Nodding syndrome in Uganda is a tauopathy.

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 Neuropathol

journal_title

Acta neuropathologica

authors

Pollanen MS,Onzivua S,Robertson J,McKeever PM,Olawa F,Kitara DL,Fong A

doi

10.1007/s00401-018-1909-9

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

691-697

issue

5

eissn

0001-6322

issn

1432-0533

pii

10.1007/s00401-018-1909-9

journal_volume

136

pub_type

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