Medical College of Wisconsin
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Late-onset sporadic progressive subcortical gliosis. J Neurol Sci 1998 May 07;157(2):143-7

Date

06/10/1998

Pubmed ID

9619636

DOI

10.1016/s0022-510x(98)00063-x

Scopus ID

2-s2.0-0032493135 (requires institutional sign-in at Scopus site)   6 Citations

Abstract

We report two sporadic cases of progressive subcortical gliosis (PSG) with onset after age 60. The presentation included slowly progressive dementia with memory loss, geographic disorientation, and personality change. Both were diagnosed clinically as Alzheimer's disease (AD) and both met NINCDS-ADRDA criteria for probable AD. Autopsy revealed generalized atrophy, predominantly involving the white matter of the frontal and temporal lobes. Microscopically, prominent fibrillary astrocytosis was present in the subcortical white matter and in the subpial and deep layers of the overlying cerebral cortex. Mild cortical neuron loss accompanied the gliosis, but no myelin loss was evident. Amyloid deposits and neuronal cytoskeletal inclusions were absent.

Author List

Lanska DJ, Markesbery WR, Cochran E, Bennett D, Lanska MJ, Cohen M

Author

Elizabeth J. Cochran MD Adjunct Professor in the Pathology and Laboratory Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Aged, 80 and over
Alzheimer Disease
Cerebral Cortex
Diagnosis, Differential
Frontal Lobe
Gliosis
Humans
Male
Substantia Nigra
Temporal Lobe