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Pin G, Labouré J, Guedj E, Felician O, Grimaldi S, Azulay JP, Ceccaldi M, Koric L. Brain FDG-PET correlates of saccadic disorders in early PSP. J Neurol 2023; 270:4841-4850. [PMID: 37330976 DOI: 10.1007/s00415-023-11824-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 05/17/2023] [Accepted: 06/13/2023] [Indexed: 06/20/2023]
Abstract
BACKGROUND New diagnostic criteria of Progressive Supranuclear Palsy (PSP) have highlighted the interest of Eye Movement Records (EMR) at the early stage of the disease. OBJECTIVES To investigate the metabolic brain correlates of ocular motor dysfunction using [18F] Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) in early PSP. METHODS Retrospective observational descriptive study on longitudinal data with patients who underwent EMR and FDG-PET at the stage of suggestive and possible PSP according to Movement Disorders Society criteria. Longitudinal follow-up enables to confirm diagnosis of probable PSP. Using the Statistical Parametric Mapping software, we performed whole-brain voxel-based correlations between oculomotor variables and FDG-PET metabolism. RESULTS Thirty-seven patients with early PSP who fulfilled criteria of probable PSP during the follow-up were included. Decrease in the gain of vertical saccades correlated with reduced metabolism in Superior Colliculi (SC). We also found a positive correlation between mean velocity of horizontal saccades and SC metabolism as well as dorsal nuclei in the pons. Finally, increase in horizontal saccades latencies correlated with decrease of posterior parietal metabolism. CONCLUSIONS These findings suggest the early involvement of SC in saccadic dysfunction in the course of PSP.
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Affiliation(s)
- G Pin
- Department of Neurology and Neuropsychology, and CMMR PACA Ouest, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France.
| | - J Labouré
- Department of Neurology and Neuropsychology, and CMMR PACA Ouest, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France
| | - E Guedj
- Department of Nuclear Medecine, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France
- CERIMED, Aix-Marseille University, Marseille, France
- Aix-Marseille University, UMR 7249, CNRS, Centrale Marseille, Institut Fresnel, Marseille, France
| | - O Felician
- Department of Neurology and Neuropsychology, and CMMR PACA Ouest, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France
| | - S Grimaldi
- Department of Neurology and Movement Disorders, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France
| | - J P Azulay
- Department of Neurology and Movement Disorders, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France
| | - M Ceccaldi
- Department of Neurology and Neuropsychology, and CMMR PACA Ouest, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France
| | - L Koric
- Department of Neurology and Neuropsychology, and CMMR PACA Ouest, CHU Timone, Assistance Publique Hôpitaux de Marseille, Marseille, France
- Aix-Marseille University, UMR 7249, CNRS, Centrale Marseille, Institut Fresnel, Marseille, France
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Pin G, Trompette C, Ceccaldi M, Felician O, Koric L. Interest of eye movement study in early diagnosis of posterior cortical atrophy: A case-report. Rev Neurol (Paris) 2023; 179:246-248. [PMID: 36754670 DOI: 10.1016/j.neurol.2022.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 10/06/2022] [Accepted: 10/10/2022] [Indexed: 02/08/2023]
Affiliation(s)
- G Pin
- AP-HM, service de neurologie et neuropsychologie, CHU de Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France.
| | - C Trompette
- AP-HM, service de neurologie et neuropsychologie, CHU de Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
| | - M Ceccaldi
- AP-HM, service de neurologie et neuropsychologie, CHU de Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France; Aix Marseille université, Inserm, INS, Institute Neuroscience Systems, Marseille, France
| | - O Felician
- AP-HM, service de neurologie et neuropsychologie, CHU de Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France; Aix Marseille université, Inserm, INS, Institute Neuroscience Systems, Marseille, France
| | - L Koric
- AP-HM, service de neurologie et neuropsychologie, CHU de Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France; Université Aix-Marseille, UMR 7249, CNRS, institut Fresnel (équipe IMOTHEP), Marseille, France
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Guedj E, Campion JY, Dudouet P, Kaphan E, Bregeon F, Tissot-Dupont H, Guis S, Barthelemy F, Habert P, Ceccaldi M, Million M, Raoult D, Cammilleri S, Eldin C. 18F-FDG brain PET hypometabolism in patients with long COVID. Eur J Nucl Med Mol Imaging 2021; 48:2823-2833. [PMID: 33501506 PMCID: PMC7837643 DOI: 10.1007/s00259-021-05215-4] [Citation(s) in RCA: 232] [Impact Index Per Article: 77.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 01/19/2021] [Indexed: 12/11/2022]
Abstract
PURPOSE In the context of the worldwide outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), some patients report functional complaints after apparent recovery from COVID-19. This clinical presentation has been referred as "long COVID." We here present a retrospective analysis of 18F-FDG brain PET of long COVID patients from the same center with a biologically confirmed diagnosis of SARS-CoV-2 infection and persistent functional complaints at least 3 weeks after the initial infection. METHODS PET scans of 35 patients with long COVID were compared using whole-brain voxel-based analysis to a local database of 44 healthy subjects controlled for age and sex to characterize cerebral hypometabolism. The individual relevance of this metabolic profile was evaluated to classify patients and healthy subjects. Finally, the PET abnormalities were exploratory compared with the patients' characteristics and functional complaints. RESULTS In comparison to healthy subjects, patients with long COVID exhibited bilateral hypometabolism in the bilateral rectal/orbital gyrus, including the olfactory gyrus; the right temporal lobe, including the amygdala and the hippocampus, extending to the right thalamus; the bilateral pons/medulla brainstem; the bilateral cerebellum (p-voxel < 0.001 uncorrected, p-cluster < 0.05 FWE-corrected). These metabolic clusters were highly discriminant to distinguish patients and healthy subjects (100% correct classification). These clusters of hypometabolism were significantly associated with more numerous functional complaints (brainstem and cerebellar clusters), and all associated with the occurrence of certain symptoms (hyposmia/anosmia, memory/cognitive impairment, pain and insomnia) (p < 0.05). In a more preliminary analysis, the metabolism of the frontal cluster which included the olfactory gyrus was worse in the 7 patients treated by ACE drugs for high blood pressure (p = 0.032), and better in the 3 patients that had used nasal decongestant spray at the infectious stage (p < 0.001). CONCLUSION This study demonstrates a profile of brain PET hypometabolism in long COVID patients with biologically confirmed SARS-CoV-2 and persistent functional complaints more than 3 weeks after the initial infection symptoms, involving the olfactory gyrus and connected limbic/paralimbic regions, extended to the brainstem and the cerebellum. These hypometabolisms are associated with patients' symptoms, with a biomarker value to identify and potentially follow these patients. The hypometabolism of the frontal cluster, which included the olfactory gyrus, seems to be linked to ACE drugs in patients with high blood pressure, with also a better metabolism of this olfactory region in patients using nasal decongestant spray, suggesting a possible role of ACE receptors as an olfactory gateway for this neurotropism.
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Affiliation(s)
- E Guedj
- APHM, CNRS, Centrale Marseille, Institut Fresnel, Timone Hospital, CERIMED, Nuclear Medicine Department, Aix-Marseille University, Marseille, France.
| | - J Y Campion
- APHM, CNRS, Centrale Marseille, Institut Fresnel, Timone Hospital, CERIMED, Nuclear Medicine Department, Aix-Marseille University, Marseille, France
| | - P Dudouet
- IHU-Méditerranée Infection, Marseille, France.,IRD, APHM, MEPHI, Aix-Marseille University, Marseille, France
| | - E Kaphan
- APHM, Service de Neurologie, Hôpital de la Timone, Marseille, France
| | - F Bregeon
- IHU-Méditerranée Infection, Marseille, France.,IRD, APHM, MEPHI, Aix-Marseille University, Marseille, France.,Service des Explorations Fonctionnelles Respiratoires, CHU Nord, APHM, Marseille, France
| | | | - S Guis
- Service de Rhumatologie, Hôpital de Sainte Marguerite, AP-HM, CNRS, CRMBM-CEMEREM, UMR CNRS 7339, Aix-Marseille Université, Marseille, France
| | - F Barthelemy
- APHM, CNRS, Centrale Marseille, Institut Fresnel, Timone Hospital, CERIMED, Nuclear Medicine Department, Aix-Marseille University, Marseille, France
| | - P Habert
- Radiology Department, La Timone Hospital, APHM, 264 Rue Saint Pierre, 13005, Marseille 05, France.,LIIE, Aix-Marseille University, Marseille, France
| | - M Ceccaldi
- INSERM, Inst Neurosci Syst, & APHM, Service de Neurologie et de Neuropsychologie, CHU Timone, Aix-Marseille University, Marseille, France
| | - M Million
- IHU-Méditerranée Infection, Marseille, France.,IRD, APHM, MEPHI, Aix-Marseille University, Marseille, France
| | - D Raoult
- IHU-Méditerranée Infection, Marseille, France.,IRD, APHM, MEPHI, Aix-Marseille University, Marseille, France
| | - S Cammilleri
- APHM, CNRS, Centrale Marseille, Institut Fresnel, Timone Hospital, CERIMED, Nuclear Medicine Department, Aix-Marseille University, Marseille, France
| | - C Eldin
- IHU-Méditerranée Infection, Marseille, France.,IRD, AP-HM, SSA, VITROME, Aix-Marseille University, Marseille, France
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Tastevin M, Corneille L, Guedj E, Ceccaldi M, Lançon C, Bultingaire V, Richieri R, Koric L. Major depressive disorder masking frontotemporal dementia secondary to C9orf72 mutation: A case report. Rev Neurol (Paris) 2019; 175:405-407. [PMID: 30929877 DOI: 10.1016/j.neurol.2018.09.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Revised: 08/30/2018] [Accepted: 09/04/2018] [Indexed: 11/16/2022]
Affiliation(s)
- M Tastevin
- Department of neurology and neuropsychology La Timone university hospital, 13005 Marseille, France.
| | - L Corneille
- Department of neurology and neuropsychology La Timone university hospital, 13005 Marseille, France
| | - E Guedj
- UMR 7249, CNRS, école Centrale Marseille, institut Fresnel, Aix-Marseille université, Marseille, France; Department on nuclear medicine, La Timone university hospital, 13005 Marseille, France
| | - M Ceccaldi
- Department of neurology and neuropsychology La Timone university hospital, 13005 Marseille, France; Inserm, UMR 1106, institut de neurosciences et des systèmes, Aix-Marseille university, 13005 Marseille, France
| | - C Lançon
- Department of psychiatry, La Conception university hospital, 13005 Marseille, France; EA 3279-public health, chronic diseases and quality of life-research unit, Aix-Marseille university, 13005 Marseille, France
| | - V Bultingaire
- Department of geriatric, Digne-les-Bains hospital, 04000 Digne-les-Bains, France
| | - R Richieri
- Department of psychiatry, Sainte-Marguerite university hospital, 13009 Marseille, France; UMR 7249, CNRS, école Centrale Marseille, institut Fresnel, Aix-Marseille université, Marseille, France
| | - L Koric
- Department of neurology and neuropsychology La Timone university hospital, 13005 Marseille, France; UMR 7249, CNRS, école Centrale Marseille, institut Fresnel, Aix-Marseille université, Marseille, France
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Affiliation(s)
- M Ceccaldi
- Neurology and Neuropsychology department, Timone hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
| | - J Pariente
- Neurology Service, Pierre-Paul Riquet Hospital, place Baylac, 31059 Toulouse, France
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Besson G, Barragan-Jason G, Thorpe S, Fabre-Thorpe M, Puma S, Ceccaldi M, Barbeau E. From face processing to face recognition: Comparing three different processing levels. Cognition 2017; 158:33-43. [DOI: 10.1016/j.cognition.2016.10.004] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Revised: 09/26/2016] [Accepted: 10/06/2016] [Indexed: 10/20/2022]
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Touchon J, Rosenbaum J, Aisen P, Andrieu S, Carrillo MC, Ceccaldi M, Dartiques JF, Feldman H, Gabelle A, Isaac M, Fitten LJ, Sperling RA, Vellas B, Tariot P, Weiner M. Editorial: Collaborative Efforts to Prevent Alzheimer's Disease. J Nutr Health Aging 2017; 21:1072-1074. [PMID: 29188862 DOI: 10.1007/s12603-017-0961-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- J Touchon
- Jacques Touchon, University Hospital of Montpellier, 34025 Montpellier Cedex 5, France,
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Garali I, Adel M, Bourennane S, Ceccaldi M, Guedj E. Brain region of interest selection for 18FDG positrons emission tomography computer-aided image classification. Ing Rech Biomed 2016. [DOI: 10.1016/j.irbm.2015.10.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ceccaldi M. Dissociations within declarative memory from patients with neurological lesions. Ann Phys Rehabil Med 2014. [DOI: 10.1016/j.rehab.2014.03.1571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Dufournet B, Gautier G, Koric L, Felician O, Ceccaldi M, Guedj E, Maues De Paula A. De Benson à Richardson : cooccurrence de paralysie supranucléaire progressive (PSP) et de maladie d’Alzheimer (MA) ? Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Redon S, Koric L, Lambert I, Latger C, Felician O, Honnorat J, Ceccaldi M. Une encéphalite limbique à anticorps anti-CASPR 2 : présentation clinique et aspect en TEP-scanner cérébral. Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Boutin E, Koric L, Lambert I, Azulay JP, Ceccaldi M. Contribution de l’analyse des mouvements oculaires dans le diagnostic des syndromes parkinsoniens atypiques. Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Tramoni-Negre E, Bartolomei F, Ceccaldi M. Des souvenirs de vie qui s’effacent. Rev Neurol (Paris) 2014. [DOI: 10.1016/j.neurol.2014.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Lagier JC, Fenollar F, Koric L, Guedj E, Ceccaldi M, Raoult D. Prise de poids, démence et syndrome cérébelleux sensible à la doxycycline : un probable nouveau cas lié à T. whipplei. Rev Med Interne 2013; 34:641-4. [DOI: 10.1016/j.revmed.2012.12.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2012] [Revised: 11/13/2012] [Accepted: 12/11/2012] [Indexed: 10/26/2022]
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Gautier G, Guedj E, Latger C, Koric L, Didic M, Felician O, Ceccaldi M. Une progression « à rebours » de la perfusion cérébrale dans les MA atypiques ? Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Basely M, Mundler O, Didic M, Felician O, Koric L, Guedj E, Ceccaldi M. L’atteinte fonctionnelle temporale interne est plus sévère dans la démence fronto-temporale que dans la maladie d’Alzheimer. Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Lambert I, Badier JM, Tramoni E, Didic M, Ceccaldi M, Liégeois-Chauvel C, Félician O. Comparaison des profils électrophysiologiques de la mémoire de reconnaissance chez le patient aMCI et le sujet âgé. Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Didic M, Felician O, Ceccaldi M. Quel système de mémoire est atteint aux stades précoces de la forme typique de la maladie d’Alzheimer ? Rev Neurol (Paris) 2013. [DOI: 10.1016/j.neurol.2013.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Tramoni-Negre E, Felician O, Trebuchon A, Schmitt A, Guye M, Fuentes S, Ceccaldi M, Metellus P. Exploration de l’attention spatiale en chirurgie éveillée par stimulation électrique directe chez des patients opérés d’une lésion tumorale de l’hémisphère mineure. Neurochirurgie 2012. [DOI: 10.1016/j.neuchi.2012.10.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Ceccaldi M, Jouanny P, Guérin O, Bredin A, Pere JJ, Bourdeix I. Influence de la voie d’administration d’une monothérapie dans la maladie d’Alzheimer sur l’implication de l’aidant dans sa dispensation et sur l’évaluation de son efficacité clinique : une étude observationnelle prospective. Rev Neurol (Paris) 2012. [DOI: 10.1016/j.neurol.2012.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Besson G, Ceccaldi M, Cooke MDH, Barbeau E. What is the speed of visual recognition memory? J Vis 2011. [DOI: 10.1167/11.11.1136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Koric L, Felician O, Ceccaldi M. [Use of CSF biomarkers in the diagnosis of Alzheimer's disease in clinical practice]. Rev Neurol (Paris) 2011; 167:474-84. [PMID: 21420704 DOI: 10.1016/j.neurol.2010.10.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2010] [Revised: 10/20/2010] [Accepted: 10/26/2010] [Indexed: 11/29/2022]
Abstract
INTRODUCTION The diagnosis of Alzheimer's disease (AD) currently relies on clinical criteria that are primarily based on the presence of an amnestic syndrome of the mesial temporal lobe type. In recent years, new diagnostic tools have been developed, such as the possibility of measuring a set of proteins directly involved in the pathophysiological process of AD. A profile suggestive of AD has been defined, characterized by decreased beta-amyloid peptide, combined with increased Tau protein and phopho-Tau. STATE OF KNOWLEDGE According to current data available in the medical literature, the potential usefulness of CSF biomarkers in the common forms of AD fulfilling usual clinical criteria remains modest. In contrast however, they could be of significant help in the diagnosis of early-onset AD, in particular in atypical forms with prominent non-memory impairment (involving vision, language or behavior). In addition, due to their close relationship with the pathological process, they bring useful prognosis information upon the aggressiveness of the disease. CONCLUSION AND PERSPECTIVE Taken together, in the current state of knowledge, use of CSF biomarkers in clinical practice should first be recommended for the assessment of early-onset cognitive disturbances, in particular when initial symptoms are of a non-memory type. Their development, however, offers new avenues in the fields of clinical and pharmacological research.
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Affiliation(s)
- L Koric
- Service de Neurologie et Neuropsychologie, AP-HM, Hôpital de la Timone, 264 rue Saint-Pierre, 13385 Marseille cedex 5, France.
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Busigny T, Joubert S, Felician O, Ceccaldi M, Rossion B. Acquired prosopagnosia following right unilateral brain damage: Impairment specific to holistic processing of the individual face. J Vis 2010. [DOI: 10.1167/9.8.558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Didic M, Barbeau E, Felician O, Guedj E, Ranjeva JP, Cozzone P, De Anna F, Poncet M, Ceccaldi M. O3-2 Diagnostic de la maladie d’Alzheimer au stade prodromal : Suivi longitudinal de patients MCI présentant une dysfonction soushippocampique. Rev Neurol (Paris) 2009. [DOI: 10.1016/s0035-3787(09)72597-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Barbeau E, Sarazin A, Didic M, Felician O, Ceccaldi M. P3-26 L’effet de l’appartenance de l’objet dans la démence sémantique. Rev Neurol (Paris) 2009. [DOI: 10.1016/s0035-3787(09)72654-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Guedj E, Barbeau E, Didic M, Felician O, Ranjeva JP, Poncet M, Cozzone P, Mundler O, Ceccaldi M. O2-3 Déafférentation et compensation fonctionnelles au stade prodromal de la maladie d’Alzheimer. Rev Neurol (Paris) 2009. [DOI: 10.1016/s0035-3787(09)72592-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Balzamo M, Barbeau E, Ceccaldi M, Mancini J, Ali Chérif A. P3-25 L’Echelle d’Intensité de la Plainte Mnésique (EIPM) : Un outil de quantification de la plainte mnésique réellement exprimée par la personne. Rev Neurol (Paris) 2009. [DOI: 10.1016/s0035-3787(09)72653-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Kilani M, Micallef J, Soubrouillard C, Rey-Lardiller D, Dematteï C, Dib M, Philippot P, Ceccaldi M, Pouget J, Blin O. A longitudinal study of the evolution of cognitive function and affective state in patients with amyotrophic lateral sclerosis. ACTA ACUST UNITED AC 2009; 5:46-54. [PMID: 15204024 DOI: 10.1080/14660820310017560] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVES The study aimed to evaluate cognitive function and emotional reactivity in 18 patients with ALS, compared to 19 matched controls, and assess their evolution over a 12-month period. METHODS 18 ALS patients and 19 matched controls were included, and assessed at inclusion, six months and twelve months later. Depression was evaluated with the Geriatric Depression Scale, and cognitive function with the Folstein Mini Mental State. A battery of psychometric tests (Wisconsin Card Sorting Test (WCST), the numerical Empan test, the Trail-making test, the Boston Naming Test, the 15-word Rey memory test, the Benton visual retention test and the Raven Progressive Matrix) was used to measure frontal processing and non-frontal function. Emotional reactivity was measured with the film-evoked emotions test. RESULTS ALS patients were significantly more depressed than controls, as measured on the Geriatric Depression Scale, and depression increased over the study period. There was a very mild defect in cognitive function, and a performance deficit in the Trail-making test, a measure of frontal processing. These deficits, unlike neuromuscular function and depression, did not aggravate over the 12 months of the study. There was no observable change in non-frontal function. Emotional reactivity did not differ significantly between ALS patients and controls. CONCLUSIONS This study provides further evidence for a mild defect in frontal cognitive processing in ALS patients that evolves only slowly, if at all, with time.
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Affiliation(s)
- M Kilani
- CPCET et Pharmacologie Clinique, Institut de Neurosciences, Physiologiques et Cognitives, Faculte de Medecine, FRE 2109 CNRS-Universite de la Mediterranee, Assistance Publique-Hopitaux de Marseille-Hopital de la Timone, 13385 Marseille Cedex 5, France
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Tramoni E, Didic M, Barbeau E, Joubert S, Felician O, Poncet M, Ceccaldi M. L’amnésie pure progressive : un syndrome amnésique avec préservation de l’autonomie. Rev Neurol (Paris) 2009; 165:549-59. [DOI: 10.1016/j.neurol.2008.11.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2008] [Revised: 10/07/2008] [Accepted: 11/17/2008] [Indexed: 11/16/2022]
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Delrieu J, Voisin T, Andrieu S, Belliard S, Belmin J, Blanchard F, Ceccaldi M, Dartigues JF, Defontaines B, Lehericy S, Mekies C, Moreaud O, Naccache L, Nourhashemi F, Ousset PJ, Pasquier F, Payoux P, Puisieux F, Robert P, Touchon J, Vellas B, Dubois B. Mild Alzheimer's disease: a "position paper". J Nutr Health Aging 2009; 13:503-19. [PMID: 19536419 DOI: 10.1007/s12603-009-0101-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Under the auspices of the Societe Francaise de Geriatrie et Gerontologie, a multi-disciplinary group of specialists in geriatrics, neurology, epidemiology, psychiatry, neuroradiology and nuclear medicine met with the aim of drawing up references on the methods for diagnosing and treating mild Alzheimer's disease. The critical analysis of international literature, conducted by Professor Bruno Vellas for the scientific committee, has served to support study of the latest knowledge in 2008. The multi-disciplinary group met on 14 and 15 May 2008 in order to set out the questions that this study must answer and to allocate draft studies. Thus, it has been possible to conduct a study focused on mild Alzheimer's disease, giving particular attention to diagnostic procedure, specific methods of treatment and the benefits of making a diagnosis.
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Affiliation(s)
- J Delrieu
- Service de médecine interne gériatrique et gérontologie clinique, Gérontopôle, CHU Toulouse, Hôpital Purpan Casselardit, Toulouse, France
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Felician O, Tramoni E, Barbeau E, Bartolomei F, Guye M, Poncet M, Ceccaldi M. Amnésie autobiographique isolée : une origine neurologique ? Rev Neurol (Paris) 2009; 165:449-59. [DOI: 10.1016/j.neurol.2008.11.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2007] [Revised: 09/24/2008] [Accepted: 11/17/2008] [Indexed: 10/21/2022]
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Soto ME, Andrieu S, Arbus C, Ceccaldi M, Couratier P, Dantoine T, Dartigues JF, Gillette-Guyonnet S, Nourhashemi F, Ousset PJ, Poncet M, Portet F, Touchon J, Vellas B. Rapid cognitive decline in Alzheimer's disease. Consensus paper. J Nutr Health Aging 2008; 12:703-13. [PMID: 19043645 DOI: 10.1007/bf03028618] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/29/2022]
Abstract
The rate of cognitive decline in Alzheimer's disease (AD) varies considerably between individuals, with some subjects showing substantial deterioration and others showing little or no change over the course of the disease. These wide variations support the relatively new concept of Rapid Cognitive Decline (RCD). Patients with an accelerated rate of cognitive decline have showed to present a worse evolution in terms of mortality, loss of autonomy and institutionalisation. The conclusions from RCD studies conducted in the past years remain very heterogeneous and sometimes contradictory. This is possibly due to methodological differences, mainly the different "a priori" definitions of RCD used to identify rapid decliners. Consequently of this, there is considerable variation in reported frequency of patients with RCD which may vary from 9.5% to 54%. The lack of both consensus definition and consensual clinical assessment tools is one of the major barriers for establishing an appropriated management of rapid decliners in clinical practice. Presently, management of rapid decliners in AD remains to be a challenge waiting to better know predictive factors of a RCD. To date no specific guidelines exist to follow-up or to treat patients with this condition. This consensus paper proposes the loss of 3 points or greater in Mini-Mental State Examination (MMSE) during six months as an empirical definition of rapid cognitive decline to be used in routine medical practice and to be relevant for clinical-decision making in patients with mild to moderately-severe AD.
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Affiliation(s)
- M E Soto
- Department of Geriatric Medicine, Toulouse University Hospital, Toulouse, France
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Serratrice J, Amri AB, Bouabdallah R, Ceccaldi M, Weiller PJ. [Relapsing meningitis and confusion: limbic encephalitis revealing Hodgkin's disease]. Rev Neurol (Paris) 2008; 165:76-80. [PMID: 18930300 DOI: 10.1016/j.neurol.2008.08.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2008] [Revised: 07/25/2008] [Accepted: 08/21/2008] [Indexed: 10/21/2022]
Abstract
INTRODUCTION An observation of limbic encephalitis associated with Hodgkin's disease is compared with rare cases of the literature. The clinical presentation was relapsing episodes of febrile cognitive disorders with confusion and meningitis, curable after treatment of Hodgkin's disease. Recent concepts on limbic encephalitis are discussed. CASE REPORT A seventy-five-year-old patient was hospitalized because of relapsing feverish confusion episodes with meningitis. During the year before his admission he had experienced four spontaneously regressive episodes of feverish confusion. Exploration of these episodes disclosed a paraneoplastic limbic encephalitis due to an underlying Hodgkin's disease. The treatment of Hodgkin's disease led to perfect recovery of cognitive function, so that the patient could drive his car. CONCLUSION Lymphoproliferative disease, such as Hodgkin's disease, is a possible diagnosis in patients with limbic encephalitis. A dysimmune process underlying Hodgkin's disease might be operating in this association.
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Affiliation(s)
- J Serratrice
- Service de médecine interne, 264, rue Saint-Pierre, CHU de la Timone, 13385 Marseille cedex 05, France.
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Bonnaud I, Sellal F, Ceccaldi M, de Toffol B, Tranchant C, Léger JM, Pierrot-Deseilligny C. [American Academy of Neurology, Chicago, 12-18 April 2008]. Rev Neurol (Paris) 2008; 164:486-99. [PMID: 18555884 DOI: 10.1016/j.neurol.2008.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- I Bonnaud
- Service de neurologie 1, hôpital de la Salpêtrière, 47, boulevard de l'Hôpital, 75651 Paris cedex 13, France
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Auriacombe S, Amarenco P, Baron JC, Ceccaldi M, Dartigues JF, Lehéricy S, Hénon H, Hinaut P, Orgogozo JM. Mise au point sur les démences vasculaires. Rev Neurol (Paris) 2008; 164:22-41. [DOI: 10.1016/j.neurol.2007.06.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2006] [Revised: 05/10/2007] [Accepted: 06/20/2007] [Indexed: 11/26/2022]
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Koric L, Felician O, Gallard J, Gautier G, Ceccaldi M. N - 14 Troubles neuropsychiatriques révélateurs de la maladie de Horton, à propos d’un cas. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90599-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tramoni E, Chaigneau M, Balzamo M, Ceccaldi M. N - 27 Évaluation de la mémoire autobiographique chez des patients présentant un déficit cognitif léger (MCI). Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90612-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Ceccaldi M. La place de l’approche neuropsychologique dans l’expertise médico-légale. Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90898-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ceccaldi M, Didic M, Barbeau E, Guedj E, Ranjeva JP, Félician O, Poncet M. Quel profil de déficit mnésique dans la maladie d’Alzheimer dans sa phase prédémentielle ? Rev Neurol (Paris) 2007. [DOI: 10.1016/s0035-3787(07)90377-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Abstract
The DMS48 is a visual recognition memory test designed to detect memory changes in early Alzheimer disease (AD). Patients with amnestic mild cognitive impairment (aMCI) who succeeded on this task exhibited frontal hypoperfusion on SPECT. In contrast, failure was associated with temporomesial and temporoparietal hypoperfusion, a pattern usually described in the early stages of AD. It may possible to detect patients at high risk for AD within a population of aMCI.
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Affiliation(s)
- E Guedj
- Service Central de Biophysique et de Médecine Nucléaire, Assistance Publique des Hôpitaux de Marseille, Centre Hospitalo-Universitaire de la Timone, Marseille, France.
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Yousefzadeh C, Barbeau E, Ranjeva J, Didic M, Sontheimer A, Cozzone P, Poncet M, Ceccaldi M. P2-13 Les structures du lobe temporal interne chez les patients amnestic MCI : une atrophie globale ou locale ? Rev Neurol (Paris) 2005. [DOI: 10.1016/s0035-3787(05)85341-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Barbeau E, Ranjeva J, Didic M, Felician O, Cozzone P, Ceccaldi M, Poncet M. O3-3 DMS48 : étude en VBM de l’atrophie corticale dans un groupe de amnestic MCI. Rev Neurol (Paris) 2005. [DOI: 10.1016/s0035-3787(05)85305-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Guedj E, Barbeau E, Didic M, Félician O, Mundler O, Ceccaldi M, Poncet M. P2-5 DMS 48 et Étude de la perfusion cérébrale dans un groupe de amnestic MCI. Rev Neurol (Paris) 2005. [DOI: 10.1016/s0035-3787(05)85333-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Abstract
The authors report the longitudinal case study of a patient with the right temporal variant of frontotemporal lobar degeneration. His deficit, initially limited to visuoperceptual disturbances, progressed 2 years later to a severe semantic breakdown. Neuroimaging data indicate that the underlying degenerative process, initially confined to unimodal visual associative cortices, progressed along the ventral pathways to multimodal areas in charge of integrating knowledge from various modalities (the anterior temporal lobes).
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Affiliation(s)
- S Joubert
- Service de Neurologie et de Neuropsychologie, AP-HM Timone, Marseille, France.
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Abstract
The perirhinal cortex is a structure that lies within the medial temporal lobe. In the present paper, we review current knowledge of the anatomical boundaries and functional correlates of this structure. In the past decade, numerous animal studies have attempted to understand the contribution of the perirhinal cortex to memory. Taken together, they suggest that the perirhinal cortex is crucially involved in recognition memory. This function appears to be independent from those assumed to be subserved by the hippocampus. In humans, data are scarce but tend to corroborate results found in the animal literature. The perirhinal cortex appears to support context-free (non-episodic) knowledge, such as general knowledge about the world and "item-specific" memories. Models of declarative memory that take into account the specific contribution of the perirhinal cortex are discussed, along with their potential application to early cortical neurodegenerative disorders.
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Affiliation(s)
- E Barbeau
- Laboratoire de Neurophysiologie et Neuropsychologie (INSERM EMI-U 9926), Faculté de Médecine, Marseille.
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Vion-Dury J, Rochefort N, Michotey P, Planche D, Ceccaldi M. Proton magnetic resonance neurospectroscopy and EEG cartography in corticobasal degeneration: correlations with neuropsychological signs. J Neurol Neurosurg Psychiatry 2004; 75:1352-5. [PMID: 15314134 PMCID: PMC1739249 DOI: 10.1136/jnnp.2003.018903] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVE To document the asymmetrical functional brain lesions in corticobasal degeneration (CBD) using proton magnetic resonance neurospectroscopy (MRS) and EEG cartography (EEGq). METHODS Eight patients with probable CBD were included in the study after full neurological examination and extensive neuropsychological testing, single photon emission computed tomography, anatomical x ray tomodensitometry (TDM), magnetic resonance imaging, and MRS examination. RESULTS MR spectra were abnormal in all seven patients in whom the examination could be completed. The EEG was also always modified in the CBD patients, and the abnormalities were enhanced by activation procedures. There was a good correlation between MRS anomalies and clinical presentation, between EEG modifications and neuropsychological patterns, and between metabolic (MRS) impairment and electrophysiological (EEG) slowing. CONCLUSIONS These results confirm the asymmetrical features of CBD. Combined EEGq/MRS examinations at disease onset and during its subsequent course could provide strong diagnostic evidence of CBD.
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Affiliation(s)
- J Vion-Dury
- Service de Neurophysiologie Clinique, Hôpital de La Conception, 13005 Marseille, France.
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Abstract
BACKGROUND Neurofibrillary tangles seen early in Alzheimer disease (AD) initially appear in a subregion of the perirhinal cortex. In the monkey, damage to the perirhinal cortex impairs performance on visual recognition memory tasks. The authors evaluated impairment of visual recognition memory as a potential early diagnostic marker of AD. METHODS The authors developed a visual delayed matching-to-sample task (DMS48) designed to assess visual recognition memory in humans. Twenty-three patients fulfilling the criteria of amnestic mild cognitive impairment (MCI) (mean Mini-Mental State Examination [MMSE]: 26.6, SD = 1.6) were recruited. All underwent a full neuropsychological evaluation, which included the Free and Cued Selective Reminding (FCSR) test. Their performance was compared with that of 10 patients with mild AD, 20 patients with moderate AD, 20 patients with Parkinson disease (PD), and 40 age-matched controls. RESULTS Control subjects and patients with PD performed close to ceiling. Patients with mild AD had very low scores, while patients with moderate AD answered at random. MCI patients obtained scores that were between those of control subjects and patients with mild AD (78%, SD = 16%). MCI patients who failed on the DMS48 had lower scores on free recall (p < 0.05) and received less benefit from cueing (p < 0.01) on the FCSR than the other MCI, suggesting a profile of genuine memory impairment related to medial temporal lobe lesions. CONCLUSION The DMS48, a test of visual recognition memory, is impaired early in the course of patients with MCI. Further studies are necessary to determine whether the evaluation of visual recognition memory may contribute to the identification of patients with AD.
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Affiliation(s)
- E Barbeau
- Laboratoire de Neurophysiologie et Neuropsychologie, Inserm EMI-U 9926, Faculté de Médecine, Univ. Mediterranee, Marseille, France.
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Joubert S, Mauries S, Barbeau E, Felician O, Ceccaldi M, Poncet M. Étude de l’effet du contexte épisodique dans le rappel d’événements autobiographiques dans un cas de démence sémantique. Rev Neurol (Paris) 2004. [DOI: 10.1016/s0035-3787(04)70955-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Barbeau E, Didic M, Tramoni E, Felician O, Joubert S, Sontheimer A, Ceccaldi M, Poncet M. La mémoire de reconnaissance visuelle dans la maladie d’alzheimer. Rev Neurol (Paris) 2004. [DOI: 10.1016/s0035-3787(04)70949-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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