Posterior cortical atrophy as an extreme phenotype of GRN mutations.

Abstract:

IMPORTANCE:Posterior cortical atrophy (PCA) is characterized by progressive visuoperceptual and visuospatial deficits and commonly considered to be an atypical variant of Alzheimer disease. Mutations of the GRN gene are responsible for a large phenotypic spectrum, but, to our knowledge, the association of PCA with GRN mutations has never been described. OBSERVATIONS:We studied a patient presenting with insidious impairment of basic visuoperceptual skills and apperceptive visual agnosia with predominant posterior atrophy corresponding to a visual/ventral variant of PCA. A heterozygous p.Arg110* (c.328C>T) GRN mutation was identified in this patient. CONCLUSIONS AND RELEVANCE:This study extends the clinical spectrum of GRN mutations that may be responsible for a PCA phenotype. The GRN phenotypes overlap other degenerative dementias and highlight the limits of actual nosologic boundaries in dementias. The GRN gene should be analyzed in patients with PCA, particularly when the damage progresses to anterior cerebral regions and a family history of dementia is present.

journal_name

JAMA Neurol

journal_title

JAMA neurology

authors

Caroppo P,Belin C,Grabli D,Maillet D,De Septenville A,Migliaccio R,Clot F,Lamari F,Camuzat A,Brice A,Dubois B,Le Ber I

doi

10.1001/jamaneurol.2014.3308

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

224-8

issue

2

eissn

2168-6149

issn

2168-6157

pii

2084838

journal_volume

72

pub_type

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