Medial temporal lobe atrophy on MRI scans and the diagnosis of Alzheimer disease.

Abstract:

BACKGROUND:Despite convenience, accessibility, and strong correlation to severity of Alzheimer disease (AD) pathology, medial temporal lobe atrophy (MTA) has not been used as a criterion in the diagnosis of prodromal and probable AD. METHODS:Using a newly validated visual rating system, mean MTA scores of three bilateral medial temporal lobe structures were compared for subjects with no cognitive impairment (NCI) (n = 117), nonamnestic mild cognitive impairment (MCI) (n = 46), amnestic MCI (n = 45), and probable AD (n = 53). Correlations between MTA scores and neuropsychological test scores at baseline, and predictors of change in diagnosis at 1-year follow-up were evaluated. RESULTS:With NCI as the reference group, a mean MTA cut score of 1.33 yielded an optimal sensitivity/specificity of 85%/82% for probable AD subjects and 80%/82% for amnestic MCI subjects. MTA and Clinical Dementia Rating Sum of Boxes scores at baseline were independent and additive predictors of diagnosis at baseline, and of transition from NCI to MCI or from MCI to dementia at 1-year follow-up. CONCLUSION:Medial temporal lobe atrophy (MTA) scores 1) distinguish probable Alzheimer disease (AD) and amnestic mild cognitive impairment (MCI) subjects from nonamnestic MCI and no cognitive impairment (NCI) subjects, 2) help predict diagnosis at baseline, and 3) predict transition from NCI to MCI and from MCI to probable AD. MTA scores should be used as a criterion in the clinical diagnosis of AD.

journal_name

Neurology

journal_title

Neurology

authors

Duara R,Loewenstein DA,Potter E,Appel J,Greig MT,Urs R,Shen Q,Raj A,Small B,Barker W,Schofield E,Wu Y,Potter H

doi

10.1212/01.wnl.0000336925.79704.9f

subject

Has Abstract

pub_date

2008-12-09 00:00:00

pages

1986-92

issue

24

eissn

0028-3878

issn

1526-632X

pii

71/24/1986

journal_volume

71

pub_type

杂志文章
  • A competency-based longitudinal core curriculum in medical neuroscience.

    abstract::Current medical educational theory encourages the development of competency-based curricula. The Accreditation Council for Graduate Medical Education's 6 core competencies for resident education (medical knowledge, patient care, professionalism, interpersonal and communication skills, practice-based learning, and syst...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000646

    authors: Merlin LR,Horak HA,Milligan TA,Kraakevik JA,Ali II

    更新日期:2014-07-29 00:00:00

  • Homocysteine and progression of generalized small-vessel disease: the SMART-MR Study.

    abstract:OBJECTIVES:Assuming the involvement of homocysteine in a generalized small-vessel disease, we investigated the association of homocysteine levels with progression of white matter lesions, lacunar infarcts, and kidney disease. METHODS:Within the SMART-MR (Second Manifestations of ARTerial disease-Magnetic Resonance) St...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000168

    authors: Kloppenborg RP,Geerlings MI,Visseren FL,Mali WP,Vermeulen M,van der Graaf Y,Nederkoorn PJ,SMART Study Group.

    更新日期:2014-03-04 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

  • Experimental brush-evoked allodynia activates posterior parietal cortex.

    abstract:OBJECTIVE:To study the brain activation pattern of coexisting experimental ongoing pain and brush-evoked allodynia (pain evoked by innocuous brush) with the use of PET. BACKGROUND:Neuropathic pain usually has two essential phenomena: ongoing pain and brush-evoked allodynia, which coexist and may influence each other. ...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.57.10.1817

    authors: Witting N,Kupers RC,Svensson P,Arendt-Nielsen L,Gjedde A,Jensen TS

    更新日期:2001-11-27 00:00:00

  • Atypical nemaline myopathy with temporomandibular ankylosis.

    abstract::A young girl who initially presented with jaw hypomobility at age 4 years subsequently developed signs of a slowly progressive myopathy. Rods were found in all sampled muscles, and were associated with fibrous contractures in the temporomandibular joint muscles. Rods in fibers undergoing necrosis displayed a pattern o...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.9.971

    authors: Powers JM,Young GF,Bass EB Jr,Reed FE Jr

    更新日期:1980-09-01 00:00:00

  • Diffuse cerebral vasoconstriction (Call-Fleming syndrome) and stroke associated with antidepressants.

    abstract::Call-Fleming syndrome is a reversible segmental vasoconstriction of cerebral arteries manifested by a "thunderclap" headache and focal neurologic symptoms. Although of unknown etiology, it has been reported in association with vasoactive sympathomimetic drugs. The authors report Call-Fleming syndrome in two patients w...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000223648.76430.27

    authors: Noskin O,Jafarimojarrad E,Libman RB,Nelson JL

    更新日期:2006-07-11 00:00:00

  • The effect of tirilazad mesylate on infarct volume of patients with acute ischemic stroke.

    abstract::The authors investigated whether the lack of effect of tirilazad on clinical outcome in patients with acute ischemic stroke is explained by failure of tirilazad to reduce infarct volume. Overall, tirilazad had no significant effect on infarct volume. In the subgroups of male patients and of those with a cortical infar...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.58.1.133

    authors: van der Worp HB,Kappelle LJ,Algra A,Bär PR,Orgogozo JM,Ringelstein EB,Bath PM,van Gijn J,TESS Investigators.,TESS II Investigators.

    更新日期:2002-01-08 00:00:00

  • Myasthenia gravis activities of daily living profile.

    abstract::The authors have developed an MG activities of daily living (ADL) profile (MG-ADL)-a simple eight-question survey of MG symptoms. In 254 consecutive encounters with established MG patients, the authors compared scores from the MG-ADL to the quantitative MG score (QMG)-a standardized, reliable scale used in clinical tr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.52.7.1487

    authors: Wolfe GI,Herbelin L,Nations SP,Foster B,Bryan WW,Barohn RJ

    更新日期:1999-04-22 00:00:00

  • The frequency of intractable seizures after stopping AEDs in seizure-free children with epilepsy.

    abstract:BACKGROUND:After 1 to 4 years, seizure-free children with epilepsy are encouraged to stop daily antiepileptic drug (AED) treatment. Approximately 70% are successful. The authors examined how often intractable epilepsy follows discontinuation of AED treatment in a population-based cohort of children with epilepsy. METH...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000154517.82748.A7

    authors: Camfield P,Camfield C

    更新日期:2005-03-22 00:00:00

  • How early can we diagnose Alzheimer disease (and is it sufficient)? The 2017 Wartenberg lecture.

    abstract::A seismic shift in our understanding of the ability to diagnose Alzheimer disease (AD) is occurring. For the last several decades, AD has been a clinical-pathologic diagnosis, and this conceptualization of the disease has served the field well. Typically, the clinician would identify a syndrome such as mild cognitive ...

    journal_title:Neurology

    pub_type: 历史文章,杂志文章

    doi:10.1212/WNL.0000000000006088

    authors: Petersen RC

    更新日期:2018-08-28 00:00:00

  • Correlates of disability in multiple sclerosis detected by transcranial magnetic stimulation.

    abstract:OBJECTIVE:To study the usefulness of corticospinally mediated excitatory responses and transcallosal inhibition (TI) elicited by transcranial magnetic stimulation (TMS) as a surrogate marker of disability in patients with different courses of MS. METHODS:Focal TMS of the motor cortex was performed in 118 patients with...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.59.8.1218

    authors: Schmierer K,Irlbacher K,Grosse P,Röricht S,Meyer BU

    更新日期:2002-10-22 00:00:00

  • Motor axon loss is associated with hand dysfunction in Charcot-Marie-Tooth disease 1a.

    abstract:BACKGROUND:Charcot Marie Tooth type 1a (CMT1a) is a primarily demyelinating neuropathy, characterized by slowly progressive muscle weakness, atrophy, and sensory loss, and is most pronounced in both feet and hands. There is increasing evidence that muscle weakness is determined by motor axonal dysfunction. OBJECTIVE:T...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000327643.05073.eb

    authors: Videler AJ,van Dijk JP,Beelen A,de Visser M,Nollet F,van Schaik IN

    更新日期:2008-10-14 00:00:00

  • Motor activation in multiple system atrophy and Parkinson disease: a PET study.

    abstract:BACKGROUND:Multiple system atrophy (MSA) is an atypical parkinsonian syndrome including cerebellar impairment and poor response to levodopa. We assessed right hand motor activation in patients with MSA before and after an acute levodopa challenge in comparison with patients with PD and healthy volunteers (HVs). METHOD...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181f4d78f

    authors: Payoux P,Brefel-Courbon C,Ory-Magne F,Regragui W,Thalamas C,Balduyck S,Durif F,Azulay JP,Tison F,Blin O,Esquerre JP,Rascol O

    更新日期:2010-09-28 00:00:00

  • Gadolinium-DTPA-enhanced magnetic resonance imaging in intractable partial epilepsy.

    abstract::We performed magnetic resonance imaging (MRI), before and after the administration of gadolinium-DTPA (Gd-DTPA), in 23 patients with medically refractory partial epilepsy who subsequently had surgical treatment for their seizure disorder. In most patients, 61%, unenhanced and enhanced MRI studies were negative. In 26%...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.8.1115

    authors: Cascino GD,Hirschorn KA,Jack CR,Sharbrough FW

    更新日期:1989-08-01 00:00:00

  • Plasma beta-amyloid and white matter lesions in AD, MCI, and cerebral amyloid angiopathy.

    abstract:BACKGROUND:Microvascular brain injury, typically measured by extent of white matter hyperintensity (WMH) on MRI, is an important contributor to cognitive impairment in the elderly. Recent studies suggest a role for circulating beta-amyloid peptide in microvascular dysfunction and white matter disease. METHODS:The auth...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000191403.95453.6a

    authors: Gurol ME,Irizarry MC,Smith EE,Raju S,Diaz-Arrastia R,Bottiglieri T,Rosand J,Growdon JH,Greenberg SM

    更新日期:2006-01-10 00:00:00

  • Is there a neurologist on this flight?

    abstract:OBJECTIVE:To analyze the frequency of neurologic events during commercial airline flights and to assess whether onboard emergency medical kits are adequate for in-flight neurologic emergencies. METHODS:Collaboration of the Mayo Clinic's Departments of Emergency Medicine and Medical Transportation Service and the Divis...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.58.12.1739

    authors: Sirven JI,Claypool DW,Sahs KL,Wingerchuk DM,Bortz JJ,Drazkowski J,Caselli R,Zanick D

    更新日期:2002-06-25 00:00:00

  • Effectiveness of opicapone and switching from entacapone in fluctuating Parkinson disease.

    abstract:OBJECTIVE:To evaluate the effectiveness of opicapone as add-on to levodopa and the effects of switching from entacapone over 1 year of treatment in patients with fluctuating Parkinson disease. METHODS:After completion of a placebo- and entacapone-controlled double-blind study of opicapone (5, 25, or 50 mg), 495 patien...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000005557

    authors: Ferreira JJ,Lees AJ,Poewe W,Rascol O,Rocha JF,Keller B,Soares-da-Silva P

    更新日期:2018-05-22 00:00:00

  • Ullrich disease: collagen VI deficiency: EM suggests a new basis for muscular weakness.

    abstract::Ullrich disease is a form of congenital muscular dystrophy characterized clinically by generalized muscle weakness, contractures of the proximal joints, and hyperflexibility of the distal joints from birth or early infancy. Recently, mutations of the collagen VI gene have been associated with Ullrich disease. The auth...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.59.6.920

    authors: Ishikawa H,Sugie K,Murayama K,Ito M,Minami N,Nishino I,Nonaka I

    更新日期:2002-09-24 00:00:00

  • Syndromes dominated by apraxia of speech show distinct characteristics from agrammatic PPA.

    abstract:OBJECTIVE:We assessed whether clinical and imaging features of subjects with apraxia of speech (AOS) more severe than aphasia (dominant AOS) are more similar to agrammatic primary progressive aphasia (agPPA) or to primary progressive AOS (PPAOS). METHODS:Sixty-seven subjects (PPAOS = 18, dominant AOS = 10, agPPA = 9, ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31829c5ed5

    authors: Josephs KA,Duffy JR,Strand EA,Machulda MM,Senjem ML,Lowe VJ,Jack CR Jr,Whitwell JL

    更新日期:2013-07-23 00:00:00

  • Simple partial seizures: clinicofunctional correlation--a case report.

    abstract::A 12-year-old girl developed simple partial motor and sensory seizures due to a right perirolandic astrocytoma. Subdural EEG recording and functional stimulation disclosed close correlation between EEG-clinical manifestations of focal seizures and functional responses to cortical stimulation. This case supports the id...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.3.642

    authors: Arroyo S,Krauss GL,Lesser RP,Gordon B,Hart J Jr,Carson BS,Uematsu S

    更新日期:1992-03-01 00:00:00

  • Higher probability of prodromal Parkinson disease is related to lower cognitive performance.

    abstract:OBJECTIVE:Given the limited information on cognitive function before Parkinson disease (PD) clinical onset in the general population, we sought to assess prodromal PD (pPD) probability and relate it to detailed cognitive performance in a community cohort. METHODS:In a population-based cohort of 1,629 dementia-free and...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007453

    authors: Bougea A,Maraki MI,Yannakoulia M,Stamelou M,Xiromerisiou G,Kosmidis MH,Ntanasi E,Dardiotis E,Hadjigeorgiou GM,Sakka P,Anastasiou CA,Stefanis L,Scarmeas N

    更新日期:2019-05-07 00:00:00

  • Relation of NSAIDs to incident AD, change in cognitive function, and AD pathology.

    abstract:OBJECTIVE:To examine the relation of nonsteroidal anti-inflammatory drugs (NSAIDs) to incident Alzheimer disease (AD), change in cognition, and AD pathology. METHODS:Participants were 1,019 older Catholic clergy followed up annually for up to 12 years (mean baseline age = 75.0 years, education = 18.1 years, Mini-Menta...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000313813.48505.86

    authors: Arvanitakis Z,Grodstein F,Bienias JL,Schneider JA,Wilson RS,Kelly JF,Evans DA,Bennett DA

    更新日期:2008-06-03 00:00:00

  • Tremor due to sodium valproate.

    abstract::Four patients developed postural tremor after ingestion of sodium valproate. The tremor was recorded by a variable-capacitance transducer and was of the "benign essential" type. The dosages of sodium valproate varied between 1000 mg and 2000 mg daily and serum levels were between 34.9 microgram per milliliter and 154....

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.8.1177

    authors: Hyman NM,Dennis PD,Sinclair KG

    更新日期:1979-08-01 00:00:00

  • CCM1 mutation screen of sporadic cases with cerebral cavernous malformations.

    abstract::Cerebral cavernous malformations (CCM) are CNS vascular anomalies associated with seizures, headaches, and hemorrhagic strokes. The CCM1 gene was screened in 35 sporadic cases with either single or multiple CCM. It was found that 29% of the individuals with multiple CCM have a CCM1 mutation, whereas cases with only on...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000118299.55857.bb

    authors: Verlaan DJ,Laurent SB,Sure U,Bertalanffy H,Andermann E,Andermann F,Rouleau GA,Siegel AM

    更新日期:2004-04-13 00:00:00

  • Increased MRI activity and immune activation in two multiple sclerosis patients treated with the monoclonal anti-tumor necrosis factor antibody cA2.

    abstract::There is evidence that treatment with an antibody to tumor necrosis factor alpha (TNF alpha) improves an animal model of multiple sclerosis (MS) and is beneficial in two systemic inflammatory disease in humans, but there are no reports about anti-TNF treatment of MS. Therefore, we treated two rapidly progressive MS pa...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.6.1531

    authors: van Oosten BW,Barkhof F,Truyen L,Boringa JB,Bertelsmann FW,von Blomberg BM,Woody JN,Hartung HP,Polman CH

    更新日期:1996-12-01 00:00:00

  • West Nile virus infection presenting as acute flaccid paralysis in an HIV-infected patient: a case report and review of the literature.

    abstract::We describe a case of West Nile virus (WNV) infection in an HIV-infected patient who presented with an isolated flaccid monoparesis of the right upper extremity. To our knowledge, this is the first reported case of flaccid paralysis caused by WNV infection in an HIV-infected patient. We then review the medical literat...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000253223.07720.bb

    authors: Torno M,Vollmer M,Beck CK

    更新日期:2007-02-13 00:00:00

  • COMT inhibitors and liver toxicity.

    abstract::This paper reviews the issue of hepatotoxicity with the use of the catechol-O-methly transferase (COMT) inhibitors tolcapone and entacapone. Neither drug caused hepatotoxicity in preclinical toxicity testing. However, in clinical trials of tolcapone, liver chemistry tests were elevated more than 3 times above the uppe...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:

    authors: Watkins P

    更新日期:2000-01-01 00:00:00

  • Practical approaches to incidental findings in brain imaging research.

    abstract::A decade of empirical work in brain imaging, genomics, and other areas of research has yielded new knowledge about the frequency of incidental findings, investigator responsibility, and risks and benefits of disclosure. Straightforward guidance for handling such findings of possible clinical significance, however, has...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000280469.17461.94

    authors: Illes J,Kirschen MP,Edwards E,Bandettini P,Cho MK,Ford PJ,Glover GH,Kulynych J,Macklin R,Michael DB,Wolf SM,Grabowski T,Seto B

    更新日期:2008-01-29 00:00:00

  • Migraine prevalence, disease burden, and the need for preventive therapy.

    abstract:OBJECTIVES:1) To reassess the prevalence of migraine in the United States; 2) to assess patterns of migraine treatment in the population; and 3) to contrast current patterns of preventive treatment use with recommendations for use from an expert headache panel. METHODS:A validated self-administered headache questionna...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000252808.97649.21

    authors: Lipton RB,Bigal ME,Diamond M,Freitag F,Reed ML,Stewart WF,AMPP Advisory Group.

    更新日期:2007-01-30 00:00:00

  • Use of antithrombotic drugs in the treatment of acute ischemic stroke: a survey of neurologists in practice in the United States.

    abstract::In an attempt to determine the opinions and practices of neurologists regarding the use of antithrombotic drugs in the treatment of acute ischemic stroke, we conducted a survey of 349 randomly selected neurologists from throughout the United States. Responses were received from 247 (71%), and 219 identified themselves...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.12.1631

    authors: Marsh EE 3rd,Adams HP Jr,Biller J,Wasek P,Banwart K,Mitchell V,Woolson R

    更新日期:1989-12-01 00:00:00