NEUROLOGY 2009;72:135-142
 1403 women aged 71-89, a subset of WHI trial, were scanned on average four  years apart.  Frontal lobe volume was less at followup in women in estrogen  or estrogen plus progesterone arms.  Temporal lobe and total brain volume  were not affected as markedly. The adverse effects are most evident  in women experiencing cognitive deficits before initiating hormone  therapy. 
 The cognitive measure used was the modified MMSE 3M
- Teng EL, Chui H. The Modified Mini-Mental State (3MS) Exam. J Clin Psychiatry 1987;48:314–318.
 
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