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  • 1
    Online Resource
    Online Resource
    S. Karger AG ; 2007
    In:  Dementia and Geriatric Cognitive Disorders Vol. 23, No. 6 ( 2007), p. 416-422
    In: Dementia and Geriatric Cognitive Disorders, S. Karger AG, Vol. 23, No. 6 ( 2007), p. 416-422
    Abstract: 〈 i 〉 Background: 〈 /i 〉 Studies suggest that brain reserve allows patients with more years of schooling to cope better with brain damage. Research has been mainly focussed on Alzheimer’s disease and no studies exist on patients with dementia with Lewy bodies (DLB). The aim of this study was to provide evidence for brain reserve in DLB. 〈 i 〉 Methods: 〈 /i 〉 Twenty-one consecutive patients with DLB and 16 age-matched healthy controls were included. The participants underwent cerebral 〈 sup 〉 18 〈 /sup 〉 F-FDG PET imaging at rest. A group comparison was conducted in SPM2 between the patient and control groups. A linear regression analysis with glucose metabolism as the dependent and years of schooling as the independent variable was performed. Age, gender and a total score of the Consortium to Establish a Registry for Alzheimer’s Disease neuropsychological battery were included as covariates into the analysis. 〈 i 〉 Results: 〈 /i 〉 The patients showed a significant metabolic reduction in the frontal and posterior association cortices, the basal ganglia and the pulvinar of the thalami. Glucose metabolism and education showed an inverse relationship in an extensive cluster in the left temporo-parieto-occipital cortex. 〈 i 〉 Conclusion: 〈 /i 〉 Similar findings were previously reported in Alzheimer’s disease and are regarded as evidence for brain reserve. Therefore, we suggest that brain reserve is also present in DLB.
    Type of Medium: Online Resource
    ISSN: 1420-8008 , 1421-9824
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2007
    detail.hit.zdb_id: 1482186-2
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  • 2
    In: Neurodegenerative Diseases, S. Karger AG, Vol. 19, No. 1 ( 2019), p. 43-50
    Abstract: 〈 b 〉 〈 i 〉 Background: 〈 /i 〉 〈 /b 〉 Neprilysin (NEP) cleaves amyloid-β 1–42 (Aβ 〈 sub 〉 42 〈 /sub 〉 ) in the brain. Hence, we aimed to elucidate the effect of NEP on Aβ 〈 sub 〉 42 〈 /sub 〉 in cerebrospinal fluid (CSF) and on in vivo brain amyloid load using amyloid positron emission tomography (PET) with [ 〈 sup 〉 11 〈 /sup 〉 C]PiB (Pittsburgh compound B). In addition, associations with the biomarkers for neuron al injury, CSF-tau and FDG-PET, were investigated. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 Associations were calculated using global and voxel-based (SPM8) linear regression analyses in the same cohort of 23 highly characterized Alzheimer’s disease patients. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 CSF-NEP was significantly inversely associated with CSF-Aβ 〈 sub 〉 42 〈 /sub 〉 and positively with the extent of neuronal injury as measured by CSF-tau and FDG-PET. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 Our results on CSF-NEP are compatible with the assumption that local degradation, amongst other mechanisms of amyloid clearance, plays a role in the development of Alzheimer’s pathology. In addition, CSF-NEP is associated with the extent and the rate of neurodegeneration.
    Type of Medium: Online Resource
    ISSN: 1660-2854 , 1660-2862
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2019
    detail.hit.zdb_id: 2126858-7
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  • 3
    Online Resource
    Online Resource
    S. Karger AG ; 2011
    In:  Neuroepidemiology Vol. 37, No. 3-4 ( 2011), p. 160-165
    In: Neuroepidemiology, S. Karger AG, Vol. 37, No. 3-4 ( 2011), p. 160-165
    Abstract: 〈 i 〉 Background: 〈 /i 〉 The present study aimed at analysing survival of patients with behavioural-variant frontotemporal dementia (bvFTD), semantic dementia (SD) and progressive non-fluent aphasia (PNFA). Furthermore, the objective of the study was to identify prognostic factors associated with survival and to examine causes of death. 〈 i 〉 Methods: 〈 /i 〉 Interviews were performed with the proxies of 124 patients with frontotemporal lobar degeneration (FTLD). 〈 i 〉 Results: 〈 /i 〉 Survival from the onset of first symptoms was significantly longer in SD than in bvFTD (10.5 years). Median survival in PNFA was 12.6 years. Age at onset, gender, education and severity of dementia at diagnosis did not significantly influence survival. We did not identify any phenocopy cases. The most frequent cause of death as reported by caregivers was respiratory system disorder. 〈 i 〉 Conclusion: 〈 /i 〉 This study adds to the growing literature on survival in patients with FTLD and provides insights into the causes of death.
    Type of Medium: Online Resource
    ISSN: 0251-5350 , 1423-0208
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2011
    detail.hit.zdb_id: 1483032-2
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