Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-23T11:59:16.877Z Has data issue: false hasContentIssue false

Computed Tomography in the Elderly: 1. the Normal Population

Published online by Cambridge University Press:  29 January 2018

Robin J. Jacoby
Affiliation:
The Bethlem Royal and Maudsley Hospitals and the Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
Raymond Levy
Affiliation:
The Bethlem Royal and Maudsley Hospitals and the Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
John M. Dawson
Affiliation:
The Bethlem Royal and Maudsley Hospitals and the Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF

Summary

Computed tomographic (CT) and brief psychometric findings on 50 psychiatrically and neurologically healthy community residents over 60 years old are presented. The need for normative CT data is emphasized, and the methodological problems in obtaining them are discussed. Measures of ventricular size were generally found to be greater than those reported by other workers, and variation with age was also found to be less marked than hitherto reported. A reciprocal relationship was found between a global rating of cortical atrophy and a test of memory and orientation. This communication forms the basis for comparison with groups of psychiatric patients to be presented in subsequent articles.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1980 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barron, S. A., Jacobs, L. & Kinkel, W. R. (1976) Changes in size of normal lateral ventricles during aging determined by computerized tomography. Neurology, 26, 1011–13.Google Scholar
Bergman, H., Borg, S., Hindmarsh, T., Ideström, C.-M. & Mützell, S. (1978) Computed tomography of the brain and neuropsychological assessment of alcoholic patients. Proceedings of the 4th Biennial International Symposium on Biological Research in Alcoholism, Zurich, Switzerland. In Press.Google Scholar
Blessed, G., Tomlinson, B. E. & Roth, M. (1968) The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. British Journal of Psychiatry, 114, 797811.CrossRefGoogle ScholarPubMed
Evans, W. A. (1942) An encephalographic ratio for estimating ventricular enlargement and cerebral atrophy. Archives of Neurology, 47, 931–7.Google Scholar
Gawler, J., Du Boulay, G. H., Bull, J. W. D. & Marshall, J. (1976) Computerized tomography (the EMI Scanner): a comparison with pneumoencephalography and ventriculography. Journal of Neurology, Neurosurgery and Psychiatry, 39, 203–11.Google Scholar
Gonzalez, C. F., Lantieri, R. L. & Nathan, R. J. (1978) The CT scan appearance of the brain in the normal elderly population: a correlative study. Neuroradiology, 16, 120–2.CrossRefGoogle ScholarPubMed
Glydensted, C. & Kosteljanetz, M. (1975) Measurements of the normal hemispheric sulci with computer tomography: a preliminary study on 44 adults. Neuroradiology, 10, 147–9.Google Scholar
Glydensted, C. (1977) Measurements of the normal ventricular system and hemispheric sulci of 100 adults with computed tomography. Neuroradiology, 14, 183–92.Google Scholar
Haug, G. (1977) Age and sex dependence of the size of normal ventricles on computed tomography. Neuroradiology, 14, 201–4.Google Scholar
Hodkinson, H. H. (1973) Mental impairment in the elderly. Journal of the Royal College of Physicians of London, 7, 305–17.Google Scholar
Huckman, M. S., Fox, J. & Topel, J. (1975) The validity of criteria for the evaluation of cerebral atrophy by computed tomography. Radiology, 116, 8592.Google Scholar
Jacobs, L., Kinkel, W. R., Painter, F., Murawski, J. & Heffner, R. R. (1978) Computerized tomography in dementia with special reference to changes in size of normal ventricles during aging and normal pressure hydrocephalus. In Alzheimer's Disease, Senile Dementia and Related Disorders, (eds. R. Katzman, R. D. Terry and K. L. Bick). New York: Raven Press.Google Scholar
Johnstone, E. C., Crow, T. J., Frith, C. D., Stevens, M., Kreel, L. & Husband, J. (1978) The dementia of dementia praecox. Acta Psychiatrica Scandinavica, 57, 305–24.Google Scholar
Kral, V. A. (1962) Senescent forgetfulness: benign and malignant. Canadian Medical Association Journal, 86, 257–60.Google Scholar
Menzer, L., Sabin, T. & Mark, V. H. (1975) Computerized axial tomography: use in the diagnosis of dementia. Journal of the American Medical Association, 234, 754–7.Google Scholar
Roberts, M. A. & Caird, F. I. (1976) Computerized tomography and intellectual impairment in the elderly. Journal of Neurology, Neurosurgery and Psychiatry, 39, 986–9.CrossRefGoogle ScholarPubMed
Roberts, M. A., Caird, F. I., Grossart, K. W. & Steven, J. L. (1976) Computerized tomography in the diagnosis of cerebral atrophy. Journal of Neurology, Neurosurgery, and Psychiatry, 39, 909–15.Google Scholar
Ron, M. A., Acker, W. & Lishman, W. A. (1979) Dementia in chronic alcoholism: a clinical, psychological and computerized axial tomographic study. In Biological Psychiatry Today (eds. J. Obiols, Ballus, C., Gonzalez Monclus, E. and Pujol, J.). Elsevier: North-Holland Biomedical Press.Google Scholar
Synek, V. & Reuben, J. R. (1976) The ventricular-brain ratio using planimetric measurement of EMI scans. British Journal of Radiology, 49, 233–7.Google Scholar
Synek, V., Reuben, J. R. & Du Boulay, G. H. (1976) Comparing Evans’ index and computerized axial tomography in assessing relationship of ventricular size to brain size. Neurology, 26, 231–3.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.