State-of-the-art of lumbar puncture and its place in the journey of patients with Alzheimer's disease.

Alzheimer Disease / cerebrospinal fluid Biomarkers / cerebrospinal fluid Humans Patient Safety Positron-Emission Tomography Risk Factors Spinal Puncture / economics
Alzheimer's disease biomarker cerebrospinal fluid diagnosis evidence-based guidelines lumbar puncture system readiness

Journal

Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978

Informations de publication

Date de publication:
01 2022
Historique:
revised: 24 02 2021
received: 29 12 2020
accepted: 12 04 2021
pubmed: 28 5 2021
medline: 11 3 2022
entrez: 27 5 2021
Statut: ppublish

Résumé

Recent advances in developing disease-modifying therapies (DMT) for Alzheimer's disease (AD), and the recognition that AD pathophysiology emerges decades before clinical symptoms, necessitate a paradigm shift of health-care systems toward biomarker-guided early detection, diagnosis, and therapeutic decision-making. Appropriate incorporation of cerebrospinal fluid biomarker analysis in clinical practice is an essential step toward system readiness for accommodating the demand of AD diagnosis and proper use of DMTs-once they become available. However, the use of lumbar puncture (LP) in individuals with suspected neurodegenerative diseases such as AD is inconsistent, and the perception of its utility and safety differs considerably among medical specialties as well as among regions and countries. This review describes the state-of-the-art evidence concerning the safety profile of LP in older adults, discusses the risk factors for LP-associated adverse events, and provides recommendations and an outlook for optimized use and global implementation of LP in individuals with suspected AD.

Identifiants

DOI: 10.1002/alz.12372 PMID: 34043269 PMC: PMC8626532
pubmed: 34043269
doi: 10.1002/alz.12372
pmc: PMC8626532
mid: NIHMS1719047
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

159-177

Subventions

Organisme : NIA NIH HHS
ID : P30 AG010124
Pays : United States
Organisme : NIA NIH HHS
ID : P20 AG068053
Pays : United States
Organisme : NIA NIH HHS
ID : U01 AG024904
Pays : United States
Organisme : NINDS NIH HHS
ID : U01 NS093334
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG072980
Pays : United States
Organisme : NIA NIH HHS
ID : U19 AG024904
Pays : United States
Organisme : NIGMS NIH HHS
ID : P20 GM109025
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG053798
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG072979
Pays : United States

Informations de copyright

© 2021 Eisai, Inc. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.

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Auteurs

Harald Hampel (H)

Eisai Inc., Neurology Business Group, Woodcliff Lake, New Jersey, USA.

Leslie M Shaw (LM)

Perelman School of Medicine, Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Paul Aisen (P)

USC Alzheimer's Therapeutic Research Institute, San Diego, California, USA.

Christopher Chen (C)

Memory Aging and Cognition Centre, Departments of Pharmacology and Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Alberto Lleó (A)

Sant Pau Memory Unit, Hospital de la Santa Creu i Sant Pau-Biomedical Research Institute Sant Pau-Universitat Autònoma de Barcelona, Barcelona, Spain.
Centro de Investigación Biomédica en Red de Enfermedades Neurodegenerativas (CIBERNED), Instituto de Salud Carlos III, Madrid, Spain.

Takeshi Iwatsubo (T)

Department of Neuropathology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Atsushi Iwata (A)

Tokyo Metropolitan Geriatric Hospital, 35-2 Sakaecho, Itabashi-ku, Tokyo, Japan.

Masahito Yamada (M)

Department of Neurology and Neurobiology of Aging, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.

Takeshi Ikeuchi (T)

Department of Molecular Genetics, Brain Research Institute, Niigata University, Asahimachi, Niigata, Japan.

Jianping Jia (J)

Innovation Center for Neurological Disorders, Department of Neurology, Xuan Wu Hospital, Capital Medical University, Beijing, China.

Huali Wang (H)

Dementia Care and Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing Dementia Key Lab, National Clinical Research Center for Mental Disorders, Beijing, China.

Charlotte E Teunissen (CE)

Neurochemistry Laboratory, Department of Clinical Chemistry, Amsterdam Neuroscience, Vrije Universiteit Amsterdam, Amsterdam UMC, Amsterdam, the Netherlands.

Elaine Peskind (E)

VA Northwest Mental Illness Research, Education and Clinical Center, VA Puget Sound Health Care System, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA.

Kaj Blennow (K)

Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
Clinical Neurochemistry Laboratory, Sahlgrenska University Hospital, Gothenburg, Sweden.

Jeffrey Cummings (J)

Chambers-Grundy Center for Transformative Neuroscience, Department of Brain Health, School of Integrated Health Sciences, University of Nevada Las Vegas (UNLV), Las Vegas, Nevada, USA.

Andrea Vergallo (A)

Eisai Inc., Neurology Business Group, Woodcliff Lake, New Jersey, USA.

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Classifications MeSH

questionsmedicales.fr › Troubles mentaux › Troubles neurocognitifs › Démence › Maladie d'Alzheimer › State-of-the-art of lumbar puncture and its...
questionsmedicales.fr › Facteurs biologiques › Marqueurs biologiques › State-of-the-art of lumbar puncture and its...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › State-of-the-art of lumbar puncture and its...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Accidents › Prévention des accidents › Sécurité › Sécurité des patients › State-of-the-art of lumbar puncture and its...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic radioisotopique › Scintigraphie › Tomoscintigraphie › Tomographie par émission de positons › State-of-the-art of lumbar puncture and its...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › State-of-the-art of lumbar puncture and its...
questionsmedicales.fr › Techniques d'investigation › Techniques de laboratoire clinique › Manipulation d'échantillons › Ponction lombaire › State-of-the-art of lumbar puncture and its...