Clinically diagnosed Alzheimer's disease: autopsy results in 150 cases.

Abstract:

:One hundred fifty autopsy brains from patients with clinically diagnosed Alzheimer's disease (AD) were examined pathologically. The brains were received consecutively over a 3-year period from numerous sources as part of a research program in which one brain half was frozen for biochemical studies and the other half was fixed in formalin. One hundred thirty-one (87%) of the 150 cases fulfilled histological criteria for AD, with or without additional findings, such as Parkinson's disease or stroke. At least a minimal degree of amyloid angiopathy was found in every brain showing histopathological abnormalities of AD. Twenty-three (18%) of the 131 AD brains had Lewy bodies in neurons of the substantia nigra. Thirteen of the 19 non-AD cases were diagnosed as other neurodegenerative disorders. In only 2 cases was no histological correlate for the patient's dementia found. We conclude that (1) the many physicians who diagnosed these cases did so highly accurately; (2) degenerative changes in the substantia nigra were more common in patients with AD than has been reported for the general aged population; (3) amyloid angiopathy was a constant accompaniment of AD, although its severity varied widely; (4) vascular dementia was rarely clinically misdiagnosed as AD; (5) neuropathological findings were insufficient to account for the clinical syndrome of dementia in less than 2% of cases; (6) the histological criteria established by the National Institutes of Health/American Association of Retired Persons Workshop on the Diagnosis of Alzheimer's Disease worked well in assessing this large series.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Joachim CL,Morris JH,Selkoe DJ

doi

10.1002/ana.410240110

subject

Has Abstract

pub_date

1988-07-01 00:00:00

pages

50-6

issue

1

eissn

0364-5134

issn

1531-8249

journal_volume

24

pub_type

杂志文章
  • Altered expression of genes for amyloid and cytoskeletal proteins in Alzheimer cortex.

    abstract::Recent studies have indicated a normal gene dose for the amyloid precursor protein (APP) in Alzheimer's disease (AD). These findings leave open the possibility that elevated levels of messenger RNA (mRNA) for this protein may contribute to the pathogenesis of AD. Using Northern analysis, we compared the levels of mRNA...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410250404

    authors: Clark AW,Krekoski CA,Parhad IM,Liston D,Julien JP,Hoar DI

    更新日期:1989-04-01 00:00:00

  • RON-regulated innate immunity is protective in an animal model of multiple sclerosis.

    abstract::The tyrosine kinase receptor RON and its ligand, macrophage stimulating protein (MSP), exert inhibitory effects on systemic innate immunity, but their CNS expression and impact on human neuroinflammatory diseases are unknown were RON and MSP present in human brain perivascular macrophages and microglia, but RON mRNA a...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20502

    authors: Tsutsui S,Noorbakhsh F,Sullivan A,Henderson AJ,Warren K,Toney-Earley K,Waltz SE,Power C

    更新日期:2005-06-01 00:00:00

  • A randomized trial of plasma exchange in acute central nervous system inflammatory demyelinating disease.

    abstract::There are no established treatments for patients with acute, severe neurological deficits caused by multiple sclerosis or other inflammatory demyelinating diseases of the central nervous system who fail to recover after treatment with high-dose corticosteroids. We conducted a randomized, sham-controlled, double-masked...

    journal_title:Annals of neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1531-8249(199912)46:6<878::aid-ana10>3.0.c

    authors: Weinshenker BG,O'Brien PC,Petterson TM,Noseworthy JH,Lucchinetti CF,Dodick DW,Pineda AA,Stevens LN,Rodriguez M

    更新日期:1999-12-01 00:00:00

  • Mechanisms underlying cerebellar motor deficits due to mGluR1-autoantibodies.

    abstract::Patients with Hodgkin's disease can develop paraneoplastic cerebellar ataxia because of the generation of autoantibodies against mGluR1 (mGluR1-Abs). Yet, the pathophysiological mechanisms underlying their motor coordination deficits remain to be elucidated. Here, we show that application of IgG purified from the pati...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10451

    authors: Coesmans M,Smitt PA,Linden DJ,Shigemoto R,Hirano T,Yamakawa Y,van Alphen AM,Luo C,van der Geest JN,Kros JM,Gaillard CA,Frens MA,de Zeeuw CI

    更新日期:2003-03-01 00:00:00

  • Glucose metabolism and serotonin receptors in the frontotemporal lobe degeneration.

    abstract::In patients with the frontal variant of frontotemporal lobar degeneration (fv-FTLD), behavioral abnormalities may vary from apathy with motor slowness (apathetic form) to disinhibition with agitation (disinhibited form). These clinical presentations may be related to specific regional cerebral dysfunction and to defic...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.20365

    authors: Franceschi M,Anchisi D,Pelati O,Zuffi M,Matarrese M,Moresco RM,Fazio F,Perani D

    更新日期:2005-02-01 00:00:00

  • Fibrin(ogen) and neurodegeneration in the progressive multiple sclerosis cortex.

    abstract:OBJECTIVE:Neuronal loss, a key substrate of irreversible disability in multiple sclerosis (MS), is a recognized feature of MS cortical pathology of which the cause remains unknown. Fibrin(ogen) deposition is neurotoxic in animal models of MS, but has not been evaluated in human progressive MS cortex. The aim of this st...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24997

    authors: Yates RL,Esiri MM,Palace J,Jacobs B,Perera R,DeLuca GC

    更新日期:2017-08-01 00:00:00

  • Abnormal systemic metabolism of iron, porphyrin, and calcium in Fahr's syndrome.

    abstract::Striopallidodentate calcinosis (Fahr's disease) is characterized clinically by seizures, rigidity, and dementia and pathologically by mineral deposition in the basal ganglia, dentate nucleus, and cerebral cortex. Disorders of iron and calcium-phosphate metabolism are thought to play a role in its pathogenesis. We pres...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410260412

    authors: Beall SS,Patten BM,Mallette L,Jankovic J

    更新日期:1989-10-01 00:00:00

  • Genome-wide variant by serum urate interaction in Parkinson's disease.

    abstract:OBJECTIVE:Serum urate levels have been associated with risk for and progression of Parkinson's disease (PD). Urate-related compounds are therapeutic candidates in neuroprotective efforts to slow PD progression. A urate-elevating agent is currently under investigation as a potential disease-modifying strategy in people ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24504

    authors: Nazeri A,Roostaei T,Sadaghiani S,Chakravarty MM,Eberly S,Lang AE,Voineskos AN

    更新日期:2015-11-01 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

  • The syndrome of posterior choroidal artery territory infarction.

    abstract::Posterior choroidal artery (PChA) territory infarcts remain the least well-known type of thalamic infarcts. Our study of 10 personal cases, selected from 2,925 stroke patients admitted consecutively to a community-based primary care center, and 10 published cases of unilateral PChA territory infarct suggests that they...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410390614

    authors: Neau JP,Bogousslavsky J

    更新日期:1996-06-01 00:00:00

  • IgG production within the central nervous system: a critical review of proposed formulae.

    abstract::Demonstration of intrathecal IgG production is employed in the diagnosis of various neurological disorders. This pathological IgG fraction in cerebrospinal fluid (CSF) can be visualized directly as oligoclonal bands by electrophoresis or isoelectric focusing or can be calculated as "excess" or "synthesized" IgG accord...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410170105

    authors: Lefvert AK,Link H

    更新日期:1985-01-01 00:00:00

  • Multiple sclerosis: activated cells in cerebrospinal fluid in acute exacerbations.

    abstract::Cerebrospinal fluid (CSF) lymphocytes from three young patients undergoing acute exacerbations of multiple sclerosis were studied by flow cytometry. Using a new method that simultaneously measures cell-surface antigens and the cell-cycle phase, we determined that the CSF lymphocytes in these patients were activated. T...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410180617

    authors: Noronha A,Richman DP,Arnason BG

    更新日期:1985-12-01 00:00:00

  • MK-801 and ketamine induce heat shock protein HSP72 in injured neurons in posterior cingulate and retrosplenial cortex.

    abstract::MK-801 and ketamine are noncompetitive N-methyl-D-aspartate (NMDA) receptor blockers that decrease brain injury in animal models of focal and global ischemia. Recent reports, however, suggested that MK-801 itself can damage neurons. Here we show that MK-801 (0.1 to 5.0 mg/kg) and ketamine (40 to 100 mg/kg) typically i...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410300609

    authors: Sharp FR,Jasper P,Hall J,Noble L,Sagar SM

    更新日期:1991-12-01 00:00:00

  • Identification of neuronal outgrowth cells from peripheral blood of stroke patients.

    abstract:OBJECTIVE:Recent studies have identified a subset of outgrowth cell population with endothelial phenotype in long-term cultures of peripheral blood mononuclear cells. The concept that peripheral blood-derived cells participate in neuronal regeneration remains highly controversial, and no specific cell type has been ide...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21303

    authors: Jung KH,Chu K,Lee ST,Song EC,Sinn DI,Kim JM,Kim SJ,Kim JH,Kang KM,Park HK,Lee SH,Kim M,Lee SK,Roh JK

    更新日期:2008-03-01 00:00:00

  • Human immunodeficiency virus (HIV)-associated myopathy: immunocytochemical identification of an HIV antigen (gp 41) in muscle macrophages.

    abstract::In a patient with acquired immunodeficiency disease syndrome (AIDS) and muscle weakness, a muscle biopsy specimen disclosed degeneration of muscle fibers, regeneration, and focal endomysial mononuclear inflammation. A conspicuous feature was the presence of perivascular macrophages within the endomysium that showed po...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410280418

    authors: Chad DA,Smith TW,Blumenfeld A,Fairchild PG,DeGirolami U

    更新日期:1990-10-01 00:00:00

  • Reduced threshold for cortical spreading depression in female mice.

    abstract::The prevalence of migraine is much greater in female than male individuals. Cortical spreading depression (CSD) is thought to be a fundamental mechanism of migraine, and CSD in rodents is used as a model for migraine. We used optical intrinsic signal imaging and electrophysiological techniques to investigate CSD in C5...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.21138

    authors: Brennan KC,Romero Reyes M,López Valdés HE,Arnold AP,Charles AC

    更新日期:2007-06-01 00:00:00

  • Penumbral tissue alkalosis in focal cerebral ischemia: relationship to energy metabolism, blood flow, and steady potential.

    abstract::The effect of focal ischemia on tissue pH was studied at various times up to 6 hours after permanent middle cerebral artery occlusion in rats. Tissue pH was imaged by using umbelliferone fluorescence and correlated with cerebral blood flow, ATP content, and recordings of the steady potential. Circumscribed foci of all...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:

    authors: Back T,Hoehn M,Mies G,Busch E,Schmitz B,Kohno K,Hossmann KA

    更新日期:2000-04-01 00:00:00

  • The response to levodopa in Parkinson's disease: imposing pharmacological law and order.

    abstract::The seemingly unpredictable response to levodopa in patients with Parkinson's disease can be understood as an interaction between several distinct pharmacological effects of levodopa. The most important are a short-duration response with a half-life of minutes to hours and a long-duration response with a half-life of ...

    journal_title:Annals of neurology

    pub_type: 杂志文章,评审

    doi:10.1002/ana.410390504

    authors: Nutt JG,Holford NH

    更新日期:1996-05-01 00:00:00

  • Acne fulminans with inflammatory myopathy.

    abstract::An 18-year-old man with acne fulminans developed an acute inflammatory myositis, an association not previously reported. The condition resolved with treatment using systemic corticosteroids. ...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410080110

    authors: Noseworthy JH,Heffernan LP,Ross JB,Sangalang VE

    更新日期:1980-07-01 00:00:00

  • Aberrant astrocytes impair vascular reactivity in Huntington disease.

    abstract:OBJECTIVE:Huntington disease (HD) is an inherited neurodegenerative disease caused by the mutant huntingtin gene (mHTT), which harbors expanded CAG repeats. We previously reported that the brain vessel density is higher in mice and patients with HD than in controls. The present study determines whether vascular functio...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.24428

    authors: Hsiao HY,Chen YC,Huang CH,Chen CC,Hsu YH,Chen HM,Chiu FL,Kuo HC,Chang C,Chern Y

    更新日期:2015-08-01 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

  • Noninvasive detection of occlusive disease of the carotid siphon and middle cerebral artery.

    abstract::Recently, transcranial Doppler sonography has been introduced into clinical practice for noninvasive investigation of the large intracranial arteries. To determine its accuracy for detection of stenosing or occluding lesions, 133 consecutive patients were studied by both transcranial Doppler sonography and selective c...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410280507

    authors: Ley-Pozo J,Ringelstein EB

    更新日期:1990-11-01 00:00:00

  • Altered synaptic organization in facial nucleus following facial nerve regeneration: an electrophysiological study in man.

    abstract::Seven patients with postfacial palsy contracture and mass contractions were investigated electrophysiologically. In 3 patients the early blink reflex showed an unusually high amplitude, which can be attributed to enhanced excitability of facial motor neurons. In 5 patients the early blink reflex had acquired a crossed...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410020114

    authors: Bratzlavsky M,vander Eecken H

    更新日期:1977-07-01 00:00:00

  • Interleukin-6 genotype and risk for cerebral palsy in term and near-term infants.

    abstract:OBJECTIVE:Chorioamnionitis is associated with increased risk for cerebral palsy (CP) in term infants. A functional polymorphism in the interleukin-6 (IL-6) gene has been implicated in newborn brain injury. We studied whether the IL-6 -174 G/C polymorphism confers increased risk for CP in term infants. METHODS:This pop...

    journal_title:Annals of neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/ana.21766

    authors: Wu YW,Croen LA,Torres AR,Van De Water J,Grether JK,Hsu NN

    更新日期:2009-11-01 00:00:00

  • How much phenotypic variation can be attributed to parkin genotype?

    abstract::To establish phenotype-genotype correlations in early-onset parkinsonism, we have compared the phenotype of a large series of 146 patients with and 250 patients without parkin mutations. Although no single sign distinguished the groups, patients with mutations had significantly earlier and more symmetrical onset, dyst...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10613

    authors: Lohmann E,Periquet M,Bonifati V,Wood NW,De Michele G,Bonnet AM,Fraix V,Broussolle E,Horstink MW,Vidailhet M,Verpillat P,Gasser T,Nicholl D,Teive H,Raskin S,Rascol O,Destée A,Ruberg M,Gasparini F,Meco G,Agid Y,Du

    更新日期:2003-08-01 00:00:00

  • Alzheimer-related neuronal protein A68: specificity and distribution.

    abstract::We previously reported that the monoclonal antibody Alz-50 recognizes a protein (A68) with an apparent molecular weight of 68,000 daltons in the brains of patients who died with Alzheimer's disease, but not in brain tissue from individuals free of neurological disease. We now report that substantial quantities of this...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410220412

    authors: Wolozin B,Davies P

    更新日期:1987-10-01 00:00:00

  • Cofactors of mitochondrial enzymes attenuate copper-induced death in vitro and in vivo.

    abstract::Copper toxicity contributes to neuronal death in Wilson's disease and has been speculatively linked to the pathogenesis of Alzheimer's and prion diseases. We examined copper-induced neuronal death with the goal of developing neuroprotective strategies. Copper catalyzed an increase in hydroxyl radical generation in sol...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10276

    authors: Sheline CT,Choi EH,Kim-Han JS,Dugan LL,Choi DW

    更新日期:2002-08-01 00:00:00

  • Mechanisms of acute cerebral infarctions in patients with middle cerebral artery stenosis: a diffusion-weighted imaging and microemboli monitoring study.

    abstract::Although most therapeutic efforts and experimental stroke models focus on the concept of complete occlusion of the middle cerebral artery as a result of embolism from the carotid artery or cardiac chamber, relatively little is known about the stroke mechanism of intrinsic middle cerebral artery stenosis. Differences i...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.10250

    authors: Wong KS,Gao S,Chan YL,Hansberg T,Lam WW,Droste DW,Kay R,Ringelstein EB

    更新日期:2002-07-01 00:00:00

  • Left thalamic infarction and disturbance of verbal memory: a clinicoanatomical study with a new method of computed tomographic stereotaxic lesion localization.

    abstract::A 41-year-old right-handed man developed disturbances of language and memory after a discrete thalamic infarction. Detailed neuropsychological assessment revealed deficits in verbal fluency, word finding, confrontation naming, and anterograde memory for verbal material. High-resolution computed tomography with stereot...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410200604

    authors: Mori E,Yamadori A,Mitani Y

    更新日期:1986-12-01 00:00:00

  • Metabolic causes of myoglobinuria.

    abstract::To evaluate the proportion of cases of myoglobinuria that can be ascribed to specific metabolic defects, we have studied eight enzymes--phosphorylase, phosphorylase kinase, phosphofructokinase (PFK), phosphoglycerate kinase (PGK), phosphoglycerate mutase (PGAM), lactate dehydrogenase (LDH), carnitine palmitoyltransfer...

    journal_title:Annals of neurology

    pub_type: 杂志文章

    doi:10.1002/ana.410270214

    authors: Tonin P,Lewis P,Servidei S,DiMauro S

    更新日期:1990-02-01 00:00:00