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Annals of Neurology
Volume 11, Issue 6 p. 592-598
Article


SLOWLY PROGRESSIVE APHASIA WITHOUT GENERALIZED DEMENTIA

Dr. M.-Marsel Mesulam MD,

Corresponding Author

Dr. M.-Marsel Mesulam MD

Bullard and Denny-Brown Laboratories and the Behavioral Neurology Section,
Harvard Neurology Department, and the Charles A. Dana Research Institute at the
Beth Israel Hospital, Boston, MA

Director, Behavioral Neurology, Beth Israel Hospital, 330 Brookline Ave, Boston,
MA 02215Search for more papers by this author
Dr. M.-Marsel Mesulam MD,

Corresponding Author

Dr. M.-Marsel Mesulam MD

Bullard and Denny-Brown Laboratories and the Behavioral Neurology Section,
Harvard Neurology Department, and the Charles A. Dana Research Institute at the
Beth Israel Hospital, Boston, MA

Director, Behavioral Neurology, Beth Israel Hospital, 330 Brookline Ave, Boston,
MA 02215Search for more papers by this author
First published: June 1982
https://doi.org/10.1002/ana.410110607
Citations: 746
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ABSTRACT

Six right-handed patients experienced a slowly progressing aphasic disorder
without the additional intellectual and behavioral disturbances of dementia. The
symptoms almost universally started in the presenium. The initial difficulty was
an anomic aphasia in five of the patients and pure word deafness in the sixth.
Continuous and gradual deterioration occurred in the five patients who presented
with an anomic aphasia. They eventually experienced additional impairment of
reading, writing, and comprehension. In four patients, other areas of
comportment were not involved within the 5 to 11 years of follow-up. A more
generalized state of dementia may have emerged in the other two patients, but
only after 7 years of progressive and debilitating aphasia. Neurodiagnostic
procedures were consistent with preferential involvement of the left perisylvian
region. In one patient, cortical biopsy did not show any pathognomonic change;
specifically, no neurofibrillary tangles, amyloid plaques, neuronal inclusions,
or gliosis were seen. This condition may constitute a syndrome of relatively
focal cerebral degeneration with a predilection for the left perisylvian region.


CITING LITERATURE



Volume11, Issue6

June 1982

Pages 592-598





 * RELATED


 * INFORMATION


RECOMMENDED

 * A case of slowly progressive aphasia without generalized dementia in a
   Japanese patient
   
   H. Yamamoto, H. Tanabe, A. Kashiwagi, Y. Ikejiri, H. Fukuyama, J. Okuda, J.
   Shiraishi, T. Nishimura,
   Acta Neurologica Scandinavica

 * Progressive aphasia without dementia: Two cases with focal spongiform
   degeneration
   
   Howard S. Kirshner, Oguz Tanridag, Lawrence Thurman, William O. Whetsell,
   Annals of Neurology

 * Primary progressive aphasia
   
   Andrew Kertesz, Michał Harciarek,
   Scandinavian Journal of Psychology

 * Primary progressive aphasia
   
   M.-Marsel Mesulam MD,
   Annals of Neurology

 * Cognition and anatomy in three variants of primary progressive aphasia
   
   Maria Luisa Gorno-Tempini MD, PhD, Nina F. Dronkers PhD, Katherine P. Rankin
   PhD, Jennifer M. Ogar MS, La Phengrasamy BA, Howard J. Rosen MD, Julene K.
   Johnson PhD, Michael W. Weiner MD, Bruce L. Miller MD,
   Annals of Neurology




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