2,323 results match your criteria: "Cortical Basal Ganglionic Degeneration"

Article Synopsis
  • Brain perfusion SPECT is a crucial imaging technique that identifies neurodegenerative changes early on, playing an essential role in dementia evaluation and diagnosis.
  • It highlights different patterns of hypoperfusion associated with various types of dementia, such as Alzheimer's disease and dementia with Lewy bodies, which helps differentiate between them and predicts disease progression.
  • The method is shifting towards using biomarkers like brain perfusion SPECT for diagnosing dementia, guiding treatment with disease-modifying drugs based on individual patient profiles.
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This case report presents a comprehensive assessment and therapeutic intervention using non-invasive motor cortex neuromodulation for a 70-year-old female patient diagnosed with corticobasal degeneration (CBD). The study followed the CARE guidelines. The patient meets the criteria for probable CBD, with neuroimaging evidence of exclusively cortical impairment.

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Introduction: Corticobasal syndrome (CBS) can result from underlying Alzheimer's disease (AD) pathologies. Little is known about the utility of blood plasma metrics to predict positron emission tomography (PET) biomarker-confirmed AD in CBS.

Methods: A cohort of eighteen CBS patients (8 amyloid beta [Aβ]+; 10 Aβ-) and 8 cognitively unimpaired (CU) individuals underwent PET imaging and plasma analysis.

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Tau seeding activity in skin biopsy differentiates tauopathies from synucleinopathies.

NPJ Parkinsons Dis

June 2024

Neurodegenerative Diseases Group, Laboratories for Translational Research, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.

Most neurodegenerative diseases lack definitive diagnostic tests, and the identification of easily accessible and reliable biomarkers remains a critical unmet need. Since tau protein is highly expressed in skin of tauopathies patients, we aimed to exploit the ultrasensitive seeding activity assay (SAA) to assess tau seeding activity in skin of patients with tauopathies. In this multicentric, case-control study, patients with tauopathies and synucleinopathies were consecutively recruited and sex-matched to healthy controls (HC).

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Introduction: Patients with classic-onset corticobasal syndrome (CBS) present with asymmetric limb apraxia and parkinsonism. We have, however, observed patients who initially present with speech and/or language (SL) problems and several years later develop CBS (i.e.

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Introduction: Frontotemporal lobar degeneration (FTLD) encompasses behavioral variant frontotemporal dementia (bvFTD), progressive supranuclear palsy, corticobasal syndrome/degeneration, and primary progressive aphasias (PPAs). We cross-validated fluid biomarkers and neuroimaging.

Methods: Seven fluid biomarkers from cerebrospinal fluid and serum were related to atrophy in 428 participants including these FTLD subtypes, logopenic variant PPA (lvPPA), Alzheimer's disease (AD), and healthy subjects.

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Article Synopsis
  • Multiple system atrophy (MSA) is a neurodegenerative disease characterized by abnormal protein aggregation, resulting in symptoms like dysautonomia, parkinsonism, and ataxia.
  • This study aimed to assess the accuracy of diagnostic criteria for MSA, emphasizing the role of new MRI markers in diagnosis.
  • Results showed that while the criteria had high specificity (99-100%), their sensitivity was low initially but improved over time; excluding MRI features from the criteria significantly increased sensitivity without affecting specificity.
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Article Synopsis
  • Four-repeat tauopathies are brain diseases that happen when a protein called 4R tau builds up in certain areas of the brain, affecting how it works.
  • Two main types of these diseases are progressive supranuclear palsy (PSP) and corticobasal degeneration, which both cause problems in brain regions that are important for movement and other functions.
  • The researchers are trying to figure out how the problems in one part of the brain (subcortical) affect other connected areas (cortical) by studying patients and using special brain scans to see how these changes relate to each other.
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Article Synopsis
  • Corticobasal syndrome is usually linked to common conditions like corticobasal degeneration and Alzheimer's, but this case highlights a rare cause.
  • A 78-year-old woman initially diagnosed with idiopathic Parkinson's disease developed symptoms that led to a revised diagnosis of probable corticobasal syndrome after an MRI showed specific brain atrophy.
  • After her death, post-mortem findings confirmed Pick's disease, demonstrating that it can mimic corticobasal syndrome symptoms, which is important for differential diagnosis.
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Aims: Corticobasal degeneration (CBD) is a rare neurodegenerative disorder. The status of the inferior olivary nucleus (ION) in CBD has been inadequately investigated. In this study, we conducted a pathological investigation of the ION in CBD.

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Parkinson's disease (PD) is marked by degeneration in the nigrostriatal dopaminergic pathway, affecting motor control via complex changes in the cortico-basal ganglia-thalamic motor network, including the primary motor cortex (M1). The modulation of M1 neuronal activity by dopaminergic inputs, particularly from the ventral tegmental area (VTA) and substantia nigra pars compacta (SNc), plays a crucial role in PD pathophysiology. This study investigates how nigrostriatal dopaminergic degeneration influences M1 neuronal activity in rats using in vivo calcium imaging.

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To conduct a meta-analysis investigating the relationship between the chromosome 9 open reading frame 72 () GGGGCC (G4C2) and neurodegenerative diseases (NDs), including Alzheimer's disease (AD), Parkinson's disease (PD), multiple system atrophy (MSA), progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD). We searched the EMBASE, PubMed, Web of Science, and Cochrane databases. Twenty-seven case-control studies were included, comprising 7202 AD, 5856 PD, 644 MSA, 439 PSP, and 477 CBD cases.

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Neuropathologic Validation and Diagnostic Accuracy of Presynaptic Dopaminergic Imaging in the Diagnosis of Parkinsonism.

Neurology

June 2024

From the Queen Square Brain Bank for Neurological Disorders (A.H., P.C., S.W., T.R., Z.J., T.T.W., E.D.P.-F.) and Department of Clinical and Movement Neurosciences (H.R.M.), University College London Queen Square Institute of Neurology; and Institute of Nuclear Medicine (J.C.D.), University College London Hospitals NHS Trust, UK.

Background And Objectives: Degeneration of the presynaptic nigrostriatal dopaminergic system is one of the main biological features of Parkinson disease (PD), multiple system atrophy (MSA), progressive supranuclear palsy (PSP), and corticobasal degeneration (CBD), which can be measured using single-photon emission CT imaging for diagnostic purposes. Despite its widespread use in clinical practice and research, the diagnostic properties of presynaptic nigrostriatal dopaminergic (DAT) imaging in parkinsonism have never been evaluated against the diagnostic gold standard of neuropathology. The aim of this study was to evaluate the diagnostic parameters of DAT imaging compared with pathologic diagnosis in patients with parkinsonism.

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Article Synopsis
  • The corticobasal syndrome (CBS) is a complex movement disorder that can lead to cognitive impairment, often linked to either corticobasal degeneration or Alzheimer's disease, but with differing underlying causes.
  • Researchers studied synaptic loss in 25 patients with CBS compared to 32 healthy controls, using advanced imaging techniques to assess synaptic density and brain volume.
  • Results showed that CBS patients had increased tau levels and gray matter loss, with more pronounced synaptic loss in those without β-amyloid, suggesting different treatment approaches may be needed based on the presence of Alzheimer's pathology.
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The primary motor cortex (M1) integrates sensory and cognitive inputs to generate voluntary movement. Its functional impairments have been implicated in the pathophysiology of motor symptoms in Parkinson's disease (PD). Specifically, dopaminergic degeneration and basal ganglia dysfunction entrain M1 neurons into the abnormally synchronized bursting pattern of activity throughout the cortico-basal ganglia-thalamocortical network.

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Revisiting the relevance of Hirano bodies in neurodegenerative diseases.

Neuropathol Appl Neurobiol

April 2024

Department of Laboratory Medicine and Pathobiology and Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Aims: Hirano bodies (HBs) are eosinophilic pathological structures with two morphological phenotypes commonly found in the hippocampal CA1 region in Alzheimer's disease (AD). This study evaluated the prevalence and distribution of HBs in AD and other neurodegenerative diseases.

Methods: This cross-sectional study systematically evaluated HBs in a cohort of 193 cases with major neurodegenerative diseases, including AD (n = 91), Lewy body disease (LBD, n = 87), progressive supranuclear palsy (PSP, n = 36), multiple system atrophy (MSA, n = 14) and controls (n = 26).

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Article Synopsis
  • The study investigates the effect of a specific genetic modifier on gray matter volume and cognitive function in patients with Frontotemporal Lobar Degeneration (FTLD), including both mutation carriers and sporadic cases.
  • Participants were recruited from the ALLFTD study and were genotyped for the rs1990622 SNP to assess the relationship between this genetic variant and cognitive outcomes across different genetic groups.
  • Findings indicate that the minor allele of rs1990622 is associated with increased gray matter volume and better cognitive scores in mutation carriers, especially affecting the thalamus, suggesting it may play a role in modifying the risk and impact of FTLD.
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MAPT H2 haplotype and risk of Pick's disease in the Pick's disease International Consortium: a genetic association study.

Lancet Neurol

May 2024

Department of Neuroscience, Mayo Clinic, Jacksonville, FL, USA; Department of Clinical Genomics, Mayo Clinic, Jacksonville, FL, USA. Electronic address:

Article Synopsis
  • Pick's disease is a rare form of frontotemporal dementia characterized by Pick bodies in the brain, which are linked to the MAPT gene and its haplotypes, H1 and H2.
  • The study aimed to investigate how the MAPT H2 haplotype influences the risk, age of onset, and duration of Pick's disease.
  • Data was collected from 338 individuals with confirmed Pick's disease across multiple sites, and associations of MAPT variants with the disease were analyzed using statistical models.
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Localizing apraxia in corticobasal syndrome: a morphometric MRI study.

Cereb Cortex

April 2024

Second Department of Neurology, School of Medicine, National and Kapodistrian University of Athens, Attikon Hospital, 1 Rimini Street, Athens, P.C. 12462, Greece.

Article Synopsis
  • This study investigates the neural basis of apraxia in patients with corticobasal syndrome (CBS), a neurodegenerative disorder, through the analysis of cortical thickness.
  • The researchers used the Goldenberg apraxia test and advanced imaging techniques to assess the relationship between brain structure and different types of apraxia symptoms, focusing on gesture imitation.
  • Findings revealed that bilateral atrophy in specific brain regions correlates with different aspects of apraxia, suggesting distinct underlying mechanisms in neurodegenerative conditions compared to stroke, which may influence treatment strategies.
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Background: We conducted a systematic review to identify existing ICD-10 coding validation studies in progressive supranuclear palsy and corticobasal syndrome [PSP/CBS]) and, in a new study, evaluated the accuracy of ICD-10 diagnostic codes for PSP/CBS in Scottish hospital inpatient and death certificate data.

Methods: Original studies that assessed the accuracy of specific ICD-10 diagnostic codes in PSP/CBS were sought. Separately, we estimated the positive predictive value (PPV) of specific codes for PSP/CBS in inpatient hospital data (SMR01, SMR04) compared to clinical diagnosis in four regions.

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[Neuropathology of the Neurodegenerative Diseases].

Brain Nerve

April 2024

Institute for Medical Science of Aging, Aichi Medical University.

A definite diagnosis of neurodegenerative diseases is required for neuropathological examination during an autopsy. Each neurodegenerative disease has specific vulnerable regions and affected systems (system degeneration), and is typified by an accumulation of abnormal protein with the formation of characteristic morphological aggregates in the nerve and glial cells, called proteinopathy. The most common neurodegenerative diseases are tauopathy, such as progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), and Pick's disease (PiD); α-synucleinopathy, including multiple system atrophy (MSA); and TAR DNA-binding protein of 43 kDa (TDP-43) proteinopathy, including amyotrophic lateral sclerosis (ALS) and frontotemporal lobar degeneration (FTLD).

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The pathophysiological mechanisms driving disease progression of frontotemporal lobar degeneration (FTLD) and corresponding biomarkers are not fully understood. We leveraged aptamer-based proteomics (> 4,000 proteins) to identify dysregulated communities of co-expressed cerebrospinal fluid proteins in 116 adults carrying autosomal dominant FTLD mutations () compared to 39 noncarrier controls. Network analysis identified 31 protein co-expression modules.

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Tauopathies represent a diverse group of neurodegenerative disorders characterized by the abnormal aggregation of the microtubule-associated protein tau. Despite extensive research, the precise mechanisms underlying the complexity of different types of tau pathology remain incompletely understood. Here we describe an approach for proteomic profiling of aggregate-associated proteomes on slides with formalin-fixed, paraffin-embedded (FFPE) tissue that utilizes proximity labelling upon high preservation of aggregate morphology, which permits the profiling of pathological aggregates regardless of their size.

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Objectives: To evaluate the effect of Alzheimer's disease (AD) -related biomarker change on clinical features, brain atrophy and functional connectivity of patients with corticobasal syndrome (CBS) and progressive supranuclear palsy (PSP).

Methods: Data from patients with a clinical diagnosis of CBS, PSP, and AD and healthy controls were obtained from the 4-R-Tauopathy Neuroimaging Initiative 1 and 2, the Alzheimer's Disease Neuroimaging Initiative, and a local cohort from the Toronto Western Hospital. Patients with CBS and PSP were divided into AD-positive (CBS/PSP-AD) and AD-negative (CBS/PSP-noAD) groups based on fluid biomarkers and amyloid PET scans.

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Background: This case report presents a patient with progressive memory loss and choreiform movements.

Case Presentation: Neuropsychological tests indicated multi-domain amnestic mild cognitive impairment (aMCI), and neurological examination revealed asymmetrical involuntary hyperkinetic movements. Imaging studies showed severe left-sided atrophy and hypometabolism in the left frontal and temporoparietal cortex.

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