Hippocampal atrophy in Alzheimer disease: Age matters
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To the Editor:
The article by van de Pol et al.1 shows that the hippocampus is smaller in patients with clinically diagnosed Alzheimer disease (AD) than in controls at all ages ranging from 50 through 85 years. Because the hippocampus shrinks with age in control subjects, the authors conclude: “age-dependent criteria for hippocampal atrophy, suggestive of AD, are needed.” A simple way to adjust for age-related shrinkage of the medial temporal lobe was described in 1992.2 The size of the medial temporal lobe in patients with AD can be expressed as a multiple of the median for controls at the same age so it …
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