Parietal Involvement in the Semantic Variant of Primary Progressive Aphasia with Alzheimer’s Disease Cerebrospinal Fluid Profile
Author(s) -
G. Béra,
Raffaella Migliaccio,
Thibaut Michelin,
Foudil Lamari,
Sophie Ferrieux,
Marie Nogues,
Hugo Bertín,
Marie Odile Habert,
Bruno Dubois,
Marc Teichmann,
Aurélie Kas
Publication year - 2018
Publication title -
journal of alzheimer s disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.677
H-Index - 139
eISSN - 1875-8908
pISSN - 1387-2877
DOI - 10.3233/jad-180087
Subject(s) - primary progressive aphasia , cerebrospinal fluid , aphasia , disease , medicine , pathology , primary (astronomy) , psychology , neuroscience , dementia , physics , frontotemporal dementia , astronomy
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.
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