Left hemicranial hypoplasia in 2 patients with primary progressive aphasia

被引:13
作者
Alberca, R
Montes, E
Russell, E
Gil-Néciga, E
Mesulam, M
机构
[1] Northumbria Univ, Feinberg Sch Med, Cognit Neurol & Alzheimers Dis Ctr, Chicago, IL 60610 USA
[2] Virgen Rocio, Dept Neurol, Seville, Spain
[3] Northumbria Univ, Feinberg Sch Med, Dept Radiol, Chicago, IL 60610 USA
关键词
D O I
10.1001/archneur.61.2.265
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Primary progressive aphasia (PPA) leads to a gradual and relatively isolated dissolution of language function. The factors that determine the selectivity of the disease process remain unknown. We had speculated that PPA may occasionally arise as a tardive manifestation of genetic or acquired vulnerabilities involving the language network of the brain. Objective: To explore predisposing factors for PPA. Results: In 2 patients, PPA developed with a background of mild left hemicranial hypoplasia. Conclusion: In keeping with other observations of PPA in patients with dyslexia and childhood injury to the left temporal lobe, these 2 patients support the contention that some cases of PPA may arise in settings where the language network has become a locus of least resistance.
引用
收藏
页码:265 / 268
页数:4
相关论文
共 14 条
[1]  
[Anonymous], 1992, UNUSUAL DEMENTIAS, DOI DOI 10.1093/BRAIN/AWP136
[2]   LATE DENERVATION IN PATIENTS WITH ANTECEDENT PARALYTIC POLIOMYELITIS [J].
CASHMAN, NR ;
MASELLI, R ;
WOLLMANN, RL ;
ROOS, R ;
SIMON, R ;
ANTEL, JP .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (01) :7-12
[3]   SLOWLY PROGRESSIVE APHASIA WITHOUT GENERALIZED DEMENTIA - STUDIES WITH POSITRON EMISSION TOMOGRAPHY [J].
CHAWLUK, JB ;
MESULAM, MM ;
HURTIG, H ;
KUSHNER, M ;
WEINTRAUB, S ;
SAYKIN, A ;
RUBIN, N ;
ALAVI, A ;
REIVICH, M .
ANNALS OF NEUROLOGY, 1986, 19 (01) :68-74
[4]   Atypical and typical presentations of Alzheimer's disease: a clinical, neuropsychological, neuroimaging and pathological study of 13 cases [J].
Galton, CJ ;
Patterson, K ;
Xuereb, JH ;
Hodges, JR .
BRAIN, 2000, 123 :484-498
[5]   Dementia and neurodevelopmental predisposition:: Cognitive dysfunction in presymptomatic subjects precedes dementia by decades in frontotemporal dementia [J].
Geschwind, DH ;
Robidoux, J ;
Alarcón, M ;
Miller, BL ;
Wilhelmsen, KC ;
Cummings, JL ;
Nasreddine, ZS .
ANNALS OF NEUROLOGY, 2001, 50 (06) :741-746
[6]   Quantification of cortical atrophy in a case of progressive fluent aphasia [J].
Harasty, JA ;
Halliday, GM ;
Code, C ;
Brooks, WS .
BRAIN, 1996, 119 :181-190
[7]   SLOWLY PROGRESSIVE APHASIA - 3 CASES WITH LANGUAGE, MEMORY, CT AND PET DATA [J].
KEMPLER, D ;
METTER, EJ ;
RIEGE, WH ;
JACKSON, CA ;
BENSON, DF ;
HANSON, WR .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1990, 53 (11) :987-993
[8]   HEMI-PARKINSONISM AS A LATE COMPLICATION OF HEMIATROPHY - A NEW SYNDROME [J].
KLAWANS, HL .
NEUROLOGY, 1981, 31 (05) :625-628
[9]   Primary progressive aphasia [J].
Mesulam, MM .
ANNALS OF NEUROLOGY, 2001, 49 (04) :425-432
[10]   Current concepts - Primary progressive aphasiam - A language-based Dementia [J].
Mesulam, MM .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (16) :1535-1542