CSF biomarkers predict a more malignant outcome in Alzheimer disease.

Abstract:

OBJECTIVE:To investigate if patterns of CSF biomarkers (T-tau, P-tau, and Abeta42) can predict cognitive progression, outcome of cholinesterase inhibitor (ChEI) treatment, and mortality in Alzheimer disease (AD). METHODS:We included outpatients with AD (n = 151) from a prospective treatment study with ChEI. At baseline, patients underwent cognitive assessments and lumbar puncture. The patients were assessed longitudinally. The 5-year survival rate was evaluated. CSF-Abeta42, T-tau, and P-tau were analyzed at baseline. K-means cluster analysis including the 3 CSF biomarkers was carried out. RESULTS:Cluster 1 contained 87 patients with low levels of Abeta42 and relatively low levels of T-tau and P-tau. Cluster 2 contained 52 patients with low levels of Abeta42 and intermediate levels of T-tau and P-tau. Cluster 3 contained 12 patients with low levels of Abeta42 and very high levels of CSF T-tau and P-tau. There were no differences between the clusters regarding age, gender, years of education, baseline instrumental activities of daily living, or APOE genotype. Even though there was no difference between cluster 3 and the other clusters in disease duration or global rating, the patients in cluster 3 performed worse on cognitive tests already at baseline. Patients in cluster 3 exhibited a very poor outcome of ChEI treatment. Finally, cognition deteriorated faster over time and the mortality rate was substantially increased in cluster 3. CONCLUSION:A subgroup of patients with Alzheimer disease with extreme levels of CSF biomarkers exhibits worse clinical outcomes over time, including faster progression of cognitive deficits, no response to ChEI treatment, and a higher mortality.

journal_name

Neurology

journal_title

Neurology

authors

Wallin AK,Blennow K,Zetterberg H,Londos E,Minthon L,Hansson O

doi

10.1212/WNL.0b013e3181dd4dd8

subject

Has Abstract

pub_date

2010-05-11 00:00:00

pages

1531-7

issue

19

eissn

0028-3878

issn

1526-632X

pii

74/19/1531

journal_volume

74

pub_type

杂志文章
  • FDG-PET improves surgical outcome in negative MRI Taylor-type focal cortical dysplasias.

    abstract:OBJECTIVE:To determine the diagnostic accuracy and prognostic value of ¹⁸FDG-PET in a recent series of patients operated for intractable partial epilepsy associated with histologically proven Taylor-type focal cortical dysplasia (TTFCD) and negative MRI. METHODS:Of 23 consecutive patients (12 male, 7-38 years old) wit...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31820203a9

    authors: Chassoux F,Rodrigo S,Semah F,Beuvon F,Landre E,Devaux B,Turak B,Mellerio C,Meder JF,Roux FX,Daumas-Duport C,Merlet P,Dulac O,Chiron C

    更新日期:2010-12-14 00:00:00

  • Practice parameter: risk of driving and Alzheimer's disease (an evidence-based review): report of the quality standards subcommittee of the American Academy of Neurology.

    abstract::Studies of automobile accident frequency among drivers with AD have yielded conflicting results about the risk of accidents. To develop a practice parameter regarding driving and AD the authors performed a systematic review of the literature. The authors identified well-designed, controlled studies of driving and AD u...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.54.12.2205

    authors: Dubinsky RM,Stein AC,Lyons K

    更新日期:2000-06-27 00:00:00

  • Effect of a CYP2D6 polymorphism on the efficacy of donepezil in patients with Alzheimer disease.

    abstract:OBJECTIVE:To evaluate the influence of the single nucleotide polymorphism rs1080985 in the cytochrome P450 2D6 (CYP2D6) gene on the efficacy of donepezil in patients with mild to moderate Alzheimer disease (AD). METHODS:This was a multicenter, prospective cohort study of 127 white patients with AD according to the Nat...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e3181b6bbe3

    authors: Pilotto A,Franceschi M,D'Onofrio G,Bizzarro A,Mangialasche F,Cascavilla L,Paris F,Matera MG,Pilotto A,Daniele A,Mecocci P,Masullo C,Dallapiccola B,Seripa D

    更新日期:2009-09-08 00:00:00

  • Attentional bias induced by viewing actual or illusory movements.

    abstract:OBJECTIVE:To learn to which portions of a line normal subjects would attend when watching this line actually moving or when perceiving movement even in the absence of actual movement, an illusory movement. METHODS:Twenty normal subjects watched a computer monitor on which either lines or dots moved to the right or lef...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000120546.14213.c7

    authors: Jeong Y,Lee BH,Ahn HJ,Park KC,Heilman KM,Na DL

    更新日期:2004-04-27 00:00:00

  • Depiction of the neuroscientific principles of human motion 2 millennia ago by Lucretius.

    abstract::Titus Lucretius Carus was an ancient Roman philosopher of the Epicurean school whose epic poem On the Nature of Things described numerous aspects of the natural world. In fact, much contemporary scientific understanding is consistent with or inspired by his work. Among Lucretius's contributions to neurology were his d...

    journal_title:Neurology

    pub_type: 传,历史文章,杂志文章

    doi:10.1212/WNL.0b013e31822cfa34

    authors: Hyam JA,Paterson DJ,Aziz TZ,Green AL

    更新日期:2011-09-06 00:00:00

  • Association of amyloid-β CSF/PET discordance and tau load 5 years later.

    abstract:OBJECTIVE:To investigate the association between discordant β-amyloid (Aβ) PET and CSF biomarkers at baseline and the emergence of tau pathology 5 years later. METHODS:We included 730 Alzheimer's Disease Neuroimaging Initiative (ADNI) participants without dementia (282 cognitively normal, 448 mild cognitive impairment...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010739

    authors: Reimand J,Collij L,Scheltens P,Bouwman F,Ossenkoppele R,Alzheimer's Disease Neuroimaging Initiative.

    更新日期:2020-11-10 00:00:00

  • Phosphoglycerate kinase deficiency: biochemical and molecular genetic studies in a new myopathic variant (PGK Alberta)

    abstract::Biochemical analysis of muscle in a 37-year-old man with exercise intolerance, myalgia, recurrent myoglobinuria, and retinitis pigmentosa showed phosphoglycerate kinase (PGK) deficiency. Kinetic and physical characteristics of the mutant enzyme differed from those of two previously reported cases, suggesting a distinc...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.2.387

    authors: Tonin P,Shanske S,Miranda AF,Brownell AK,Wyse JP,Tsujino S,DiMauro S

    更新日期:1993-02-01 00:00:00

  • α-Synuclein in CSF of patients with severe traumatic brain injury.

    abstract:OBJECTIVE:The study aims to examine α-synuclein in the CSF of patients with severe traumatic brain injury (TBI) and its relationship with clinical characteristics and long-term outcomes. METHODS:This prospective case-control study enrolled patients with severe TBI (Glasgow Coma Score ≤ 8) who underwent ventriculostomy...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182904d43

    authors: Mondello S,Buki A,Italiano D,Jeromin A

    更新日期:2013-04-30 00:00:00

  • The impact of lesion side on acute stroke treatment.

    abstract:BACKGROUND:Only a small percentage of patients with acute stroke are treated with recombinant tissue plasminogen activator (rt-PA). OBJECTIVE:To investigate why patients with right-hemisphere strokes seem at high risk of not receiving rt-PA. METHODS:This study includes two phases. Phase 1: the authors compared demogr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000167608.94237.aa

    authors: Di Legge S,Fang J,Saposnik G,Hachinski V

    更新日期:2005-07-12 00:00:00

  • Prospective memory in patients with juvenile myoclonic epilepsy and their healthy siblings.

    abstract:OBJECTIVE:Prospective memory (PM) describes the ability to fulfill previously planned intentions and is highly dependent on executive functions. Previous studies have shown deficits in executive functions in patients with juvenile myoclonic epilepsy (JME) and in their unaffected siblings. JME has a strong genetic predi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318202010a

    authors: Wandschneider B,Kopp UA,Kliegel M,Stephani U,Kurlemann G,Janz D,Schmitz B

    更新日期:2010-12-14 00:00:00

  • Abdominal wall weakness due to thoracic syringomyelia.

    abstract::We describe a patient who presented with unilateral abdominal herniation due to weakness of abdominal musculature, associated with extensive syringomyelia. Electromyographic evidence of focal denervation and reinnervation was present in the weak muscles consistent with anterior horn cell loss. We compare these unusual...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.10.1689

    authors: Coleman RJ,Ingram DA

    更新日期:1991-10-01 00:00:00

  • Sixty hertz pallidal deep brain stimulation for primary torsion dystonia.

    abstract:OBJECTIVE:To evaluate the safety and efficacy of 60 Hz deep brain stimulation (DBS) of the globus pallidus internus (GPi) in 15 consecutive patients with primary dystonia. METHODS:We conducted a retrospective analysis of clinic charts relative to 15 consecutive patients with medically refractory primary dystonia who u...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000267430.95106.ff

    authors: Alterman RL,Miravite J,Weisz D,Shils JL,Bressman SB,Tagliati M

    更新日期:2007-08-14 00:00:00

  • A prospective study of cognitive impairment in ALS.

    abstract:OBJECTIVE:To characterize prospectively the cognitive profile in ALS. METHODS:Clinically definite ALS patients (11 men, 2 women), age 39.9 to 74.0 years (mean age, 54.2 +/- 9.6 years; mean disease duration, 21.1 +/- 10.5 months) underwent neuropsychologic, language, and speech testing followed by MR 1H spectroscopy (4...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.8.1665

    authors: Strong MJ,Grace GM,Orange JB,Leeper HA,Menon RS,Aere C

    更新日期:1999-11-10 00:00:00

  • APOE epsilon4 and the cognitive genetics of multiple sclerosis.

    abstract:BACKGROUND:Evidence linking APOE to myelin repair, neuronal plasticity, and cerebral inflammatory processes suggests that it may be relevant in multiple sclerosis (MS). The purpose of this study was to determine whether the epsilon4 allele of APOE is associated with cognitive deficits in patients with MS. METHOD:Using...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181e074a7

    authors: Ghaffar O,Reis M,Pennell N,O'Connor P,Feinstein A

    更新日期:2010-05-18 00:00:00

  • The treatment of postprandial hypotension in autonomic failure with 3,4-DL-threo-dihydroxyphenylserine.

    abstract::Postprandial hypotension occurs commonly in patients with autonomic failure and may be due to attenuation of the normal sympathetic nervous system activation in response to meal ingestion. In a randomized, double-blind, placebo-controlled study, we investigated the therapeutic effect of the norepinephrine precursor 3,...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.47.6.1414

    authors: Freeman R,Young J,Landsberg L,Lipsitz L

    更新日期:1996-12-01 00:00:00

  • Initiating treatment for idiopathic parkinsonism.

    abstract::The initial decision in the management of idiopathic parkinsonism is whether any pharmacotherapy is indicated. There is no conclusive evidence that treatment is helpful before symptoms start to affect the patient's life, although some neurologists believe that deprenyl, also known as selegiline, could be useful. Once ...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Calne DB

    更新日期:1994-07-01 00:00:00

  • The Workforce Task Force report: clinical implications for neurology.

    abstract::The American Academy of Neurology Workforce Task Force (WFTF) report predicts a future shortfall of neurologists in the United States. The WFTF data also suggest that for most states, the current demand for neurologist services already exceeds the supply, and by 2025 the demand for neurologists will be even higher. Th...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0b013e31829d8783

    authors: Freeman WD,Vatz KA,Griggs RC,Pedley T

    更新日期:2013-07-30 00:00:00

  • Blood-brain barrier disruption is associated with increased mortality after endovascular therapy.

    abstract:OBJECTIVE:To evaluate the incidence, baseline characteristics, and clinical prognosis of blood-brain barrier (BBB) disruption after endovascular therapy in acute ischemic stroke patients. METHODS:A total of 220 patients treated with endovascular therapy between April 2007 and October 2011 were identified from a prospe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31828406de

    authors: Desilles JP,Rouchaud A,Labreuche J,Meseguer E,Laissy JP,Serfaty JM,Lapergue B,Klein IF,Guidoux C,Cabrejo L,Sirimarco G,Lavallée PC,Schouman-Claeys E,Amarenco P,Mazighi M

    更新日期:2013-02-26 00:00:00

  • The thymus gland in elderly patients with myasthenia gravis.

    abstract::This study was undertaken to determine the amount and histologic appearance of the persistent thymic tissue removed post mortem from 20 patients over 60 years of age with myasthenia gravis. One patient died several days after thymectomy. No recognizable thymic tissue on gross examination was seen in any patient. On mi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.3.294

    authors: Perlo VP,Arnason B,Castleman B

    更新日期:1975-03-01 00:00:00

  • Lapse of consciousness and automatisms in temporal lobe epilepsy: a videotape analysis.

    abstract::Videotape analysis of 76 attacks in 14 epileptics showed two electro-clinical types of psychomotor attacks. The first and most common type had three clinical phases, consisting of an initial motionless stare, stereotyped movements, and reactive automatisms during impaired consciousness. The second and less common type...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.27.2.144

    authors: Escueta AV,Kunze U,Waddell G,Boxley J,Nadel A

    更新日期:1977-02-01 00:00:00

  • Assessment: Botulinum neurotoxin for the treatment of movement disorders (an evidence-based review): report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology.

    abstract:OBJECTIVE:To perform an evidence-based review of the safety and efficacy of botulinum neurotoxin (BoNT) in the treatment of movement disorders. METHODS:A literature search was performed including MEDLINE and Current Contents for therapeutic articles relevant to BoNT and selected movement disorders. Authors reviewed, a...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析

    doi:10.1212/01.wnl.0000311389.26145.95

    authors: Simpson DM,Blitzer A,Brashear A,Comella C,Dubinsky R,Hallett M,Jankovic J,Karp B,Ludlow CL,Miyasaki JM,Naumann M,So Y,Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology.

    更新日期:2008-05-06 00:00:00

  • Comparison of depth and subdural electrodes in recording temporal lobe seizures.

    abstract::Intracranial EEG recording is often required to identify an area of the brain for resective surgery for intractable epilepsy. We simultaneously compared bilaterally placed depth and limited subdural electrode EEG to determine the most effective method of recording seizures from the temporal lobes. Localized complex pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.11.1497

    authors: Sperling MR,O'Connor MJ

    更新日期:1989-11-01 00:00:00

  • MRI correlates of neurofibrillary tangle pathology at autopsy: a voxel-based morphometry study.

    abstract:BACKGROUND:Neurofibrillary tangles (NFTs), composed of hyperphosphorylated tau proteins, are one of the pathologic hallmarks of Alzheimer disease (AD). We aimed to determine whether patterns of gray matter atrophy from antemortem MRI correlate with Braak staging of NFT pathology. METHODS:Eighty-three subjects with Bra...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000324924.91351.7d

    authors: Whitwell JL,Josephs KA,Murray ME,Kantarci K,Przybelski SA,Weigand SD,Vemuri P,Senjem ML,Parisi JE,Knopman DS,Boeve BF,Petersen RC,Dickson DW,Jack CR Jr

    更新日期:2008-09-02 00:00:00

  • Teriflunomide added to interferon-β in relapsing multiple sclerosis: a randomized phase II trial.

    abstract:OBJECTIVE:To evaluate teriflunomide as add-on therapy to ongoing stable-dosed interferon-β (IFNβ) in patients with relapsing forms of multiple sclerosis (RMS). METHODS:A total of 118 patients with RMS were randomly assigned 1:1:1 to receive oral placebo or teriflunomide, 7 or 14 mg, once daily for 24 weeks; 86 patient...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0b013e318258f7d4

    authors: Freedman MS,Wolinsky JS,Wamil B,Confavreux C,Comi G,Kappos L,Olsson TP,Miller A,Benzerdjeb H,Li H,Simonson C,O'Connor PW,Teriflunomide Multiple Sclerosis Trial Group and the MRI Analysis Center.

    更新日期:2012-06-05 00:00:00

  • Evidence for a complex role of HLA class II genotypes in susceptibility to multiple sclerosis in Iceland.

    abstract::We analyzed the association of HLA-DR and -DQ haplotypes and alleles with multiple sclerosis (MS) in 91 patients and 91 controls from Iceland using the relative predispositional effect method. The aim was to establish whether there is heterogeneity in HLA associations with MS, whether there are both predispositional a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.4.1107

    authors: Haegert DG,Swift FV,Benedikz J

    更新日期:1996-04-01 00:00:00

  • Telemedicine in a pediatric headache clinic: A prospective survey.

    abstract:OBJECTIVE:The aim of this prospective study was to survey our patients about their experience with our clinic's telemedicine program to better understand telemedicine's utility for families, and to improve patient satisfaction and ultimately patient care. METHODS:This was a prospective survey study of patients and the...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005482

    authors: Qubty W,Patniyot I,Gelfand A

    更新日期:2018-05-08 00:00:00

  • Juvenile-onset glycogen storage disease type II with novel mutations in acid alpha-glucosidase gene.

    abstract::The authors describe two novel mutations of the acid alpha-glucosidase gene, P361L and R437C, which define the juvenile-onset glycogen storage disease type II (GSDII) in a 16-year-old Chinese patient. The asymptomatic 13-year-old brother of the proband is also a compound heterozygote of the two mutations. These result...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000048661.95327.bf

    authors: Lam CW,Yuen YP,Chan KY,Tong SF,Lai CK,Chow TC,Lee KC,Chan YW,Martiniuk F

    更新日期:2003-02-25 00:00:00

  • 31P NMR studies in Duchenne muscular dystrophy: age-related metabolic changes.

    abstract::To evaluate possible progressive metabolic changes in Duchenne muscular dystrophy, we used 31P nuclear magnetic resonance spectroscopy to measure high-energy phosphate compounds and phosphorylated diesters (PDE) in resting gastrocnemius muscle of 14 Duchenne patients and 10 normal boys. The patients had higher inorgan...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.1.165

    authors: Younkin DP,Berman P,Sladky J,Chee C,Bank W,Chance B

    更新日期:1987-01-01 00:00:00

  • Reduplicative paramnesia.

    abstract::A striking behavioral abnormality is described in three individuals who had severe head trauma. At a point when general mnestic capabilities had returned to a near normal level, the patients persistently relocated the hospital at another geographical site, even in the face of compelling counter-evidence. The strong pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.2.147

    authors: Benson DF,Gardner H,Meadows JC

    更新日期:1976-02-01 00:00:00

  • Reciprocal inhibition in cerebral palsy.

    abstract::We studied reciprocal inhibition by recording the changes in firing probability of single motor units of the tibialis anterior muscle following stimulation of low-threshold afferents in the posterior tibial nerve. In 15 patients with cerebral palsy, the inhibition was as great or greater than normal. We found no evide...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.4.653

    authors: Berbrayer D,Ashby P

    更新日期:1990-04-01 00:00:00