Clinicopathological associations of hemispheric dominance in primary progressive apraxia of speech.


Journal

European journal of neurology
ISSN: 1468-1331
Titre abrégé: Eur J Neurol
Pays: England
ID NLM: 9506311

Informations de publication

Date de publication:
05 2023
Historique:
revised: 24 02 2023
received: 16 01 2023
accepted: 27 02 2023
medline: 6 4 2023
pubmed: 5 3 2023
entrez: 4 3 2023
Statut: ppublish

Résumé

Primary progressive apraxia of speech (PPAOS) is associated with imaging abnormalities in the lateral premotor cortex (LPC) and supplementary motor area (SMA). It is not known whether greater involvement of these regions in either hemisphere is associated with demographics, presenting, and/or longitudinal features. In 51 prospectively recruited PPAOS patients who completed [ In all, 49% of the PPAOS patients were classified as left-dominant, 31% as right-dominant, and 20% as symmetric, which was supported by results from the SPM and regional analyses. There were no differences in baseline characteristics. Longitudinally, right-dominant PPAOS showed faster rates of progression of ideomotor apraxia (AUROC 0.79), behavioral disturbances (AUROC 0.84), including disinhibition symptoms (AUROC 0.82) and negative behaviors (AUROC 0.82), and parkinsonism (AUROC 0.75) compared to left-dominant PPAOS. Symmetric PPAOS showed faster rates of dysarthria progression compared to left-dominant (AUROC 0.89) and right-dominant PPAOS (AUROC 0.79). Five patients showed abnormal DAT uptake. Braak neurofibrillary tangle stage differed across groups (p = 0.01). Patients with PPAOS and a right-dominant pattern of hypometabolism on FDG-PET have the fastest rates of decline of behavioral and motor features.

Identifiants

pubmed: 36869612
doi: 10.1111/ene.15764
pmc: PMC10410644
mid: NIHMS1919550
doi:

Substances chimiques

Fluorodeoxyglucose F18 0Z5B2CJX4D

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1209-1219

Subventions

Organisme : NIDCD NIH HHS
ID : R01 DC012519
Pays : United States
Organisme : NIDCD NIH HHS
ID : R01 DC014942
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS089757
Pays : United States
Organisme : NIA NIH HHS
ID : U19 AG074879
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2023 European Academy of Neurology.

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Auteurs

Carling G Robinson (CG)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Joseph R Duffy (JR)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Heather A Clark (HA)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Rene L Utianski (RL)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Mary M Machulda (MM)

Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.

Hugo Botha (H)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Neha Atulkumar Singh (NA)

Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Nha Trang Thu Pham (NTT)

Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Nilufer Ertekin-Taner (N)

Department of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.

Dennis W Dickson (DW)

Department of Neuroscience, Mayo Clinic, Jacksonville, Florida, USA.

Val J Lowe (VJ)

Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Jennifer L Whitwell (JL)

Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.

Keith A Josephs (KA)

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

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