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Progressive posterior cortical dysfunction: a clinicopathologic series.

J A Renner1, J M Burns, C E Hou

  • 1Department of Psychiatry, Washington University, St. Louis, MO, USA.

Neurology
|October 13, 2004
PubMed
Summary
This summary is machine-generated.

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Alzheimer's disease is the most common cause of progressive posterior cortical dysfunction (PPCD), a dementia characterized by visuospatial deficits. However, other neurodegenerative disorders can also cause PPCD.

Area of Science:

  • Neurology
  • Neuroscience
  • Pathology

Background:

  • Atypical presentations of neurodegenerative dementias include progressive posterior cortical dysfunction (PPCD), marked by visuospatial deficits.
  • The underlying neuropathology of PPCD is not well understood.

Observation:

  • A retrospective case series examined 27 individuals clinically diagnosed with PPCD.
  • Neuropathologic examination was performed on 21 participants.
  • Psychometric data from 65 individuals with mild Alzheimer type dementia (DAT) were used for comparison.

Findings:

  • Alzheimer's disease (AD) was the most frequent cause of PPCD (n=13).
  • Other causes included AD with other pathologies, dementia with Lewy bodies, corticobasal degeneration, and prion diseases.

Related Experiment Videos

  • Individuals with PPCD showed distinct psychometric profiles with greater visuospatial deficits compared to DAT.
  • Implications:

    • AD is a primary cause of PPCD, but non-Alzheimer dementias must also be considered in diagnosis.
    • Understanding PPCD neuropathology is crucial for accurate diagnosis and management of atypical dementias.
    • This study highlights the importance of considering diverse etiologies in PPCD.