Alzheimer lesions in the entorhinal region and isocortex in Parkinson's and Alzheimer's diseases.

Abstract:

:Neuropathologic examination in elderly individuals and patients with Parkinson's disease with and without dementia reveals abundant isocortical amyloid deposits with no or only a few neuritic plaques, neuropil threads (NT), and neurofibrillary tangles (NFT), whereas NT and NFT may be present only in the entorhinal region of the parahippocampal cortex. In Down's syndrome, Alzheimer's disease, and Parkinson's disease, early neuronal degeneration with deposition of NT and NFT may selectively involve layer pre-alpha (II) of the entorhinal region (Brodmann 26 area) forming the origin of the glutamatergic perforant pathway. Its bilateral destruction isolates the hippocampus from isocortical influx. Comparative studies in a series of aged subjects and those with Parkinson's disease show that psychostatus correlates better with the number of NT and NFT in the entorhinal region than in hippocampal area CA-1 and isocortex. This pattern of neuronal degeneration may explain cognitive impairment in early stages of both Alzheimer's and Parkinson's diseases.

journal_name

Ann N Y Acad Sci

authors

Jellinger K,Braak H,Braak E,Fischer P

doi

10.1111/j.1749-6632.1991.tb00218.x

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

203-9

eissn

0077-8923

issn

1749-6632

journal_volume

640

pub_type

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