Distinguishing Subtypes in Primary Progressive Aphasia: Application of the Sydney Language Battery

被引:166
作者
Savage, Sharon [1 ,2 ,3 ]
Hsieh, Sharpley [1 ,3 ]
Leslie, Felicity [1 ,3 ]
Foxe, David [1 ,3 ]
Piguet, Olivier [1 ,2 ,3 ]
Hodges, John R. [1 ,2 ,3 ]
机构
[1] Univ New S Wales, Neurosci Res Australia, Sydney, NSW, Australia
[2] Univ New S Wales, Sch Med Sci, Sydney, NSW, Australia
[3] Univ New S Wales, ARC Ctr Excellence Cognit & Its Disorders, Sydney, NSW, Australia
基金
英国医学研究理事会; 澳大利亚研究理事会;
关键词
Primary progressive aphasia; Cognitive assessment; Clinical diagnosis; Naming; Word repetition; Semantic knowledge; ADDENBROOKES COGNITIVE EXAMINATION; SEMANTIC DEMENTIA; NONFLUENT APHASIA; 3; VARIANTS; PATTERNS; ATROPHY; MRI;
D O I
10.1159/000346389
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background/Aims: Primary progressive aphasia (PPA) comprises three main subtypes, varying in clinical features, patterns of brain atrophy, and underlying pathology. Differentiation of these variants is important for treatment and planning; however, simple, effective cognitive tests to aid diagnosis are lacking. This study introduces a new language battery - the SYDBAT (Sydney Language Battery) - to assist clinicians. Methods: Fifty-seven PPA patients and 54 age-and education-matched healthy controls were compared on naming, repetition, word comprehension, and semantic association subtests. Results: Significant group differences were found for all tasks, reflecting different language profiles for each group. Using discriminative function analysis, 80% of PPA cases were correctly classified from three SYDBAT scores, from which a simple diagnostic algorithm was defined. Conclusion: The SYDBAT is a fast and simple tool which provides a valuable adjunct to clinicians diagnosing PPA. Copyright (C) 2013 S. Karger AG, Basel
引用
收藏
页码:208 / 218
页数:11
相关论文
共 41 条
[1]   The Cambridge Semantic Memory Test Battery: Detection of semantic deficits in semantic dementia and Alzheimer's disease [J].
Adlam, Anna-Lynne R. ;
Patterson, Karalyn ;
Bozeat, Sasha ;
Hodges, John R. .
NEUROCASE, 2010, 16 (03) :193-207
[2]  
[Anonymous], 1997, Administration and Scoring Guide, WAIS-III, Wechsler Adult Intelligence Scale
[3]  
[Anonymous], 1992, PALPA PSYCHOLINGUIST
[4]  
Chan D, 2001, ANN NEUROL, V49, P433, DOI 10.1002/ana.92
[5]   Single word production in nonfluent progressive aphasia [J].
Croot, K ;
Patterson, K ;
Hodges, JR .
BRAIN AND LANGUAGE, 1998, 61 (02) :226-273
[6]   Dissociation of lexical syntax and semantics: Evidence from focal cortical degeneration [J].
Garrard, P ;
Carroll, E ;
Vinson, D ;
Vigliocco, G .
NEUROCASE, 2004, 10 (05) :353-362
[7]   The logopenic/phonological variant of primary progressive aphasia [J].
Gorno-Tempini, M. L. ;
Brambati, S. M. ;
Ginex, V. ;
Ogar, J. ;
Dronkers, N. F. ;
Marcone, A. ;
Perani, D. ;
Garibotto, V. ;
Cappa, S. F. ;
Miller, B. L. .
NEUROLOGY, 2008, 71 (16) :1227-1234
[8]   Classification of primary progressive aphasia and its variants [J].
Gorno-Tempini, M. L. ;
Hillis, A. E. ;
Weintraub, S. ;
Kertesz, A. ;
Mendez, M. ;
Cappa, S. F. ;
Ogar, J. M. ;
Rohrer, J. D. ;
Black, S. ;
Boeve, B. F. ;
Manes, F. ;
Dronkers, N. F. ;
Vandenberghe, R. ;
Rascovsky, K. ;
Patterson, K. ;
Miller, B. L. ;
Knopman, D. S. ;
Hodges, J. R. ;
Mesulam, M. M. ;
Grossman, M. .
NEUROLOGY, 2011, 76 (11) :1006-1014
[9]   Cognition and anatomy in three variants of primary progressive aphasia [J].
Gorno-Tempini, ML ;
Dronkers, NF ;
Rankin, KP ;
Ogar, JM ;
Phengrasamy, L ;
Rosen, HJ ;
Johnson, JK ;
Weiner, MW ;
Miller, BL .
ANNALS OF NEUROLOGY, 2004, 55 (03) :335-346
[10]   When more yields less: Speaking and writing deficits in Nonfluent progressive aphasia [J].
Graham, NL ;
Patterson, K ;
Hodges, JR .
NEUROCASE, 2004, 10 (02) :141-155