychiatric Association. J Neuropsychiatry Clin Neurosci. 1997;9:189–97.

    Article  CAS  PubMed  Google Scholar 

  • Maruta C, Guerreiro M, de Mendonca A, Hort J, Scheltens P. The use of neuropsychological tests across Europe: the need for a consensus in the use of assessment tools for dementia. Eur J Neurol. 2011;18:279–85.

    Article  CAS  PubMed  Google Scholar 

  • Mathuranath PS, Nestor PJ, Berrios GE, Rakowicz W, Hodges JR. A brief cognitive test battery to differentiate Alzheimer’s disease and frontotemporal dementia. Neurology. 2000;55:1613–20.

    Article  CAS  PubMed  Google Scholar 

  • McCormick LJ, Larner AJ. “Could you repeat that?”: Not always a hearing problem! Br J Hosp Med. 2018;79. (in press)

    Google Scholar 

  • McDicken JA, Blayney G, Elliott E, Makin S, Ali M, Larner AJ. Quinn TJ. Accuracy of the short form Montreal Cognitive Assessment: systematic review and external validation; 2018. (submitted).

    Google Scholar 

  • Menon R, Larner AJ. Use of cognitive screening instruments in primary care: the impact of national dementia directives (NICE/SCIE, National Dementia Strategy). Fam Pract. 2011;28:272–6.

    Article  CAS  PubMed  Google Scholar 

  • Mioshi E, Dawson K, Mitchell J, Arnold R, Hodges JR. The Addenbrooke’s Cognitive Examination Revised: a brief cognitive test battery for dementia screening. Int J Geriatr Psychiatry. 2006;21:1078–85.

    Article  PubMed  Google Scholar 

  • Mitchell AJ. The Mini-Mental State Examination (MMSE): update on its diagnostic accuracy and clinical utility for cognitive disorders. In: Larner AJ, editor. Cognitive screening instruments. A practical approach. 2nd ed. London: Springer; 2017. p. 37–48.

    Chapter  Google Scholar 

  • Mitchell AJ, Malladi S. Screening and case-finding tools for the detection of dementia. Part I: evidence-based meta-analysis of multidomain tests. Am J Geriatr Psychiatry. 2010a;18:759–82.

    Article  PubMed  Google Scholar 

  • Mitchell AJ, Malladi S. Screening and case-finding tools for the detection of dementia. Part II: evidence-based meta-analysis of single-domain tests. Am J Geriatr Psychiatry. 2010b;18:783–800.

    Article  PubMed  Google Scholar 

  • Mitrushina M, Boone KB, Razani J, D’Elia LF. Handbook of normative data for neuropsychological assessment. 2nd ed. Oxford: Oxford University Press; 2005.

    Google Scholar 

  • Möller WD, Vetter P, Sprenger S, Kropp P. Importance of tests for diagnosing dementia. Eur J Neurol. 2009;16(Suppl3):368. (abstract P2090)

    Google Scholar 

  • Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53:695–9.

    Article  PubMed  Google Scholar 

  • National Institute for Clinical Excellence. Guidance on the use of donepezil, rivastigmine, and galantamine for the treatment of Alzheimer’s disease (Technology Appraisal Guidance No. 19). London: NICE; 2001.

    Google Scholar 

  • Newman CGJ, Bevins AD, Zajicek JP, et al. Improving the quality of cognitive screening assessments: ACEmobile, an iPad-based version of the Addenbrooke’s Cognitive Examination-III. Alzheimers Dement (Amst). 2017;10:182–7.

    Google Scholar 

  • Newman JC, Feldman R. Copyright and open access at the bedside. N Engl J Med. 2011;365:2447–9.

    Article  CAS  PubMed  Google Scholar 

  • Nieuwenhuis-Mark RE. The death knoll for the MMSE: has it outlived its purpose? J Geriatr Psychiatry Neurol. 2010;23:151–7.

    Article  PubMed  Google Scholar 

  • Olazaran J, Hoyos-Alonso MC, del Ser T, et al. Practical application of brief cognitive tests. Neurologia. 2016;31:183–94.

    Article  CAS  PubMed  Google Scholar 

  • Papageorgiou S, Nikaki M, Kontaxis T, et al. Can the frontal assessment battery differentiate between frontotemporal dementia (FTD) and Alzheimer’s disease (AD)? Eur J Neurol. 2009;16(Suppl 3):442. (abstract P2317)

    Google Scholar 

  • Petersen RC, Thomas RG, Grundman M, et al. Vitamin E and donepezil for the treatment of mild cognitive impairment. N Engl J Med. 2005;352:2379–88.

    Article  CAS  PubMed  Google Scholar 

  • Poppelreuter W (Zihl J, Weiskrantz L, transl.). Disturbances of lower and higher visual capacities caused by occipital damage with special reference to the psychopathological, pedagogical, industrial, and social implications. Oxford: Clarendon Press; 1917a.

    Google Scholar 

  • Poppelreuter W. Die psychischen Schädigungen durch Kopfschuss im Kriege 1914/17: mit besonderer Berücksichtigung der pathopsychologischen, pädagogischen, gewerblichen und sozialen Beziehungen (2 volumes: Band 1: Die Störungen der niederen und höheren Sehleistungen durch Verletzungen des Okzipitalhirns; Band 2: Die Herabsetzung der körperlichen Leistungsfähigkeit und des Arbeitswillens durch Hirnverletzung im Vergleich zu Normalen und Psychogenen). Leipzig: Voss; 1917b–1918.

    Google Scholar 

  • Randolph C, Tierney MC, Mohr E, Chase TN. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): preliminary clinical validity. J Clin Exp Neuropsychol. 1998;20:310–9.

    Article  CAS  PubMed  Google Scholar 

  • Rawle MJ, Larner AJ. NARP syndrome: a 20-year follow-up. Case Rep Neurol. 2013;5:204–7.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rawle M, Larner A. MoCA subscores to diagnose dementia subtypes: initial study. J Neurol Neursurg Psychiatry. 2014;85:e4.

    Article  Google Scholar 

  • Ridha B, Rossor M. How to do it. The Mini Mental State Examination. Pract Neurol. 2005;5:298–303.

    Article  Google Scholar 

  • Roalf DR, Moore TM, Wolk DA, et al. Defining and validating a short form Montreal Cognitive Assessment (s-MoCA) for use in neurodegenerative disease. J Neurol Neurosurg Psychiatry. 2016;87:1303–10.

    Article  PubMed  Google Scholar 

  • Scheurich A, Muller MJ, Slessmeier T, et al. Validating the DemTect with 18-fluoro-2-deoxy-glucose positron emission tomography as a sensitive neuropsychological screening test for early Alzheimer disease in patients of a memory clinic. Dement Geriatr Cogn Disord. 2005;20:271–7.

    Article  PubMed  Google Scholar 

  • Sells R, Larner AJ. The Poppelreuter figure visual perceptual function test for dementia diagnosis. Prog Neurol Psychiatry. 2011;15(2):17–8, 20–1.

    Article  Google Scholar 

  • Seshadri M, Mazi-Kotwal N. A copyright-free alternative is needed. BMJ. 2012;345:e8589.

    Article  PubMed  Google Scholar 

  • Slachevsky A, Villalpando JM, Sarazin M, Hahn BV, Pillon B, Dubois B. Frontal assessment battery and differential diagnosis of frontotemporal dementia and Alzheimer disease. Arch Neurol. 2004;61:1104–7.

    Article  PubMed  Google Scholar 

  • Smithson E, Larner AJ. Glioblastoma multiforme masquerading as herpes simplex encephalitis. Br J Hosp Med. 2013;74:52–3.

    Article  CAS  Google Scholar 

  • St John L, Larner AJ. Muscle wasting, bone pain and cognitive decline: a unifying diagnosis. Br J Hosp Med. 2015;76:602–3.

    Article  CAS  Google Scholar 

  • Stagg B, Larner AJ. Zarit Burden Interview: pragmatic study in a dedicated cognitive function clinic. Prog Neurol Psychiatry. 2015;19(4):23–7.

    Article  Google Scholar 

  • Storton K, Larner AJ. Montreal Cognitive Assessment (MoCA): diagnostic utility in a cognitive clinic population. Alzheimers Dement. 2011;7(Suppl1):S166. (abstract P1–171)

    Google Scholar 

  • Strauss E, Sherman EMS, Spreen O. A compendium of neuropsychological tests: administration, norms, and commentary. 3rd ed. New York: Oxford University Press; 2006.

    Google Scholar 

  • Tangalos EG, Smith GE, Ivnik RJ, et al. The Mini-Mental State Examination in general medical practice: clinical utility and acceptance. Mayo Clin Proc. 1996;71:829–37.

    Article  CAS  PubMed  Google Scholar 

  • Tate RL. A compendium of tests, scales, and questionnaires. The practitioner’s guide to measuring outcomes after acquired brain impairment. Hove: Psychology Press; 2010.

    Google Scholar 

  • Tombaugh TN, McIntyre NJ. The Mini-Mental State Examination: a comprehensive review. J Am Geriatr Soc. 1992;40:922–35.

    Article  CAS  PubMed  Google Scholar 

  • Tsoi KK, Chan JY, Hirai HW, Wong SY, Kwok TC. Cognitive tests to detect dementia. A systematic review and meta-analysis. JAMA Intern Med. 2015;175:1450–8.

    Article  PubMed  Google Scholar 

  • Valcour VG, Masaki KH, Blanchette PL. The phrase: “no ifs, ands, or buts” and cognitive testing. Lessons from an Asian-American community. Hawaii Med J. 2002;61:72–4.

    PubMed  Google Scholar 

  • Werner P, Heinik J, Lin R, Bleich A. “Yes” ifs, ands or buts: examining performance and correlates of the repetition task in the mini-mental state examination. Int J Geriatr Psychiatry. 1999;14:719–25.

    Article  CAS  PubMed  Google Scholar 

  • Williamson J, Larner AJ. Fibromyalgia: cognitive aspects. Br J Hosp Med. 2016;77:116.

    Article  CAS  Google Scholar 

  • Williamson J, Larner AJ. MACE for diagnosis of dementia and MCI: 3-year pragmatic diagnostic test accuracy study. Dement Geriatr Cogn Disord. 2018;45. (in press)

    Google Scholar 

  • Wilson M, Doran M, Enevoldson TP, Larner AJ. Cognitive profiles associated with intracranial dural arteriovenous fistula. Age Ageing. 2010;39:389–92.

    Article  PubMed  Google Scholar 

  • Wojtowicz A, Larner AJ. General Practitioner Assessment of Cognition: use in primary care prior to memory clinic referral. Neurodegener Dis Manag. 2015;5:505–10.

    Article  PubMed  Google Scholar 

  • Wojtowicz A, Larner A. Scoring errors in cognitive screening instruments administered in primary care. J Neurol Neurosurg Psychiatry. 2016;87:e1.

    Article  Google Scholar 

  • Wojtowicz A, Schott JM, Larner AJ. CSF biomarkers and the diagnosis of variant forms of Alzheimer’s disease. Prog Neurol Psychiatry. 2017;21(2):13–5.

    Article  Google Scholar 

  • Wong S, Hart IK, Larner AJ. Revised Addenbrooke’s Cognitive Examination in the assessment of voltage-gated potassium channel antibody-positive non-paraneoplastic limbic encephalitis. Eur J Neurol. 2008;15(Suppl 3):303. (abstract P2368)

    Google Scholar 

  • Wong SH, Saunders M, Larner AJ, Das K, Hart IK. An effective immunotherapy regimen for VGKC antibody-positive limbic encephalitis. J Neurol Neurosurg Psychiatry. 2010;81:1167–9.

    Article  CAS  PubMed  Google Scholar 

  • Woodford HJ, George J. Cognitive assessment in the elderly: a review of clinical methods. Q J Med. 2007;100:469–84.

    Article  CAS  Google Scholar 

  • Woodward M, Brodaty H, Boundy K, Ames D, Blanch G, Balshaw R. PRIME Study Group. Does executive impairment define a frontal variant of Alzheimer’s disease? Int Psychogeriatr. 2010;22:1280–90.

    Article  PubMed  Google Scholar 

  • Zaccai J, McCracken C, Brayne C. A systematic study of prevalence and incidence studies of dementia with Lewy bodies. Age Ageing. 2005;34:561–6.

    Article  PubMed  Google Scholar 

  • Ziso B, Larner AJ. Codex (cognitive disorders examination) for the detection of dementia and mild cognitive impairment: diagnostic utility. J Neurol Neurosurg Psychiatry. 2013;84:e2.

    Article  Google Scholar 

  • Ziso B, Larner A. Levodopa response in paroxysmal exercise-induced dystonia without GLUT1 deficiency. Eur J Neurol. 2015;22(Suppl1):394.

    Google Scholar 

  • Ziso B, Larner AJ. STOP-Bang: screening for obstructive sleep apnoea in a cognitive disorders clinic. J Sleep Disord Ther. 2016;5:223.

    Google Scholar 

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Larner, A.J. (2018). Assessment with Cognitive Screening Instruments. In: Dementia in Clinical Practice: A Neurological Perspective. Springer, Cham. https://doi.org/10.1007/978-3-319-75259-4_4

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