Is in vivo amyloid distribution asymmetric in primary progressive aphasia?

Martersteck, Adam; Murphy, Christopher; Rademaker, Alfred; Wieneke, Christina; Weintraub, Sandra; Chen, Kewei; Mesulam, M-Marsel; Rogalski, Emily et al. · Ann Neurol · 2016

case_control · Level III

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Abstract

We aimed to determine whether (18) F-florbetapir amyloid positron emission tomography imaging shows a clinically concordant, left-hemisphere-dominant pattern of deposition in primary progressive aphasia (PPA). Elevated cortical amyloid (Aβ(+) ) was found in 19 of 32 PPA patients. Hemispheric laterality of amyloid burden was compared between Aβ(+) PPA and an Aβ(+) amnestic dementia groups (n = 22). The parietal region showed significantly greater left lateralized amyloid uptake in the PPA group than the amnestic group (p < 0.007), consistent with the left lateralized pattern of neurodegeneration in PPA. These results suggest that the cortical distribution of amyloid may have a greater clinical concordance than previously reported.

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