Pattern of brain atrophy rates in autopsy-confirmed dementia with Lewy bodies.

Abstract:

:Dementia with Lewy bodies (DLB) is characterized by preserved whole brain and medial temporal lobe volumes compared with Alzheimer's disease dementia (AD) on magnetic resonance imaging. However, frequently coexistent AD-type pathology may influence the pattern of regional brain atrophy rates in DLB patients. We investigated the pattern and magnitude of the atrophy rates from 2 serial MRIs in autopsy-confirmed DLB patients (n = 20) and mixed DLB/AD patients (n = 22), compared with AD (n = 30) and elderly nondemented control subjects (n = 15), followed antemortem. DLB patients without significant AD-type pathology were characterized by lower global and regional rates of atrophy, similar to control subjects. The mixed DLB/AD patients displayed greater atrophy rates in the whole brain, temporoparietal cortices, hippocampus and amygdala, and ventricle expansion, similar to AD patients. In the DLB and DLB/AD patients, the atrophy rates correlated with Braak neurofibrillary tangle stage, cognitive decline, and progression of motor symptoms. Global and regional atrophy rates are associated with AD-type pathology in DLB, and these rates can be used as biomarkers of AD progression in patients with LB pathology.

journal_name

Neurobiol Aging

journal_title

Neurobiology of aging

authors

Nedelska Z,Ferman TJ,Boeve BF,Przybelski SA,Lesnick TG,Murray ME,Gunter JL,Senjem ML,Vemuri P,Smith GE,Geda YE,Graff-Radford J,Knopman DS,Petersen RC,Parisi JE,Dickson DW,Jack CR Jr,Kantarci K

doi

10.1016/j.neurobiolaging.2014.07.005

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

452-61

issue

1

eissn

0197-4580

issn

1558-1497

pii

S0197-4580(14)00474-6

journal_volume

36

pub_type

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