Literature DB >> 31033382

Atypical clinical features associated with mixed pathology in a case of non-fluent variant primary progressive aphasia.

Jessica De Leon1, Maria Luisa Mandelli1, Amber Nolan1, Zachary A Miller1, Christie Mead2, Christa Watson1, Ariane E Welch1, Maya L Henry3, Viktoriya Bourakova1, Renaud La Joie1, Lynn P Bajorek1, Lea Grinberg1, Gil Rabinovici1, Bruce L Miller1, Maria Luisa Gorno-Tempini1.   

Abstract

A 66-year-old woman presented with agrammatism and apraxia of speech, meeting criteria for non-fluent/agrammatic variant primary progressive aphasia (nfvPPA). However, three years later, she developed frontal/executive, short-term phonological memory, visuospatial, and visual memory deficits suggesting involvement of multiple brain networks. Multimodal neuroimaging showed damage of both fronto-striatal and posterior brain regions. She was found to have multiple pathological processes: corticobasal degeneration (CBD), Alzheimer's disease (AD), and TAR DNA-binding protein (TDP)-43 type A. We hypothesize that cognitive and neuroimaging findings consistent with damage to multiple brain networks, each associated with vulnerability to certain molecular disease subtypes, could indicate mixed pathology.

Entities:  

Keywords:  Alzheimer’s disease neuropathology; Non-fluent agrammatic primary progressive aphasia; TDP-43 type A neuropathology; corticobasal degeneration; syntax network

Mesh:

Year:  2019        PMID: 31033382      PMCID: PMC6759324          DOI: 10.1080/13554794.2019.1609522

Source DB:  PubMed          Journal:  Neurocase        ISSN: 1355-4794            Impact factor:   0.881


  39 in total

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Review 3.  Neuroimaging in Frontotemporal Dementia: Heterogeneity and Relationships with Underlying Neuropathology.

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