Alzheimer Disease, Autobiographical Memory, Dementia With Lewy Bodies, Insular Cortex, Self
Conditions
Brief summary
The present project aims at exploring different components of Self-consciousness or 'the Self', such as autobiographical memory, self-concept and subjective sense of Self, in dementia with Lewy Bodies (DLB) compared to Alzheimer's disease and to normal ageing. Anatomical substrates will be studied in multimodal imaging, in terms of volume, anatomical and functional connectivity. We expect to find an alteration of the different components of the Self, consecutive to insular dysfunction, a key region within cerebral networks of self-consciousness, which is damaged early in the course of the disease.
Interventions
OTHERNeuropsychological assessment and Multimodal brain MRI
Neuropsychological assessment and Multimodal brain MRI
Sponsors
University Hospital, Strasbourg, France
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
Inclusion criteria for all participants: * Male or female aged between 60 to 80, at the inclusion visit * Right-handed * Must be affiliated to a social health insurance protection scheme * Must be able both to understand the objectives and risks related to the study and to give a dated and signed informed consent * Fluency in French * At least 9 years of formal education Inclusion criteria for group of dementia with Lewy bodies: * Subject meeting McKeith et al. criteria (2017) * Subject with prodromal dementia with Lewy bodies meeting the DSM-V Mild Cognitive Impairment criteria (2013) * Subject with prodromal or mild dementia with Lewy bodies with an ≤ 20 MMSE score * Availability of a caregiver for the inclusion visit Inclusion criteria for group of Alzheimer disease: * Subject meeting Dubois et al. criteria (2014) * Subject with prodromal or mild Alzheimer disease with an ≤ 20 MMSE score * Availability of a caregiver for the inclusion visit Inclusion criteria for healthy elderly: * Subject must be matched with patients in terms of age, gender and educational level * Absence of any cognitive complaint * Autonomy must be preserved
Exclusion criteria
Subjects with significant neuropsychiatric comorbidities * Abnormal neurological examination * Sensory impairment that may significantly interfere with testing * Contraindication to MRI * Claustrophobia * Heavy psychotropic drug treatment * Excessive and regular consumption of alcohol * Subject in period of exclusion (determined by a previous or ongoing study) * Inability to give the subject informed information * Subject under judicial protection * Subject under tutorship or guardianship
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neuropsychological assessment | months 3 |
| Multimodal brain MRI | months 3 |
Countries
France
Outcome results
None listed