Donepezil effects on cerebral blood flow in older adults with mild cognitive deficits

J Neuropsychiatry Clin Neurosci. 2006 Spring;18(2):178-85. doi: 10.1176/jnp.2006.18.2.178.

Abstract

Cerebral blood flow (CBF) was assessed during a verbal recall task using [(15)O]water positron emission tomography (PET) in older adults with mild cognitive deficits participating in a placebo-controlled donepezil trial. The placebo group demonstrated reduced CBF in the left frontal and temporal regions over the 6-month period, while those receiving donepezil did not. The placebo group's performance did not change on a list-learning task, while the donepezil group's performance improved, despite having had lower performance at intake. These findings suggest that donepezil treatment may be associated with a relative maintenance of CBF and improved list-learning.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Activities of Daily Living / classification
  • Aged
  • Aged, 80 and over
  • Blood Flow Velocity / drug effects
  • Brain / blood supply*
  • Brain / diagnostic imaging
  • Cerebral Cortex / blood supply
  • Cerebral Cortex / diagnostic imaging
  • Cognition Disorders / diagnostic imaging*
  • Cognition Disorders / drug therapy*
  • Dominance, Cerebral / physiology
  • Donepezil
  • Double-Blind Method
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Indans / therapeutic use*
  • Magnetic Resonance Imaging
  • Male
  • Mental Status Schedule
  • Middle Aged
  • Neuropsychological Tests
  • Nootropic Agents / therapeutic use*
  • Piperidines / therapeutic use*
  • Positron-Emission Tomography*
  • Regional Blood Flow / drug effects

Substances

  • Indans
  • Nootropic Agents
  • Piperidines
  • Donepezil