scholarly journals Nonconvulsive status epilepticus associated with Alzheimer’s disease mimicking symptomatic focal epilepsy following the resection of a frontal parasagittal meningioma

2020 ◽  
Vol 11 ◽  
pp. 469
Author(s):  
Keisuke Abe ◽  
Nobutaka Mukae ◽  
Takato Morioka ◽  
Yuhei Sangatsuda ◽  
Ayumi Sakata ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Status Epilepticus ◽  
Focal Epilepsy ◽  
Nonconvulsive Status Epilepticus ◽  
Histopathological Diagnosis ◽  
Epileptogenic Lesion ◽  
Consciousness Disorder ◽  
Impaired Awareness ◽  
The Right

Background: Epilepsies are frequent in patients with Alzheimer’s disease (AD); however, epilepsies in AD can easily go unrecognized because they usually present as focal impaired awareness seizures or nonconvulsive status epilepticus (NCSE) and can overlap with other symptoms of AD. Case Description: We performed an epilepsy surgery in a 69-year-old woman with progressive cognitive impairment and consciousness disorder, who was diagnosed with focal NCSE related to the resected meningioma in the right frontal parasagittal region. Intraoperative electrocorticography revealed localized periodic paroxysmal discharges with beta and gamma activities in the neighboring cortex where the meningioma existed. The histopathological diagnosis of AD was first made from the resected epileptogenic cortex. Conclusion: Even when there is a suspected epileptogenic lesion that could cause focal NCSE, AD should be ruled out in elderly patients with progressive cognitive decline.

scholarly journals Status epilepticus during correction of hyponatremia in a patient with Alzheimer’s disease: A case report

2020 ◽  
Vol 8 ◽  
pp. 2050313X2091541
Author(s):  
Ken Ichioka ◽  
Nobuhiro Akuzawa ◽  
Akio Takahashi
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Case Report ◽  
Status Epilepticus ◽  
Synaptic Cleft ◽  
Sharp Waves ◽  
Old Japanese ◽  
Impaired Awareness ◽  
Clonic Seizures ◽  
The Right

An 83-year-old Japanese man with Alzheimer’s disease was admitted to our hospital for treatment of hyponatremia resulting from water intoxication. During hospitalization, the patient developed focal impaired awareness seizures, focal to bilateral tonic-clonic seizures, and subsequent status epilepticus. Electroencephalogram during focal impaired awareness seizures showed rhythmic 5–9 Hz theta activity in the right frontotemporal region. Electroencephalogram during focal to bilateral tonic-clonic seizures showed bilateral polyspikes. Electroencephalogram during an interseizure period revealed sharp waves in the right frontal region. Continuous intravenous administration of midazolam was the only effective treatment for status epilepticus. The patient died of aspiration pneumonia on day 58. Hyponatremia-associated status epilepticus is rare; in the present case, multifocal epileptogenicity resulting from Alzheimer’s disease and hyponatremia-associated elevation of glutamate levels in the synaptic cleft may have contributed to the onset of focal to bilateral tonic-clonic seizures with subsequent status epilepticus.

scholarly journals Progressive Volume Atrophy in Hippocampal Subfields and the Correlation with Cognition in Alzheimer’s Disease and Mild Cognitive Impairment

2021 ◽  
Author(s):  
Guixia Kang ◽  
Peiqi Luo ◽  
Xin Xu ◽  
Ying Han ◽  
Xuemei Li ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Reference Value ◽  
Structural Mri ◽  
Volume Changes ◽  
Brain Scans ◽  
Left Hippocampus ◽  
The Right

Abstract Objective: To assess the progression of volume changes in hippocampus and its subfields of patients with Alzheimer's disease (AD) and mild cognitive impairment (MCI), and to explore the association of the hippocampus and its subfields volumes with cognitive function.Methods: Five groups of participants including 35 normal controls (NC) persons, 30 MCI patients, 30 Mild AD patients, 30 Moderate AD patients and 8 Severe AD patients received structural MRI brain scans. Freesurfer6.0 was used for automatically segmentation of MRI, and the left and right hippocampus were respectively divided into 12 subfields. By statistical analysis, the volumes of hippocampus and its subfields were compared between the five groups, and the correlation of the volumes with Mini-mental State Examination (MMSE) score was analyzed.Result & Conclusion: In the disease, each hippocampal subfield shows an uneven atrophy trajectory; The volumes of the subiculum and presubiculum are significantly different between Mild AD and MCI, which can contribute to the early diagnosis of AD; Parasubiculum is the least sensitive subfield for volume atrophy of AD, while subiculum, presubiculum, CA1, molecular_layer_HP and fimbria show much more significant volume changes. Meanwhile the volumes of these five subfields are positively correlated with MMSE, which may help in stage division of AD; Compared with the right hippocampus, the volume atrophy on the left side is more significantly, and the volumes are more significantly correlated with MMSE, So the left hippocampus and its subfields may provide a higher reference value for the clinical evaluation of AD than the right side.

scholarly journals Novel Trends in Electrochemical Biosensors for Early Diagnosis of Alzheimer’s Disease

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Pavla Valkova ◽  
Miroslav Pohanka
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Early Diagnosis ◽  
Neurodegenerative Disorder ◽  
Electrochemical Biosensors ◽  
Standard Laboratory ◽  
Blood Samples ◽  
Number Of Patients ◽  
Asymptomatic Phase ◽  
The Right

Background. Alzheimer’s disease (AD) is a multifactorial progressive and irreversible neurodegenerative disorder affecting mainly the population over 65 years of age. It is becoming a global health and socioeconomic problem, and the current number of patients reaching 30–50 million people will be three times higher over the next thirty years. Objective. Late diagnosis caused by decades of the asymptomatic phase and invasive and cost-demanding diagnosis are problems that make the whole situation worse. Electrochemical biosensors could be the right tool for less invasive and inexpensive early diagnosis helping to reduce spend sources— both money and time. Method. This review is a survey of the latest advances in the design of electrochemical biosensors for the early diagnosis of Alzheimer’s disease. Biosensors are divided according to target biomarkers. Conclusion. Standard laboratory methodology could be improved by analyzing a combination of currently estimated markers along with neurotransmitters and genetic markers from blood samples, which make the test for AD diagnosis available to the wide public.

A Critical Proton MR Spectroscopy Marker of Alzheimer’s Disease Early Neurodegenerative Change: Low Hippocampal NAA/Cr Ratio Impacts APOE ε4 Mexico City Children and Their Parents

2021 ◽  
Author(s):  
Lilian Calderón-Garcidueñas ◽  
Antonieta Mora-Tiscareño ◽  
Gastón Melo-Sánchez ◽  
Joel Rodríguez-Díaz ◽  
Ricardo Torres-Jardón ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Air Pollution ◽  
Mexico City ◽  
Density Functional ◽  
Fine Particulate Matter ◽  
Healthy Children ◽  
1H Mrs ◽  
Apoe Ε4 ◽  
The Right

Severe air pollution exposures produce systemic, respiratory, myocardial, and brain inflammation and Alzheimer’s disease (AD) hallmarks in clinically healthy children. We tested whether hippocampal metabolite ratios are associated with contrasting levels of air pollution, APOE, and body mass index (BMI) in paired healthy children and one parent sharing the same APOE alleles. We used 1H-MRS to interrogate bilateral hippocampal single-voxel in 57 children (12.45 ± 3.4 years) and their 48 parents (37.5 ± 6.78 years) from a low pollution city versus Mexico City (MC). NAA/Cr, Cho/Cr, and mI/Cr metabolite ratios were analyzed. The right hippocampus NAA/Cr ratio was significantly different between cohorts (p = 0.007). The NAA/Cr ratio in right hippocampus in controls versus APOE ε4 MC children and in left hippocampus in MC APOE ε4 parents versus their children was significantly different after adjusting for age, gender, and BMI (p = 0.027 and 0.01, respectively). The NAA/Cr ratio is considered reflective of neuronal density/functional integrity/loss of synapses/higher pTau burden, thus a significant decrease in hippocampal NAA/Cr ratios may constitute a spectral marker of early neurodegeneration in young urbanites. Decreases in NAA/Cr correlate well with cognitive function, behavioral symptoms, and dementia severity; thus, since the progression of AD starts decades before clinical diagnosis, our findings support the hypothesis that under chronic exposures to fine particulate matter and ozone above the standards, neurodegenerative processes start in childhood and APOE ε4 carriers are at higher risk. Gene and environmental factors are critical in the development of AD and the identification and neuroprotection of young urbanites at high risk must become a public health priority.

Does the Right Focal Variant of Alzheimer’s Disease Really Exist? A Literature Analysis

2019 ◽  
Vol 71 (2) ◽  
pp. 405-420 ◽  
Author(s):  
Carlo Abbate ◽  
Pietro D. Trimarchi ◽  
Silvia Inglese ◽  
Sarah Damanti ◽  
Giulia A.M. Dolci ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Literature Analysis ◽  
The Right

Assessing cognition and function in Alzheimer's disease clinical trials: Do we have the right tools?

2014 ◽  
Vol 10 (6) ◽  
pp. 853-860 ◽  
Author(s):  
Peter J. Snyder ◽  
Kristin Kahle-Wrobleski ◽  
Stephen Brannan ◽  
David S. Miller ◽  
Rachel J. Schindler ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Clinical Trials ◽  
The Right ◽  
And Function

Doing the Right Thing: A Geriatrician's Perspective on Medical Care for the Person with Advanced Dementia

2012 ◽  
Vol 40 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Muriel R. Gillick
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Older People ◽  
Medical Care ◽  
Oldest Old ◽  
Advanced Dementia ◽  
People With Dementia ◽  
Reasonable Approach ◽  
The Right ◽  
Number Of Individuals

America is aging. But even more striking than the rise in the proportion of the population over age 65 is the unprecedented number of individuals who are living into their eighties and nineties. While many people remain robust well into advanced age, the dramatic increase in the number of the oldest old has brought with it an epidemic of Alzheimer’s disease and other dementias. Dementia is a highly prevalent condition — currently 5.4 million Americans have Alzheimer’s disease, a number which may rise to 16 million by 2050 if there is no breakthrough in the prevention or treatment of the disease — but it disproportionately affects those over age 85, striking between one-third and one-half of this cohort. Developing a reasonable approach to the medical care of older people with dementia will be essential in the coming decades.

Schizophrenia-Like Psychosis and Dysfunction of the Right-Dominant Temporoparietal Lobe in Early-Onset Alzheimer’s Disease

2010 ◽  
Vol 22 (4) ◽  
pp. 451.e8-451.e9 ◽  
Author(s):  
Teruyuki Matsuoka ◽  
Yurinosuke Kitabayashi ◽  
Keisuke Shibata ◽  
Aiko Okamura ◽  
Jin Narumoto ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Early Onset ◽  
Early Onset Alzheimer’S Disease ◽  
The Right
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