Alzheimer's Disease Diagnosis Relies on a Twofold Clinical-Biological Algorithm: Three Memory Clinic Case Reports.

The International Working Group recently provided revised criteria of Alzheimer's disease (AD) proposing that the diagnosis of typical amnesic AD should be established by a clinical-biological signature, defined by the phenotype of an "amnesic syndrome of the hippocampal type" (ASHT) combined with p...

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Publicado en:Journal of Alzheimer's Disease Vol. 60; no. 2; pp. 577 - 584
Autores principales: Levy Nogueira, Marcel, Samri, Dalila, Epelbaum, Stéphane, Lista, Simone, Suppa, Per, Spies, Lothar, Hampel, Harald, Dubois, Bruno, Teichmann, Marc
Formato: case study Journal Article
Publicado: Sage Publications Inc. 2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: Alzheimer's Disease Diagnosis Relies on a Twofold Clinical-Biological Algorithm: Three Memory Clinic Case Reports.
      aug:
        au:
          Levy Nogueira, Marcel
          Samri, Dalila
          Epelbaum, Stéphane
          Lista, Simone
          Suppa, Per
          Spies, Lothar
          Hampel, Harald
          Dubois, Bruno
          Teichmann, Marc
        affil: Department of Neurology, Institute of Memory and Alzheimer's Disease, Pitié-Salpêtrière University Hospital, Paris, France
      sug:
        subj:
          Alzheimer's Disease
          Algorithms
          Peptides
          Tomography, Emission-Computed
          Male
          Aged
          Tomography, Emission-Computed, Single-Photon
          Fludeoxyglucose F 18 Metabolism
          Disease Progression
          Alzheimer's Disease Cerebrospinal Fluid
          Alkaloids Metabolism
          Nerve Tissue Proteins
          Female
          Aged: 65+ years
          Male
          Female
      ab: The International Working Group recently provided revised criteria of Alzheimer's disease (AD) proposing that the diagnosis of typical amnesic AD should be established by a clinical-biological signature, defined by the phenotype of an "amnesic syndrome of the hippocampal type" (ASHT) combined with positive in vivo evidence of AD pathophysiology in the cerebrospinal fluid (CSF) or on amyloid PET imaging. The application and clinical value of this refined diagnostic algorithm, initially intended for research purposes, is explored in three memory clinic cases presenting with different cognitive profiles including an ASHT, hippocampal atrophy, and CSF AD-biomarker data. The case reports highlight that the isolated occurrence of one of the two proposed AD criteria, ASHT or positive pathophysiological markers, does not provide a reliable diagnosis of typical AD. It is proposed that the twofold diagnostic IWG algorithm can be applied and operationalized in memory clinic settings to improve the diagnostic accuracy of typical amnesic AD in clinical practice.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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