Lan Phuong

Alzheimer's disease and cognitive impairment can seriously affect a person's ability to perform their daily activities, but only 45% of people with Alzheimer's or their caregivers are told of their diagnosis. Now, a new study suggests larger brain size could herald a reduced risk of cognitive impairment, including dementia.

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The research is published in the journal Alzheimer's Research and Therapy.

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It focuses specifically on the hippocampi, two "seahorse-looking structures" located in the left and right brain that help form new memories. When these structures are impaired - due to Alzheimer's disease, for example - it can be difficult to remember things that have happened recently.

The researchers - led by Aaron Bonner-Jackson of the Center for Brain Health at the Cleveland Clinic in Ohio - say previous studies have suggested the size of the hippocampus could be used as a measure for those who have an increased risk for Alzheimer's.

They explain that the left hippocampus is connected to verbal retention, while the right one has to do with spatial memory.

To further investigate an association between brain volume and memory, the researchers assessed 226 patients in a memory clinic to determine any increased risks for developing dementia.

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For this type of study, the researchers say their patient group size was quite large, and some had various types of neurodegenerative disorders. Of the patients, 34 had an Alzheimer's diagnosis and 82 had mild cognitive impairment (MCI) - an Alzheimer's precursor.

The researchers analyzed the patients' memories through a test whereby the patients demonstrated their ability to remember lists of words read to them. The patients then performed spatial tests, which showed how well they could remember shapes and patterns.

Next, the team examined patient brain scans they recorded through magnetic resonance imaging (MRI).

Results show that the patients with so-called normal memory had larger hippocampi and performed better in the memory tasks, compared with those who had cognitive impairment.

Explaining their findings