The new classification of primary progressive aphasia into semantic, logopenic, or nonfluent/agrammatic variants
- PMID: 20809401
- PMCID: PMC2963791
- DOI: 10.1007/s11910-010-0140-4
The new classification of primary progressive aphasia into semantic, logopenic, or nonfluent/agrammatic variants
Abstract
Primary progressive aphasia (PPA), typically resulting from a neurodegenerative disease such as frontotemporal lobar degeneration or Alzheimer's disease, is characterized by a progressive loss of specific language functions with relative sparing of other cognitive domains. Three variants of PPA are now recognized: semantic variant, logopenic variant, and nonfluent/agrammatic variant. We discuss recent work characterizing the neurolinguistic, neuropsychological, imaging and pathologic profiles associated with these variants. Improved reliability of diagnoses will be increasingly important as trials for etiology-specific treatments become available. We also discuss the implications of these syndromes for theories of language function.
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References
-
- Mesulam MM. Primary progressive aphasia. Ann Neurol. 2001;49:425–432. - PubMed
-
- Mesulam MM. Primary progressive aphasia–a language-based dementia. N Engl J Med. 2003;349:1535–1542. - PubMed
-
-
Grossman M. Primary progressive aphasia: clinicopathological correlations. Nat Rev Neurol. 2010;6:88–97. This paper summarizes the autopsy-confirmed pathology results from 145 PPA patients across seven institutions. The current findings for neuropsychological, neuroimaging, genetic, and cerebrospinal fluid biomarkers of the PPA variants are reviewed.
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