Amnesia in Frontotemporal Dementia with Amyotrophic Lateral Sclerosis, Masquerading Alzheimer's Disease

被引:4
作者
Yamanami-Irioka, A. [1 ,3 ]
Uchihara, T. [1 ]
Endo, T. [2 ]
Irioka, T. [3 ]
Watanabe, M. [3 ]
Kitagawa, M. [2 ]
Mizusawa, H. [3 ]
机构
[1] Tokyo Metropolitan Inst Med Sci, Lab Struct Neuropathol, Setagaya Ku, 2-1-6 Kami Kitazawa, Tokyo 1568506, Japan
[2] Tokyo Med & Dent Univ, Dept Pathol, Tokyo, Japan
[3] Tokyo Med & Dent Univ, Dept Neurol, Tokyo, Japan
关键词
Amyotrophic lateral sclerosis; Dementia; Alzheimer's disease; Creatine kinase;
D O I
10.1159/000331859
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 68-year-old man with a clinical diagnosis of Alzheimer's disease (AD) later developed amyotrophic lateral sclerosis (ALS), which was confirmed at autopsy at age 72 years. Because neuronal loss and AD-type pathologies (Braak stage II for neurofibrillary tangles) were scant, TDP-43-positive intracytoplasmic inclusions in hippocampal dentate granular cells and in neurons in the subiculum and amygdala, even though small in amount, may represent the earliest lesions of ALS-related dementia and could be the cause of dementia in this patient. Although the persistent elevation of creatine kinase from the onset could be a pointer to the presence of motor involvement, more accurate characterization of dementia, which may differentiate ALS-related dementia and AD, is necessary.
引用
收藏
页码:242 / 247
页数:6
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