Primary progressive aphasia: analisys of 16 cases

Primary progressive aphasia (PPA) is an intriguing syndrome, showing some peculiar aspects that differentiate it from classical aphasic pictures caused by focal cerebral lesions or dementia. The slow and progressive deterioration of language occurring in these cases provides an interesting model to better understand the mechanisms involved in the linguistic process. We describe clinical and neuroimaging aspects found in 16 cases of PPA. Our patients underwent language and neuropsychological evaluation, magnetic resonance imaging (MRI) and single photon emission computerized tomography (SPECT). We observed a clear distinction in oral expression patterns; patients were classified as fluent and nonfluent. Anomia was the earliest and most evident symptom in both groups. Neuroimaging pointed to SPECT as a valuable instrument in guiding the differential diagnosis, as well as in making useful clinical and anatomical correlations. This report and a comparison to literature are an attempt to contribute to a better understanding of PPA.

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Main Authors: Radanovic,Márcia, Senaha,Mirna Lie Hosogi, Mansur,Letícia Lessa, Nitrini,Ricardo, Bahia,Valéria Santoro, Carthery,Maria Teresa, Aires,Flávia Nóbrega Freire, Mathias,Sandra Christina, Caramelli,Paulo
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2001
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000400006
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spelling oai:scielo:S0004-282X20010004000062001-10-04Primary progressive aphasia: analisys of 16 casesRadanovic,MárciaSenaha,Mirna Lie HosogiMansur,Letícia LessaNitrini,RicardoBahia,Valéria SantoroCarthery,Maria TeresaAires,Flávia Nóbrega FreireMathias,Sandra ChristinaCaramelli,Paulo primary progressive aphasia focal cortical degeneration cerebral perfusion neuroimaging Primary progressive aphasia (PPA) is an intriguing syndrome, showing some peculiar aspects that differentiate it from classical aphasic pictures caused by focal cerebral lesions or dementia. The slow and progressive deterioration of language occurring in these cases provides an interesting model to better understand the mechanisms involved in the linguistic process. We describe clinical and neuroimaging aspects found in 16 cases of PPA. Our patients underwent language and neuropsychological evaluation, magnetic resonance imaging (MRI) and single photon emission computerized tomography (SPECT). We observed a clear distinction in oral expression patterns; patients were classified as fluent and nonfluent. Anomia was the earliest and most evident symptom in both groups. Neuroimaging pointed to SPECT as a valuable instrument in guiding the differential diagnosis, as well as in making useful clinical and anatomical correlations. This report and a comparison to literature are an attempt to contribute to a better understanding of PPA.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.59 n.3A 20012001-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000400006en10.1590/S0004-282X2001000400006
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language English
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author Radanovic,Márcia
Senaha,Mirna Lie Hosogi
Mansur,Letícia Lessa
Nitrini,Ricardo
Bahia,Valéria Santoro
Carthery,Maria Teresa
Aires,Flávia Nóbrega Freire
Mathias,Sandra Christina
Caramelli,Paulo
spellingShingle Radanovic,Márcia
Senaha,Mirna Lie Hosogi
Mansur,Letícia Lessa
Nitrini,Ricardo
Bahia,Valéria Santoro
Carthery,Maria Teresa
Aires,Flávia Nóbrega Freire
Mathias,Sandra Christina
Caramelli,Paulo
Primary progressive aphasia: analisys of 16 cases
author_facet Radanovic,Márcia
Senaha,Mirna Lie Hosogi
Mansur,Letícia Lessa
Nitrini,Ricardo
Bahia,Valéria Santoro
Carthery,Maria Teresa
Aires,Flávia Nóbrega Freire
Mathias,Sandra Christina
Caramelli,Paulo
author_sort Radanovic,Márcia
title Primary progressive aphasia: analisys of 16 cases
title_short Primary progressive aphasia: analisys of 16 cases
title_full Primary progressive aphasia: analisys of 16 cases
title_fullStr Primary progressive aphasia: analisys of 16 cases
title_full_unstemmed Primary progressive aphasia: analisys of 16 cases
title_sort primary progressive aphasia: analisys of 16 cases
description Primary progressive aphasia (PPA) is an intriguing syndrome, showing some peculiar aspects that differentiate it from classical aphasic pictures caused by focal cerebral lesions or dementia. The slow and progressive deterioration of language occurring in these cases provides an interesting model to better understand the mechanisms involved in the linguistic process. We describe clinical and neuroimaging aspects found in 16 cases of PPA. Our patients underwent language and neuropsychological evaluation, magnetic resonance imaging (MRI) and single photon emission computerized tomography (SPECT). We observed a clear distinction in oral expression patterns; patients were classified as fluent and nonfluent. Anomia was the earliest and most evident symptom in both groups. Neuroimaging pointed to SPECT as a valuable instrument in guiding the differential diagnosis, as well as in making useful clinical and anatomical correlations. This report and a comparison to literature are an attempt to contribute to a better understanding of PPA.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 2001
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000400006
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