Table 4

 A comparison of cortical and subcortical dementia according to neuropsychological profile

CharacteristicCorticalSubcortical
Speed of cognitive processingNormalSlowed
Planning, problem solving, initiative (frontal “executive” abilities)Preserved in early stagesImpaired from onset
PersonalityIntact until late, unless frontal typeApathetic, withdrawn
MemorySeverely amnesicForgetful
LanguageAphasiaNormal except for dysarthria and reduced output
Visuospatial and perceptual difficultiesImpairedImpaired
MoodDepression not uncommon in early Alzheimer’s diseaseDepression common
Agnosia/prosopagnosiaOften presentNot usually seen