Neuro Review Table - Dementias (1) Flashcards
LBD
Synucleinopathy (Lewy bodies throughout cortex)
AD
Tauopathy (neuritic plaques + neurofibrillary tangles)
PD
Synucleinopathy (Lewy bodies in neurons)
MSA
Synucleinopathy (Lewy bodies in glial cells)
CBD
Tauopathy (ballooned hypochromatic cortical neurons)
PSP
Tauopathy (globose neurofibrillary tangles in brainstem nuclei)
FTLD (behavioral)
tauopathy; aka Pick disease; personality change
FTLD (primary progressive aphasia)
expressive aphasia –> global aphasia
FTLD (temporal/semantic aphasia)
receptive aphasia –>
Huntington
CAG repeat in huntingtin gene (Chr 4)
LBD hypometabolism?
occipital
AD hypometabolism?
posterior temporo-parietal
PD hypometabolism?
BG
CBD hypometabolism?
asymmetric frontoparietal
FTLD (PPA) hypometabolism?
L frontal + temporal
FTLD (temp) hypometabolism?
R ant temporal
Huntington hypometabolism
head of caudate
PSP hypometabolism?
global metabolic reduction
NeuroPrep:medial frontal + insula + head caudate
APP gene
AD1 mutation (chromosome 21), beta-amyloid protein, 2% familial AD
Presenilin 1
PS1 mutation (chr. 14), gamma secretase catalytic subunits, 75% familial AD
Presenilin 2
PS2 mutation (chr. 1)
Tau gene haplotype H1
AD; Chromosome 17, assoc w PSP, CBD and FTDP-17 variant (FTLD w parkinsonian features)
Tau gene haplotype H2
AD; Chromosome 17, assoc w semantic/temporal variant of FTLD
Primary pathology in FTLD?
tau-positive intracytoplasmic inclusions (Pick bodies)