Abstract:
:Nodding syndrome is an epidemic neurologic disorder of unknown cause that affects children in the subsistence-farming communities of East Africa. We report the neuropathologic findings in five fatal cases (13-18 years of age at death) of nodding syndrome from the Acholi people in northern Uganda. Neuropathologic examination revealed tau-immunoreactive neuronal neurofibrillary tangles, pre-tangles, neuropil threads, and dot-like lesions involving the cerebral cortex, subcortical nuclei and brainstem. There was preferential involvement of the frontal and temporal lobes in a patchy distribution, mostly involving the crests of gyri and the superficial cortical lamina. The mesencephalopontine tegmental nuclei, substantia nigra, and locus coeruleus revealed globose neurofibrillary tangles and threads. We conclude that nodding syndrome is a tauopathy and may represent a newly recognized neurodegenerative disease.
journal_name
Acta Neuropatholjournal_title
Acta neuropathologicaauthors
Pollanen MS,Onzivua S,Robertson J,McKeever PM,Olawa F,Kitara DL,Fong Adoi
10.1007/s00401-018-1909-9subject
Has Abstractpub_date
2018-11-01 00:00:00pages
691-697issue
5eissn
0001-6322issn
1432-0533pii
10.1007/s00401-018-1909-9journal_volume
136pub_type
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