Constant involvement of the Betz cells and pyramidal tract in amyotrophic lateral sclerosis with dementia: a clinicopathological study of eight autopsy cases.

Abstract:

:We investigated clinicopathologically pyramidal signs, including hyperreflexia, Babinski sign, and spasticity, and the involvement of the primary motor cortex and pyramidal tract, in eight Japanese autopsy cases of amyotrophic lateral sclerosis (ALS) with dementia. Pyramidal signs were observed in seven (88%) of the eight autopsy cases. Hyperreflexia and Babinski sign were evident in seven (88%) and three (38%) patients, respectively, but spasticity was not observed in any of the eight patients. Loss of Betz cells in the primary motor cortex was evident in the seven cases in which this structure was examined. Astrocytosis in the fifth layer of the primary motor cortex was noticed in three cases. In all eight cases, involvement of the pyramidal tract was obvious in the medulla oblongata, but no involvement of the pyramidal tract was found in the midbrain. Involvement of the pyramidal tract in the spinal cord, particularly of large myelinated fibers, was observed in all six cases in which the spinal cord was examined. In ALS with dementia, pyramidal signs were shown to be present more frequently than previously believed, and the clinicopathological correlation between pyramidal signs and involvement of the pyramidal tract was obvious. Constant involvement of Betz cells and the pyramidal tract in ALS with dementia has not been reported. Our clinicopathological findings may make a contribution to the understanding of the clinicopathological hallmarks of this disorder. Furthermore, we believe that this study will also contribute to the elucidation of the nosological status of ALS with dementia.

journal_name

Acta Neuropathol

journal_title

Acta neuropathologica

authors

Tsuchiya K,Ikeda K,Mimura M,Takahashi M,Miyazaki H,Anno M,Shiotsu H,Akabane H,Niizato K,Uchihara T,Tominaga I,Nakano I

doi

10.1007/s00401-002-0543-7

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

249-59

issue

3

eissn

0001-6322

issn

1432-0533

journal_volume

104

pub_type

杂志文章
  • A simple method of rapid freezing adequately preserves brain tissue for immunocytochemistry, light and electron microscopic examination.

    abstract::A simple and reproducible method for cryopreservation of brain tissue from patients with Alzheimer's disease is described. Fresh brain slices (1 cm thick) obtained less than 6 h postmortem are placed in sealed plastic bags, sandwiched between 0.3-cm-thick aluminium sheets, and frozen by placing the entire "sandwich" b...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00294305

    authors: Nochlin D,Mackenzie AP,Bryant EM,Norwood TH,Sumi SM

    更新日期:1993-01-01 00:00:00

  • Fragmentation of Golgi apparatus of nigral neurons with alpha-synuclein-positive inclusions in patients with Parkinson's disease.

    abstract::We examined whether the Golgi apparatus (GA) is fragmented in nigral neurons in 18 cases with Parkinson's disease (PD) and in 8 control cases. The nigral neurons in cases with PD showed various degrees of Lewy pathology with alpha-synuclein immunohistochemistry, and we divided the neurons into three subtypes according...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-006-0114-4

    authors: Fujita Y,Ohama E,Takatama M,Al-Sarraj S,Okamoto K

    更新日期:2006-09-01 00:00:00

  • Low-calcium, high-aluminum diet-induced motor neuron pathology in cynomolgus monkeys.

    abstract::Long-term epidemiological studies indicate that environmental factors play a causative role in high-incidence amyotrophic lateral sclerosis (ALS) and parkinsonism-dementia (PD) in the western Pacific. An increased risk for disease is acquired in youth and remains for life. The low concentrations of calcium and magnesi...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00688211

    authors: Garruto RM,Shankar SK,Yanagihara R,Salazar AM,Amyx HL,Gajdusek DC

    更新日期:1989-01-01 00:00:00

  • A case of clinically and neuropathologically atypical corticobasal degeneration with widespread iron deposition.

    abstract::A 65-year-old woman was admitted to our hospital for forgetfulness, depression and eccentric behavior that had been first noticed 2 years prior to admission. She showed memory impairment, perseveration and repeated violent actions, but no limb-kinetic apraxia. She died 12 years after the onset of symptoms. At autopsy,...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010100460

    authors: Mizuno Y,Ozeki M,Iwata H,Takeuchi T,Ishihara R,Hashimoto N,Kobayashi H,Iwai K,Ogasawara S,Ukai K,Shibayama H

    更新日期:2002-03-01 00:00:00

  • Electron microprobe ultrastructural localization of aluminum in rat brain.

    abstract::Adult white rats were injected daily for 1 month with aluminum chloride and killed. Aluminum was identified, quantitated, and localized in the brains of these rats. The only detectable anomalies were crystals of aluminum and phosphorus in lysosomes and lipofuscin granules in the cytoplasm of neurons. ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00707114

    authors: Galle P,Berry JP,Duckett S

    更新日期:1980-01-01 00:00:00

  • Preponderance of sonic hedgehog pathway activation characterizes adult medulloblastoma.

    abstract::Medulloblastoma (MB) represents approximately 4% of adult brain tumours, and as such is a poorly studied disease. Although many adult MB are treated using paediatric MB protocols, the reported outcomes are inferior to those observed in children. It remains unclear whether biologic differences underlie these clinical o...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-010-0780-0

    authors: Al-Halabi H,Nantel A,Klekner A,Guiot MC,Albrecht S,Hauser P,Garami M,Bognar L,Kavan P,Gerges N,Shirinian M,Roberge D,Muanza T,Jabado N

    更新日期:2011-02-01 00:00:00

  • Chronic demyelinating neuropathy and intra-axonal polyglucosan bodies.

    abstract::In this study we evaluated the relationship between polyglucosan bodies and peripheral nerve lesions. The biopsied sural nerve from a patient with late-onset chronic sensori-motor neuropathy showed many intra-axonal polyglucosan bodies and segmental demyelination/remyelination. The formation of Schwann cell hyperplasi...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00454906

    authors: Matsumuro K,Izumo S,Minauchi Y,Inose M,Higuchi I,Osame M

    更新日期:1993-01-01 00:00:00

  • Neuropathology after active Abeta42 immunotherapy: implications for Alzheimer's disease pathogenesis.

    abstract::The amyloid cascade hypothesis of Alzheimer's disease (AD) is testable: it implies that interference with Abeta aggregation and plaque formation may be therapeutically useful. Abeta42 immunisation of amyloid precursor protein (APP) transgenic mice prevented plaque formation and caused removal of existing plaques. The ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章,评审

    doi:10.1007/s00401-010-0719-5

    authors: Boche D,Denham N,Holmes C,Nicoll JA

    更新日期:2010-09-01 00:00:00

  • Extending the clinicopathological spectrum of neurofilament inclusion disease.

    abstract::We describe features of a patient that broadens the clinical and pathological spectrum of neurofilament inclusion disease (NFID). The patient was a 52-year-old man with a 5--6 year history of progressive, asymmetrical spastic weakness of the upper and lower extremities; L-DOPA-unresponsive parkinsonism; and SPECT evid...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-004-0974-4

    authors: Josephs KA,Uchikado H,McComb RD,Bashir R,Wszolek Z,Swanson J,Matsumoto J,Shaw G,Dickson DW

    更新日期:2005-04-01 00:00:00

  • Acute toxoplasma myositis: an immunohistochemical and ultrastructural study.

    abstract::The occurrence is reported of acute myositis in a man with meningoencephalitis due to toxoplasmosis. The ultrastructure and immunohistochemistry of a muscle biopsy of the patient were investigated. Toxoplasma organisms were not found in the muscle biopsy. The perivascular inflammatory cells in the muscle were mainly C...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00334513

    authors: Matsubara S,Takamori M,Adachi H,Kida H

    更新日期:1990-01-01 00:00:00

  • Diffuse type of senile plaques in the cerebellum of Alzheimer-type dementia demonstrated by beta protein immunostain.

    abstract::We studied senile plaques (SP) in the cerebella of six autopsied subjects with Alzheimer-type dementia (ATD) and ten non-ATD autopsied subjects between the ages of 78 and 90. Neither SP nor amyloid angiopathy (AA) was observed in any of the non-ATD subjects. In the four of the six ATD subjects, diffuse plaques in the ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00687584

    authors: Yamaguchi H,Hirai S,Morimatsu M,Shoji M,Nakazato Y

    更新日期:1989-01-01 00:00:00

  • Doublecortin immunoreactivity in giant cells of tuberous sclerosis and focal cortical dysplasia.

    abstract::Cerebral cortical lesions of tuberous sclerosis (TSC) and focal cortical dysplasia (FCD) show disturbances in laminar architecture and cellular differentiation. We immunohistochemically studied the expression of doublecortin, a fetal neuronal protein that regulates neuronal migration, in the surgical specimens of five...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-002-0575-z

    authors: Mizuguchi M,Yamanouchi H,Becker LE,Itoh M,Takashima S

    更新日期:2002-10-01 00:00:00

  • Axonal polyglucosan body in the ventral posterolateral nucleus of the human thalamus in relation to ageing.

    abstract::Axonal polyglucosan bodies in myelinated axons in the ventral posterolateral nucleus of the human thalamus (VPL) are described. These axonal inclusions were distributed exclusively in the dorsolateral part of the caudal VPL, and their arrangement may be associated with fibres originating from the gracile nucleus. They...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00688332

    authors: Mizutani T,Satoh J,Morimatsu Y

    更新日期:1987-01-01 00:00:00

  • Unmyelinated nerve fibres in feline acrylamide neuropathy.

    abstract::Electronmicroscope studies have been performed on the greater splanchnic nerve and the nerve to the medial head of gastrocnemius muscle of control and acrylamide poisoned cats. Degeneration of unmyelinated as well as of myelinated fibres was observed in both nerves. In cats severely poisoned with acrylamide, some very...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF01273262

    authors: Post EJ

    更新日期:1978-04-26 00:00:00

  • Overexpression of human wild-type FUS causes progressive motor neuron degeneration in an age- and dose-dependent fashion.

    abstract::Amyotrophic lateral sclerosis (ALS) and frontotemporal lobar degeneration (FTLD) are relentlessly progressive neurodegenerative disorders with overlapping clinical, genetic and pathological features. Cytoplasmic inclusions of fused in sarcoma (FUS) are the hallmark of several forms of FTLD and ALS patients with mutati...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-012-1043-z

    authors: Mitchell JC,McGoldrick P,Vance C,Hortobagyi T,Sreedharan J,Rogelj B,Tudor EL,Smith BN,Klasen C,Miller CC,Cooper JD,Greensmith L,Shaw CE

    更新日期:2013-02-01 00:00:00

  • Alpha-synuclein immunoreactivity in normal and neoplastic Schwann cells.

    abstract::Alpha-synuclein is known to play an important role in several neurodegenerative diseases. Moreover, it is expressed in central nervous system neuronal tumors, and another member of the synuclein family, gamma-synuclein, is overexpressed in breast and ovarian carcinomas. However, the expression of alpha-synuclein has n...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010100443

    authors: Mori F,Inenaga C,Yoshimoto M,Umezu H,Tanaka R,Takahashi H,Wakabayashi K

    更新日期:2002-02-01 00:00:00

  • Ultrastructural aspects of muscle and nerve in Werdnig-Hoffmann disease.

    abstract::The authors describe in biopsies from 6 cases of Werdnig-Hoffmann disease, including 2 of the more benign type, the ultrastructural typical aspects of denervation. They compare their findings with those of other workers. The striking points are the great variation in the diameter of the muscle fibres and the myofibril...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00687923

    authors: Szliwowski HB,Drochmans P

    更新日期:1975-01-01 00:00:00

  • Reduced astrocytic NF-κB activation by laquinimod protects from cuprizone-induced demyelination.

    abstract::Laquinimod (LAQ) is a new oral immunomodulatory compound that reduces relapse rate, brain atrophy and disability progression in multiple sclerosis (MS). LAQ has well-documented effects on inflammation in the periphery, but little is known about its direct activity within the central nervous system (CNS). To elucidate ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-012-1009-1

    authors: Brück W,Pförtner R,Pham T,Zhang J,Hayardeny L,Piryatinsky V,Hanisch UK,Regen T,van Rossum D,Brakelmann L,Hagemeier K,Kuhlmann T,Stadelmann C,John GR,Kramann N,Wegner C

    更新日期:2012-09-01 00:00:00

  • Intracytoplasmic eosinophilic inclusions in the neurons of the central nervous system.

    abstract::This study reports the histological, ultrastructural, and immunocytochemical characteristics of intracytoplasmic eosinophilic inclusion bodies occurring in various types of neurons of the human central nervous system. By light microscopy, the inclusions were brightly eosinophilic, slightly birefringent, and sharply de...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00308960

    authors: Peña CE,Katoh A

    更新日期:1989-01-01 00:00:00

  • Lectin histochemistry of scrapie amyloid plaques.

    abstract::Peroxidase-labeled lectins were used for detection of specific monosaccharide residues in amyloid plaques in brains of scrapie-infected mice. The lectins tested recognize the following residues: beta-D-galactosyl (Ricinus communis agglutinin 120, RCA-1), alpha-D-galactosyl and alpha-D-galactopyranoside (Bandeirea simp...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00688295

    authors: Szumanska G,Vorbrodt AW,Wisniewski HM

    更新日期:1986-01-01 00:00:00

  • Primary parafalcine chondrosarcoma in a child.

    abstract::Intracranial cartilaginous tumors are rare lesions, usually arising from the skull base in older individuals. We report the case of a 12-year-old girl with a low-grade type chondrosarcoma arising from the falx cerebri. To our knowledge this is the first such case reported in a child. She was treated with gross total s...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010050773

    authors: Gerszten PC,Pollack IF,Hamilton RL

    更新日期:1998-01-01 00:00:00

  • Differentially expressed genes in neurofibromatosis 1-associated neurofibromas and malignant peripheral nerve sheath tumors.

    abstract::Neurofibromas represent one of the hallmarks of neurofibromatosis 1 (NF1) patients. Tumor progression of neurofibromas to malignant peripheral nerve sheath tumors (MPNST) is a frequent and life threatening complication. To learn more about processes involved in malignant transformation, we evaluated differential gene ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-003-0797-8

    authors: Holtkamp N,Mautner VF,Friedrich RE,Harder A,Hartmann C,Theallier-Janko A,Hoffmann KT,von Deimling A

    更新日期:2004-02-01 00:00:00

  • Reversibility of neurofilamentous inclusion formation following repeated sublethal intracisternal inoculums of AlCl3 in New Zealand white rabbits.

    abstract::In this report, we describe the clinical, topographical and immunohistochemical characteristics of neurofilament (NF) inclusion formation induced by the intracisternal inoculation of young adult New Zealand white rabbits at 28-day intervals with 100 micrograms AlCl3 over the course of 267 days. The ability to recover ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00294460

    authors: Strong MJ,Gaytan-Garcia S,Jakowec DM

    更新日期:1995-01-01 00:00:00

  • Evaluation of CD33 as a genetic risk factor for Alzheimer's disease.

    abstract::In 2011, genome-wide association studies implicated a polymorphism near CD33 as a genetic risk factor for Alzheimer's disease. This finding sparked interest in this member of the sialic acid-binding immunoglobulin-type lectin family which is linked to innate immunity. Subsequent studies found that CD33 is expressed in...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章,评审

    doi:10.1007/s00401-019-02000-4

    authors: Estus S,Shaw BC,Devanney N,Katsumata Y,Press EE,Fardo DW

    更新日期:2019-08-01 00:00:00

  • Decreased estrogen receptor-alpha expression in hippocampal neurons in relation to hyperphosphorylated tau in Alzheimer patients.

    abstract::Emerging evidence has demonstrated the neuroprotection of estrogen in Alzheimer's disease (AD). The hippocampus, an important target of estrogen action, is severely affected in the Alzheimer process. The aim of present study was to detect the distribution of estrogen receptor-alpha (ER-alpha) and the relationship betw...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-003-0720-3

    authors: Hu XY,Qin S,Lu YP,Ravid R,Swaab DF,Zhou JN

    更新日期:2003-09-01 00:00:00

  • CNS T-cell lymphoma: an under-recognized entity?

    abstract::The incidence of CNS lymphoma has increased significantly in the past 30 years, primarily in the elderly and immunocompromised. While T-cell lymphomas comprise 15-20% of systemic lymphomas, they comprise less than 4% of primary CNS lymphomas, suggesting that they may be under-recognized compared to their systemic coun...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-007-0338-y

    authors: Dulai MS,Park CY,Howell WD,Smyth LT,Desai M,Carter DM,Vogel H

    更新日期:2008-03-01 00:00:00

  • Progranulin and frontotemporal lobar degeneration.

    abstract::Frontotemporal lobar degeneration is the term used to describe the non-Alzheimer clinical syndromes of frontotemporal dementia, semantic dementia and progressive non-fluent aphasia, regardless of the underlying neuropathological features. Considerable progress has been made in recent years in our understanding of the ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章,评审

    doi:10.1007/s00401-007-0241-6

    authors: Pickering-Brown SM

    更新日期:2007-07-01 00:00:00

  • Peripheral nerve fibre degeneration in protein-deprived young rats. An ultrastructural study.

    abstract::In a previous study the occurrence of nerve fibre degeneration with a distribution as in dying-back neuropathies was described in young rats subjected to severe protein deprivation (Oldfors 1981). In this study the ultrastructural appearance of the degeneration of the nerve fibres at different levels of the longitudin...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/BF00688871

    authors: Oldfors A,Persson M

    更新日期:1982-01-01 00:00:00

  • Meningial blood vessel calcification in the brain of the cat.

    abstract::Mineralization in the wall of central nervous system blood vessels is sporadically encountered in aged horses and cattle as in man, generally as an age-related change. This phenomenon has not to date been located in the meninges in dogs or cats. The present study reports a retrospective histological examination of 50 ...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s00401-002-0641-6

    authors: Mandara MT

    更新日期:2003-03-01 00:00:00

  • Idiopathic peripheral neuropathy in the horse with knuckling: muscle and nerve lesions in additional cases.

    abstract::We have previously reported a pathological investigation of peripheral neuropathy in a horse with knuckling. This report describes details of the muscle and peripheral nerve lesions in two additional cases of light horse yearlings with knuckling. The skeletal muscles showed neurogenic atrophy characterized by scattere...

    journal_title:Acta neuropathologica

    pub_type: 杂志文章

    doi:10.1007/s004010050916

    authors: Furuoka H,Okamoto R,Kitayama S,Asou S,Matsui T,Miyahara K

    更新日期:1998-10-01 00:00:00