一例伴有阿尔茨海默病生物标志物的皮质鼻综合征和后皮质萎缩。

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY Alzheimer Disease & Associated Disorders Pub Date : 2023-07-01 Epub Date: 2023-06-22 DOI:10.1097/WAD.0000000000000560
Yoko Sugimura, Toru Baba, Michinori Ezura, Akio Kikuchi, Takafumi Hasegawa, Isao Nagano, Kyoko Suzuki, Atsushi Takeda
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引用次数: 0

摘要

皮质-鼻综合征是一种临床实体,其特征是不对称性无运动性强直和各种高级皮质功能障碍。预测皮质基础综合征的背景病理学是相当具有挑战性的;然而,临床和神经影像学的发现可能为其病因提供线索。后皮质萎缩的视空间功能障碍和语言障碍表明存在阿尔茨海默病相关的病理,它们为区分阿尔茨海默病和其他类型的皮质基础综合征提供了有用的信息。在此,我们描述了一例皮质基底综合征患者,其表现出特征性视觉空间症状,淀粉样蛋白PET和tau/星形胶质细胞增生PET支持阿尔茨海默病的影像学证据。基于临床特征和可预测的生物标志物的早期、准确诊断是成功早期干预阿尔茨海默病相关皮质基础综合征的必要条件。
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A Case of Corticobasal Syndrome and Posterior Cortical Atrophy With Biomarkers of Alzheimer Disease.

Corticobasal syndrome is a clinical entity characterized by asymmetric akinetic rigidity and a variety of higher cortical dysfunction. Predicting background pathology of corticobasal syndrome is rather challenging; however, clinical and neuroimaging findings may provide a clue to its etiopathological origin. Visuospatial dysfunction of posterior cortical atrophy and logopenic-type language impairment indicate the presence of Alzheimer's disease-related pathology, and they provide useful information in distinguishing Alzheimer's disease from other types of corticobasal syndrome. Here we describe a case of corticobasal syndrome who showed characteristic visuospatial symptoms with imaging evidence of Alzheimer's disease supported by amyloid-PET and tau/astrogliosis-PET. Early, accurate diagnosis based on clinical features and predictable biomarkers is mandatory to the success of early intervention in corticobasal syndrome associated with Alzheimer's disease.

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来源期刊
CiteScore
3.10
自引率
4.80%
发文量
88
期刊介绍: ​Alzheimer Disease & Associated Disorders is a peer-reviewed, multidisciplinary journal directed to an audience of clinicians and researchers, with primary emphasis on Alzheimer disease and associated disorders. The journal publishes original articles emphasizing research in humans including epidemiologic studies, clinical trials and experimental studies, studies of diagnosis and biomarkers, as well as research on the health of persons with dementia and their caregivers. The scientific portion of the journal is augmented by reviews of the current literature, concepts, conjectures, and hypotheses in dementia, brief reports, and letters to the editor.
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