Parietal Involvement in the Semantic Variant of Primary Progressive Aphasia with Alzheimer’s Disease Cerebrospinal Fluid Profile

Autor: Géraldine Bera, Marie-Odile Habert, Sophie Ferrieux, Hugo Bertin, Bruno Dubois, Thibaut Michelin, Foudil Lamari, Aurélie Kas, Marc Teichmann, Raffaella Migliaccio, Marie Nogues
Rok vydání: 2018
Předmět:
Zdroj: Journal of Alzheimer's Disease. 66:271-280
ISSN: 1875-8908
1387-2877
DOI: 10.3233/jad-180087
Popis: Semantic variant of primary progressive aphasia (svPPA) is typically associated with non-Alzheimer's disease (AD) pathology. However, some anatomopathological studies have found AD lesions in those patients. We compared brain perfusion SPECT of 18 svPPA patients with cerebrospinal fluid (CSF) biomarkers indicative of non-AD pathology (svPPA-nonAD) and three svPPA patients with CSF biomarkers indicative of underlying AD (svPPA-AD). All svPPA patients had severe left temporopolar hypoperfusion. SvPPA-nonAD had additional anterior cingulate and mediofrontal hypoperfusion, whereas svPPA-AD had greater left parietal and posterior cingulate involvement. Parietal damage in svPPA constitutes a biomarker for underlying Alzheimer pathology thus refining the classification of this PPA variant.
Databáze: OpenAIRE