The neuropathology of probable Alzheimer disease and mild cognitive impairment.

Abstract:

OBJECTIVE:Mixed pathologies are common in older persons with dementia. Little is known about mixed pathologies in probable Alzheimer disease (AD) and about the spectrum of neuropathology in mild cognitive impairment (MCI). The objective of this study was to investigate single and mixed common age-related neuropathologies in persons with probable AD and MCI. METHODS:The study included 483 autopsied participants from the Religious Orders Study and the Rush Memory and Aging Project with probable AD (National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and Related Disorders Association criteria), MCI (amnestic and nonamnestic), or no cognitive impairment. We excluded 41 persons with clinically possible AD and 14 with other dementias. We documented the neuropathology of AD (National Institute on Aging-Reagan criteria), macroscopic cerebral infarcts, and neocortical Lewy body (LB) disease. RESULTS:Of 179 persons (average age, 86.9 years) with probable AD, 87.7% had pathologically confirmed AD, and 45.8% had mixed pathologies, most commonly AD with macroscopic infarcts (n = 54), followed by AD with neocortical LB disease (n = 19) and both (n = 8). Of the 134 persons with MCI, 54.4% had pathologically diagnosed AD (58.7% amnestic; 49.2% nonamnestic); 19.4% had mixed pathologies (22.7% amnestic; 15.3% nonamnestic). Macroscopic infarcts without pathologically diagnosed AD accounted for 4.5% of probable AD, 13.3% of amnestic MCI, and 18.6% of nonamnestic MCI. Pure neocortical LB disease was uncommon in all persons with cognitive impairment (<6%). Microscopic infarcts (without macroscopic infarcts) were common as a mixed pathology, but rarely accounted for a clinical diagnosis of probable AD (n = 4) or MCI (n = 3). INTERPRETATION:Clinically diagnosed probable AD and MCI, even amnestic MCI, are pathologically heterogeneous disorders, with many persons exhibiting mixed pathologies.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Schneider JA,Arvanitakis Z,Leurgans SE,Bennett DA

doi

10.1002/ana.21706

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

200-8

issue

2

eissn

0364-5134

issn

1531-8249

journal_volume

66

pub_type

杂志文章
  • Angelman syndrome: correlations between epilepsy phenotypes and genotypes.

    abstract::We compared epilepsy phenotypes with genotypes of Angelman syndrome (AS), including chromosome 15q11-13 deletions (class I), uniparental disomy (class II), methylation imprinting abnormalities (class III), and mutation in the UBE3A gene (class IV). Twenty patients were prospectively selected based on clinical cytogene...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410430412

    authors: Minassian BA,DeLorey TM,Olsen RW,Philippart M,Bronstein Y,Zhang Q,Guerrini R,Van Ness P,Livet MO,Delgado-Escueta AV

    更新日期:1998-04-01 00:00:00

  • Statins induce angiogenesis, neurogenesis, and synaptogenesis after stroke.

    abstract::We demonstrate that the 3-hydroxy-3-methyl-glutaryl-coenzyme A (HMG-CoA) reductase inhibitors atorvastatin and simvastatin enhance functional outcome and induce brain plasticity when administered after stroke to rats. With atorvastatin treatment initiated 1 day after stroke, animals exhibited significant increases in ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10555

    authors: Chen J,Zhang ZG,Li Y,Wang Y,Wang L,Jiang H,Zhang C,Lu M,Katakowski M,Feldkamp CS,Chopp M

    更新日期:2003-06-01 00:00:00

  • Absence of REM and altered NREM sleep in patients with spinocerebellar degeneration and slow saccades.

    abstract::The pontine tegmentum contains the neurons responsible for generation of saccadic eye movements and certain phases of sleep. We studied two genetically unrelated patients with spinocerebellar degeneration and slow saccadic eye movements. Multiple all-night sleep studies in both patients disclosed absence of REM and st...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410070312

    authors: Osorio I,Daroff RB

    更新日期:1980-03-01 00:00:00

  • No cerebrocervical venous congestion in patients with multiple sclerosis.

    abstract:OBJECTIVE:Multiple sclerosis (MS) is characterized by demyelination centered around cerebral veins. Recent studies suggested this topographic pattern may be caused by venous congestion, a condition termed chronic cerebrospinal venous insufficiency (CCSVI). Published sonographic criteria of CCSVI include reflux in the d...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.22085

    authors: Doepp F,Paul F,Valdueza JM,Schmierer K,Schreiber SJ

    更新日期:2010-08-01 00:00:00

  • Abnormal pattern electroretinograms in patients with senile dementia of the Alzheimer type.

    abstract::Patients with senile dementia of the Alzheimer type frequently have difficulty performing visual tasks. These difficulties may be due, at least partially, to degenerative changes in both the primary visual pathway and the visual association areas. To determine whether retinal ganglion cell dysfunction contributes to v...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410260208

    authors: Trick GL,Barris MC,Bickler-Bluth M

    更新日期:1989-08-01 00:00:00

  • Immunoblotting of Creutzfeldt-Jakob disease prion proteins: host species-specific epitopes.

    abstract::Creutzfeldt-Jakob disease (CJD) is a rare dementia that is generally found in older people and is caused by unusual infectious pathogens or prions. Using rabbit antisera raised against hamster scrapie prion proteins (HaPrPSc), we identified by immunoblotting human CJD prion proteins (HuPrPCJD) in the brains of 14 pati...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410210611

    authors: Bockman JM,Prusiner SB,Tateishi J,Kingsbury DT

    更新日期:1987-06-01 00:00:00

  • Does tremor pace repetitive voluntary motor behavior in Parkinson's disease?

    abstract::In patients with Parkinson's disease and in normal subjects, the influence of tremor on repetitive voluntary movement was investigated in the index finger by comparing frequency of isometric force tremor with frequency of voluntary alternating isometric contractions. Tremor frequency, measured over the range from 0 to...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410300208

    authors: Logigian E,Hefter H,Reiners K,Freund HJ

    更新日期:1991-08-01 00:00:00

  • Dopamine denervation does not alter in vivo 3H-spiperone binding in rat striatum: implications for external imaging of dopamine receptors in Parkinson's disease.

    abstract::Striatal particulate preparations, both from rats with lesion-induced striatal dopamine (DA) loss and from some striatal dopamine (DA) loss and from some patients with Parkinson's disease, exhibit increased 3H-neuroleptic binding, which is interpreted to be the mechanism of denervation-induced behavioral supersensitiv...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410190412

    authors: Bennett JP Jr,Wooten GF

    更新日期:1986-04-01 00:00:00

  • Proton magnetic resonance spectroscopic imaging in patients with cerebellar degeneration.

    abstract::Using proton magnetic resonance spectroscopic imaging, we studied the cerebellum of 9 patients with cerebellar degeneration and of 9 age-matched normal control subjects. This technique permits the simultaneous measurement of N-acetylaspartate, choline-containing compounds, creatine/phosphocreatine, and lactate signal ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410390111

    authors: Tedeschi G,Bertolino A,Massaquoi SG,Campbell G,Patronas NJ,Bonavita S,Barnett AS,Alger JR,Hallett M

    更新日期:1996-01-01 00:00:00

  • Axon-Myelin Unit Blistering as Early Event in MS Normal Appearing White Matter.

    abstract:OBJECTIVE:Multiple sclerosis (MS) is a chronic neuroinflammatory and neurodegenerative disease of unknown etiology. Although the prevalent view regards a CD4+ -lymphocyte autoimmune reaction against myelin at the root of the disease, recent studies propose autoimmunity as a secondary reaction to idiopathic brain damage...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.26014

    authors: Luchicchi A,Hart B,Frigerio I,van Dam AM,Perna L,Offerhaus HL,Stys PK,Schenk GJ,Geurts JJG

    更新日期:2021-01-06 00:00:00

  • Hemophilus influenzae meningitis in the rat: behavioral, electrophysiological, and biochemical consequences.

    abstract::Hemophilus influenzae is the most common cause of bacterial meningitis in children, and a high percentage of survivors are at risk for long-term sequelae. To explore the mechanisms responsible for these sequelae, a neonatal rat model was used to define the behavioral, electrophysiological, and biochemical changes foll...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410210407

    authors: Konkol RJ,Chapman L,Breese GR,Collier AM,Kilts C,Finley C,Vogel RR,Mailman RB,Bendeich EG

    更新日期:1987-04-01 00:00:00

  • Central levodopa metabolism in Parkinson's disease after administration of stable isotope-labeled levodopa.

    abstract::We report the use of a new stable isotope-labeled form of levodopa (LD) to examine in vivo central LD metabolism in Parkinson's disease (PD). Eight patients representing a wide spectrum of disease severity were administered 50 mg of carbidopa orally followed in 1 hour by an intravenous bolus of 150 mg of stable isotop...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410420305

    authors: Durso R,Evans JE,Josephs E,Szabo GK,Evans BA,Handler JS,Jennings D,Browne TR

    更新日期:1997-09-01 00:00:00

  • Role of infection in Guillain-Barré syndrome: laboratory confirmation of herpesviruses in 41 cases.

    abstract::Serological evidence of either acute cytomegalovirus (CMV) or Epstein-Barr virus (EBV) infection was sought in a large series of patients with Guillain-Barré syndrome (GBS) and control subjects. Using an indirect immunofluorescent technique, IgM antibody directed against CMV was found in the serum of 33 of 220 GBS pat...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410090709

    authors: Dowling PC,Cook SD

    更新日期:1981-01-01 00:00:00

  • Skin nerve pathology: Biomarkers of premanifest and manifest amyloid neuropathy.

    abstract:OBJECTIVE:Small-fiber sensory and autonomic symptoms are early presentations of familial amyloid polyneuropathy (FAP) with transthyretin (TTR) mutations. This study aimed to explore the potential of skin nerve pathologies as early and disease-progression biomarkers and their relationship with skin amyloid deposits. ME...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.25433

    authors: Chao CC,Hsueh HW,Kan HW,Liao CH,Jiang HH,Chiang H,Lin WM,Yeh TY,Lin YH,Cheng YY,Hsieh ST

    更新日期:2019-04-01 00:00:00

  • A peek behind the curtain: peer review and editorial decision making at Stroke.

    abstract:OBJECTIVE:A better understanding of the manuscript peer-review process could improve the likelihood that research of the highest quality is funded and published. To this end, we aimed to assess consistency across reviewers' recommendations, agreement between reviewers' recommendations and editors' final decisions, and ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24218

    authors: Sposato LA,Ovbiagele B,Johnston SC,Fisher M,Saposnik G,Stroke Outcome Research Working Group (www.sorcan.ca).

    更新日期:2014-08-01 00:00:00

  • Spinocerebellar ataxia type 6: CAG repeat expansion in alpha1A voltage-dependent calcium channel gene and clinical variations in Japanese population.

    abstract::Autosomal dominant spinocerebellar ataxias (SCAs) are clinically and genetically a heterogeneous group of neurodegenerative disorders. Recently, mild CAG repeat expansion in the alpha1A voltage-dependent calcium channel gene has been found to be associated with a type of autosomal dominant SCA (SCA6). We analyzed 98 J...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410420609

    authors: Ikeuchi T,Takano H,Koide R,Horikawa Y,Honma Y,Onishi Y,Igarashi S,Tanaka H,Nakao N,Sahashi K,Tsukagoshi H,Inoue K,Takahashi H,Tsuji S

    更新日期:1997-12-01 00:00:00

  • Bilateral carotid artery occlusion resulting from giant cell arteritis.

    abstract::A 65-year-old woman with subacute global deterioration of neurological function had bilateral occlusion of the internal carotid arteries demonstrated by angiography. Postmortem examination showed isolated giant cell arteritis involving the carotid siphon bilaterally. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410150216

    authors: Howard GF 3rd,Ho SU,Kim KS,Wallach J

    更新日期:1984-02-01 00:00:00

  • Focal cortical myoclonus and rolandic cortical dysplasia: clarification by magnetic resonance imaging.

    abstract::Focal cortical myoclonus is rare. Obvious causes include tumor or atrophy involving the motor strip, but in some cases no cause is apparent. We present 4 patients who started to have focal myoclonus in childhood. All had focal motor seizures as well, and one had recurrent focal motor status epilepticus. All 4 had a mi...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410230402

    authors: Kuzniecky R,Berkovic S,Andermann F,Melanson D,Olivier A,Robitaille Y

    更新日期:1988-04-01 00:00:00

  • Toward the development of rational therapies in multiple sclerosis: what is on the horizon?

    abstract::Although the cause of multiple sclerosis (MS) has remained obscure, many findings support an autoimmune pathogenesis on the background of a complex interaction between multiple genes and environmental factors. Accordingly, targeting the immune system has been a rational approach for the treatment of MS. The developmen...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.21289

    authors: Hemmer B,Hartung HP

    更新日期:2007-10-01 00:00:00

  • Magnetic resonance imaging in isolated noncompressive spinal cord syndromes.

    abstract::The frequency with which patients presenting with acute or chronic noncompressive cord syndromes subsequently develop multiple sclerosis is uncertain. Magnetic resonance imaging (MRI) was performed on 121 patients with such syndromes to determine the frequency of asymptomatic brain lesions and to assess the sensitivit...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410220607

    authors: Miller DH,McDonald WI,Blumhardt LD,du Boulay GH,Halliday AM,Johnson G,Kendall BE,Kingsley DP,MacManus DG,Moseley IF

    更新日期:1987-12-01 00:00:00

  • The role of pathogenic DJ-1 mutations in Parkinson's disease.

    abstract::Mutations in DJ-1 (PARK7) have been reported in two consanguineous families with young-onset Parkinson's disease (YOPD). This study aims to confirm the presence of pathogenic DJ-1 mutations and determine their contribution in young-onset and more typical later onset Parkinson's disease (PD). The entire open reading fr...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10675

    authors: Abou-Sleiman PM,Healy DG,Quinn N,Lees AJ,Wood NW

    更新日期:2003-09-01 00:00:00

  • Hydroxyurea enhances SMN2 gene expression in spinal muscular atrophy cells.

    abstract::Spinal muscular atrophy (SMA) is a motor neuron disease caused by dysfunction of the survival motor neuron (SMN) gene. Human SMN gene is present in duplicated copies: SMN1 and SMN2. More than 95% of patients with SMA lack a functional SMN1 but retain at least one copy of SMN2. Unlike SMN1, SMN2 is primarily transcribe...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20548

    authors: Grzeschik SM,Ganta M,Prior TW,Heavlin WD,Wang CH

    更新日期:2005-08-01 00:00:00

  • PET scan investigations of Huntington's disease: cerebral metabolic correlates of neurological features and functional decline.

    abstract::Fifteen drug-free patients with early to midstage Huntington's disease were evaluated with quantitative neurological examinations, scales for functional capacity, computed tomographic (CT) scans, and positron emission tomographic (PET) scans of 18F-2-fluoro-2-deoxyglucose (18F-FDG) uptake. All patients had abnormal in...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410200305

    authors: Young AB,Penney JB,Starosta-Rubinstein S,Markel DS,Berent S,Giordani B,Ehrenkaufer R,Jewett D,Hichwa R

    更新日期:1986-09-01 00:00:00

  • Complete remission in nonsyndromic childhood-onset epilepsy.

    abstract:OBJECTIVE:Determine the probability of attaining complete remission in children with nonsyndromic epilepsy (NSE) over the course of ≥10 years from initial diagnosis; identify early predictors of complete remission; and assess the risk of relapse after achieving complete remission. METHODS:In a prospective community-ba...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.22461

    authors: Berg AT,Testa FM,Levy SR

    更新日期:2011-10-01 00:00:00

  • Undecussated innervation to the sternocleidomastoid muscle: a reinstatement.

    abstract::Clinical evidence is presented to support the contention that the sternocleidomastoid muscle is innervated primarily by undecussated fibers from the ipsilateral hemisphere. Stroke patients often show contralateral hemiparesis accompanied by weakness in head turning to the side of the paresis. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410070116

    authors: Balagura S,Katz RG

    更新日期:1980-01-01 00:00:00

  • Polysomnographic diagnosis of sleepwalking: effects of sleep deprivation.

    abstract:OBJECTIVE:Somnambulism affects up to 4% of adults and constitutes one of the leading causes of sleep-related violence and self-injury. Diagnosing somnambulism with objective instruments is often difficult because episodes rarely occur in the laboratory. Because sleep deprivation can precipitate sleepwalking, we aimed t...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21339

    authors: Zadra A,Pilon M,Montplaisir J

    更新日期:2008-04-01 00:00:00

  • Somatotopical organization of striatal activation during finger and toe movement: a 3-T functional magnetic resonance imaging study.

    abstract::The present study aimed at determining the distribution and somatotopical organization of striatal activation during performance of simple motor tasks. Ten right-handed healthy volunteers were studied by using a 3-T whole-body magnetic resonance unit and echo planar imaging. The tasks consisted of self-paced flexion/e...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410440319

    authors: Lehéricy S,van de Moortele PF,Lobel E,Paradis AL,Vidailhet M,Frouin V,Neveu P,Agid Y,Marsault C,Le Bihan D

    更新日期:1998-09-01 00:00:00

  • The complex world of oligodendroglial differentiation inhibitors.

    abstract::Myelination is a central nervous system (CNS) process wherein oligodendrocyte-axon interactions lead to the establishment of myelin sheaths that stabilize, protect, and electrically insulate axons. In inflammatory demyelinating diseases such as multiple sclerosis (MS), the degeneration and eventual loss of functional ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.22415

    authors: Kremer D,Aktas O,Hartung HP,Küry P

    更新日期:2011-04-01 00:00:00

  • Free amino acid levels in amyotrophic lateral sclerosis.

    abstract::To evaluate reports of abnormal levels of free amino acids (AA) in patients with amyotrophic lateral sclerosis (ALS), we studied serum, cerebrospinal fluid, and urine AA in 12 patients with ALS and 12 controls matched for age, sex, and severity of disability. ALS patients had statistically significant elevations in se...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410030405

    authors: Patten BM,Harati Y,Acosta L,Jung SS,Felmus MT

    更新日期:1978-04-01 00:00:00

  • Infarction of the conus medullaris.

    abstract::We describe 5 patients who presented with an acute cauda equina syndrome, which we believe was due to infarction of the conus medullaris. In 3 patients, the onset was spontaneous, and in 2 patients it was secondary to temporary occlusion of the distal aorta during medical manipulation. Pain in the buttocks and posteri...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410210510

    authors: Anderson NE,Willoughby EW

    更新日期:1987-05-01 00:00:00