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NEUROLOGY 1989;39:1159
© 1989 American Academy of Neurology

The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assesment of Alzheimer's disease

J. C. Moms, MD, A. Heyman, MD, R. C. Mohs, PhD, J. P. Hughes, MS, G. van Belle, PhD, G. Fillenbaum, PhD, E. D. Mellits, ScD and C. Clark, MD

Washington University School of Medicine, St. Louis, MO (Dr. Morrie)
Duke University Medical Center, Durham, NC (Drs. Heyman, Fillenbaum. and Clark)
Mount Sinai Medical Center, New York, NY (Dr. Mob)
University of Washington, Seattle, WA (J.P. Hughesand Dr. van Belle)
Johns Hopkins University, Baltimore, MD (Dr. Mellita)

The Consortium to Establish a Registry for Alzheimer's Disease (CERAD) has developed brief, comprehensive, and reliable batteries of clinical and neuropsychological tests for assessment of patients with the clinical diagnosis of Alzheimer's disease (AD). We administered these batteries in a standardized manner to more than 350 subjects with a diagnosis of AD and 275 control subjects who were enrolled in a nationwide registry by a consortium of 16 university medical centers. The tests selected for this study measured the primary cognitive manifestations of AD across a range of severity of the disorder, and discriminated between normal subjects and those with mild and moderate dementia. The batteries also detected deterioration of language, memory, praxis, and general intellectual status in subjects returning for reassessment 1 year later. Interrater and testretest reliabilities were substantial. Long-term observations of this cohort are in progress in an effort to validate the clinical and neuropsychological assessments and to confirm the diagnosis by postmortem examinations. Although information on validation is limited thus far, the CERAD batteries appear to fill a need for a standardized, easily administered, and reliable instrument for evaluating persons with AD in multicenter research studies as well as in clinical practice.

Address correspondence and reprint requeata to Dr. Morris. Department of Neurology, Box 81 11, Washington University School of Medicine, 660 South Euclid. St.Louis. MO 63110.

Supported by NIA gmnt AGO6790.

Presented in part at the fortieth annual meeting of the American Academy of Neurology, Cincinnati, OH, April 1988.

Received March 16,1989. Accepted for publication in final form March 17, 1989.




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