Progressive Supranuclear Palsy Syndrome Presenting as Progressive Nonfluent Aphasia: A Neuropsychological and Neuroimaging Analysis
Identifieur interne : 000A80 ( PascalFrancis/Corpus ); précédent : 000A79; suivant : 000A81Progressive Supranuclear Palsy Syndrome Presenting as Progressive Nonfluent Aphasia: A Neuropsychological and Neuroimaging Analysis
Auteurs : Jonathan D. Rohrer ; Dominic Paviour ; Adolfo M. Bronstein ; Sean S. O'Sullivan ; Andrew Lees ; Jason D. WarrenSource :
- Movement disorders [ 0885-3185 ] ; 2010.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
There is currently considerable interest in the clinical spectrum of progressive nonfluent aphasia (PNFA) and progressive supranuclear palsy (PSP) and the intersection of these two entities. Here, we undertook a detailed prospective clinical, neuropsychological, and neuroimaging analysis of 14 consecutive patients presenting with PNFA to identify cases meeting clinical criteria for PSP. These patients had further detailed assessment of extrapyramidal and oculomotor functions. All patients had high-resolution MR brain volumetry and a cortical thickness analysis was undertaken on the brain images. Four patients presenting with PNFA subsequently developed features of a PSP syndrome, including a typical oculomotor palsy. The neuropsychological profile in these cases was similar to other patients with PNFA, however, with more marked reduction in propositional speech, fewer speech errors, less marked impairment of literacy skills but more severe associated deficits of episodic memory and praxis. These PSP-PNFA cases had less prominent midbrain atrophy but more marked prefrontal atrophy than a comparison group of five patients with pathologically confirmed PSP without PNFA and more prominent midbrain atrophy but less marked perisylvian atrophy than other PNFA cases. In summary, although the PSP-PNFA syndrome overlaps with PNFA without PSP, certain neuropsychological and neuroanatomical differences may help predict the development of a PSP syndrome.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 10-0303306 INIST |
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ET : | Progressive Supranuclear Palsy Syndrome Presenting as Progressive Nonfluent Aphasia: A Neuropsychological and Neuroimaging Analysis |
AU : | ROHRER (Jonathan D.); PAVIOUR (Dominic); BRONSTEIN (Adolfo M.); O'SULLIVAN (Sean S.); LEES (Andrew); WARREN (Jason D.) |
AF : | Department of Neurodegenerative Disease, Dementia Research Centre, UCL Institute of Neurology, University College London/London/Royaume-Uni (1 aut., 2 aut., 6 aut.); Reta Lila Weston Institute, UCL Institute of Neurology, University College London/London/Royaume-Uni (2 aut., 4 aut., 5 aut.); Department of Clinical Neuroscience, Charing Cross Hospital, Imperial College/London/Royaume-Uni (3 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 2; Pp. 179-188; Bibl. 40 ref. |
LA : | Anglais |
EA : | There is currently considerable interest in the clinical spectrum of progressive nonfluent aphasia (PNFA) and progressive supranuclear palsy (PSP) and the intersection of these two entities. Here, we undertook a detailed prospective clinical, neuropsychological, and neuroimaging analysis of 14 consecutive patients presenting with PNFA to identify cases meeting clinical criteria for PSP. These patients had further detailed assessment of extrapyramidal and oculomotor functions. All patients had high-resolution MR brain volumetry and a cortical thickness analysis was undertaken on the brain images. Four patients presenting with PNFA subsequently developed features of a PSP syndrome, including a typical oculomotor palsy. The neuropsychological profile in these cases was similar to other patients with PNFA, however, with more marked reduction in propositional speech, fewer speech errors, less marked impairment of literacy skills but more severe associated deficits of episodic memory and praxis. These PSP-PNFA cases had less prominent midbrain atrophy but more marked prefrontal atrophy than a comparison group of five patients with pathologically confirmed PSP without PNFA and more prominent midbrain atrophy but less marked perisylvian atrophy than other PNFA cases. In summary, although the PSP-PNFA syndrome overlaps with PNFA without PSP, certain neuropsychological and neuroanatomical differences may help predict the development of a PSP syndrome. |
CC : | 002B17; 002B17G |
FD : | Aphasie; Apraxie; Pathologie du système nerveux; Ophtalmoplégie supranucléaire; Parole |
FG : | Pathologie de l'encéphale; Maladie dégénérative; Syndrome oculomoteur; Pathologie de l'oeil; Pathologie du système nerveux central; Syndrome du tronc cérébral; Trouble de la communication; Trouble du langage; Trouble neurologique |
ED : | Aphasia; Apraxia; Nervous system diseases; Supranuclear ophthalmoplegia; Speech |
EG : | Cerebral disorder; Degenerative disease; Oculomotor syndrome; Eye disease; Central nervous system disease; Brain stem syndrome; Communication disorder; Language disorder; Neurological disorder |
SD : | Afasia; Apraxia; Sistema nervioso patología; Oftalmoplejía supranuclear; Habla |
LO : | INIST-20953.354000170495040060 |
ID : | 10-0303306 |
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<front><div type="abstract" xml:lang="en">There is currently considerable interest in the clinical spectrum of progressive nonfluent aphasia (PNFA) and progressive supranuclear palsy (PSP) and the intersection of these two entities. Here, we undertook a detailed prospective clinical, neuropsychological, and neuroimaging analysis of 14 consecutive patients presenting with PNFA to identify cases meeting clinical criteria for PSP. These patients had further detailed assessment of extrapyramidal and oculomotor functions. All patients had high-resolution MR brain volumetry and a cortical thickness analysis was undertaken on the brain images. Four patients presenting with PNFA subsequently developed features of a PSP syndrome, including a typical oculomotor palsy. The neuropsychological profile in these cases was similar to other patients with PNFA, however, with more marked reduction in propositional speech, fewer speech errors, less marked impairment of literacy skills but more severe associated deficits of episodic memory and praxis. These PSP-PNFA cases had less prominent midbrain atrophy but more marked prefrontal atrophy than a comparison group of five patients with pathologically confirmed PSP without PNFA and more prominent midbrain atrophy but less marked perisylvian atrophy than other PNFA cases. In summary, although the PSP-PNFA syndrome overlaps with PNFA without PSP, certain neuropsychological and neuroanatomical differences may help predict the development of a PSP syndrome.</div>
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<ET>Progressive Supranuclear Palsy Syndrome Presenting as Progressive Nonfluent Aphasia: A Neuropsychological and Neuroimaging Analysis</ET>
<AU>ROHRER (Jonathan D.); PAVIOUR (Dominic); BRONSTEIN (Adolfo M.); O'SULLIVAN (Sean S.); LEES (Andrew); WARREN (Jason D.)</AU>
<AF>Department of Neurodegenerative Disease, Dementia Research Centre, UCL Institute of Neurology, University College London/London/Royaume-Uni (1 aut., 2 aut., 6 aut.); Reta Lila Weston Institute, UCL Institute of Neurology, University College London/London/Royaume-Uni (2 aut., 4 aut., 5 aut.); Department of Clinical Neuroscience, Charing Cross Hospital, Imperial College/London/Royaume-Uni (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2010; Vol. 25; No. 2; Pp. 179-188; Bibl. 40 ref.</SO>
<LA>Anglais</LA>
<EA>There is currently considerable interest in the clinical spectrum of progressive nonfluent aphasia (PNFA) and progressive supranuclear palsy (PSP) and the intersection of these two entities. Here, we undertook a detailed prospective clinical, neuropsychological, and neuroimaging analysis of 14 consecutive patients presenting with PNFA to identify cases meeting clinical criteria for PSP. These patients had further detailed assessment of extrapyramidal and oculomotor functions. All patients had high-resolution MR brain volumetry and a cortical thickness analysis was undertaken on the brain images. Four patients presenting with PNFA subsequently developed features of a PSP syndrome, including a typical oculomotor palsy. The neuropsychological profile in these cases was similar to other patients with PNFA, however, with more marked reduction in propositional speech, fewer speech errors, less marked impairment of literacy skills but more severe associated deficits of episodic memory and praxis. These PSP-PNFA cases had less prominent midbrain atrophy but more marked prefrontal atrophy than a comparison group of five patients with pathologically confirmed PSP without PNFA and more prominent midbrain atrophy but less marked perisylvian atrophy than other PNFA cases. In summary, although the PSP-PNFA syndrome overlaps with PNFA without PSP, certain neuropsychological and neuroanatomical differences may help predict the development of a PSP syndrome.</EA>
<CC>002B17; 002B17G</CC>
<FD>Aphasie; Apraxie; Pathologie du système nerveux; Ophtalmoplégie supranucléaire; Parole</FD>
<FG>Pathologie de l'encéphale; Maladie dégénérative; Syndrome oculomoteur; Pathologie de l'oeil; Pathologie du système nerveux central; Syndrome du tronc cérébral; Trouble de la communication; Trouble du langage; Trouble neurologique</FG>
<ED>Aphasia; Apraxia; Nervous system diseases; Supranuclear ophthalmoplegia; Speech</ED>
<EG>Cerebral disorder; Degenerative disease; Oculomotor syndrome; Eye disease; Central nervous system disease; Brain stem syndrome; Communication disorder; Language disorder; Neurological disorder</EG>
<SD>Afasia; Apraxia; Sistema nervioso patología; Oftalmoplejía supranuclear; Habla</SD>
<LO>INIST-20953.354000170495040060</LO>
<ID>10-0303306</ID>
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