Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-07T22:20:18.709Z Has data issue: false hasContentIssue false
  • English
  • Français

Slowly progressive aphasia as the presenting symptom of dementing disorders

Published online by Cambridge University Press:  18 September 2015

V. Wils  and
J. Godderis
V. Wils*
Affiliation:
Neuropsychiater resp. psychiater-kliniekhoofd, afdeling psychiatrie, Universitair Ziekenhuis Leuven
J. Godderis
Affiliation:
Neuropsychiater resp. psychiater-kliniekhoofd, afdeling psychiatrie, Universitair Ziekenhuis Leuven
*
Vincent van Gogh Instituut voor Psychiatrie, Locatie Noordsingel, Postbus 5, 5800 A A Venray
Get access Rights & Permissions [Opens in a new window]

Summary

Slowly progressive aphasia is an uncommon presenting symptom of a degenerative neurological disorder which in most cases eventually leads to a global dementia. The early recognition of this syndrome is sometimes hampered by the presence of accompanying or pre-existing psychiatric symptomatology. This is illustrated by two case reports. After a brief reflection on the nosological status of the disorder, the clinical picture and diagnosis are discussed.

Keywords

Slowly progressive aphasiadementialangzaam progressieve afasiedementie
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 5 , Issue 3 , September 1993 , pp. 65 - 69
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Literatuur

1.Mesulam, MM. Slowly progressive aphasia without generalized dementia. Ann Neurol 1982; 11; 592–8.CrossRefGoogle ScholarPubMed
2.Mendez, MF, Zander, BA. Dementia presenting with aphasia: clinical characteristics. J Neurol Neurosurg Psychiat 1991; 54: 542–5.CrossRefGoogle ScholarPubMed
3.Mesulam, MM. Primary progressive aphasia. Differentiation from Alzheimer's disease. Ann Neurol 1987; 22: 533–4.CrossRefGoogle ScholarPubMed
4.Poeck, K., Luzzatti, C. Slowly progressive aphasia in three patients. The problem of accompanying neuropsychological deficit. Brain 1987; 111: 151–68.CrossRefGoogle Scholar
5.Green, J, Morris, JC, Sandson, J, McKeel, DW, Miller, JW. Progressive aphasia: a precursor of global dementia? Neurology 1990; 40: 423–9.CrossRefGoogle ScholarPubMed
6.Lippa, CF, Cohen, R, Smith, TW, Drachman, DA. Primary progressive aphasia with focal neuronal achromasia. Neurology 1991; 41: 882–6.CrossRefGoogle ScholarPubMed
7.Benson, DF, Zaias, BW. Progressive aphasia: a case with postmortem correlation. Neuropsychiat Neuropsychol Behav Neurol 1991; 4: 215–23.Google Scholar
8.Snowden, JS, Neary, D, Mann, DMA, Goulding, PJ, Testa, HJ. Progressive language disorder due to lobar atrophy. Ann Neurol 1992; 31: 174–83.CrossRefGoogle ScholarPubMed
9.Kempler, D, Metter, EJ, Riege, WH, Jackson, CA, Benson, DF, Hanson, WR. Slowly progressive aphasia: three cases with language, memory, CT and PET data. J Neurol Neurosurg Psychiat 1990; 53: 987–93.CrossRefGoogle ScholarPubMed
10.Weintraub, S, Rubin, NP, Mesulam, MM. Primary progressive aphasia. Longitudinal course, neurpsychological profile, and language features. Arch Neurol 1990; 47: 1329–35.CrossRefGoogle Scholar
11.Croisile, B, Laurent, B, Michel, D, Le Bars, D, Cinotti, L, Mauguière, F. Différentes modalités cliniques des aphasies dégénératives. Rev Neurol 1991; 147: 192–9.Google Scholar
12.Goulding, PJ, Northen, B, Snowden, JS, Macdermott, N, Neary, D. Progressive aphasia with right-sided extrapyramidal signs: another manifestation of localised cerebral atrophy. J Neurol Neurosurg Psychiat 1989; 52: 128–30.CrossRefGoogle ScholarPubMed
13.Chawluk, JB, Mesulam, MM, Hurtig, H, Kushner, M, Weintraub, S, Saykin, A, Rubin, N, Alavi, A, Reivich, M. Slowly progressive aphasia without generalized dementia: studies with positron emission tomography. Ann Neurol 1986; 19: 68–74.CrossRefGoogle ScholarPubMed
14.Delecluse, F, Andersen, AR, Waldemar, G, Thomsen, AM, Kjaer, L, Lassen, NA, Postiglione, A. Cerebral blood flow in progressive aphasia without dementia. Case report, using 133Xenon inhalation, technetium 99m hexamethylpropyleneamine oxime and single photon emission computerized tomography. Brain 1990; 113: 1395–404.CrossRefGoogle ScholarPubMed
15.Tyrrell, PJ, Warrington, EK, Frackowiak, RSJ, Rossor, MN. Heterogeneity in progressive aphasia due to focal cortical atrophy. A clinical and PET study. Brain 1990; 113: 1321–36.CrossRefGoogle ScholarPubMed
16.McDaniel, KD, Wagner, MT, Greenspan, BS. The role of brain single photon emission computed tomography in the diagnosis of primary progressive aphasia. Arch Neurol 1991; 48: 1257–60.CrossRefGoogle ScholarPubMed
17.Tyrrell, PJ, Warrington, EK, Frackowiak, RSJ, Rossor, MN. Progressive degeneration of the right temporal lobe studied with positron emission tomography. J Neurol Neurosurg Psychiat 1990; 53: 1046–50.CrossRefGoogle ScholarPubMed
18.De Renzi, E. Slowly progressive visual agnosia or apraxia without dementia. Cortex 1986; 22: 171–80.CrossRefGoogle ScholarPubMed
19.Piccirilli, M, D'Alessandro, P, Ferroni, A. Slowly progressive apraxia without dementia. Dementia 1990; 1: 222–4.Google Scholar
20.Léger, JM, Levasseur, M, Benoit, N, Baron, JC, Tran Dinh, S, Bolgert, F, Cohen, L, Brunet, P, Signoret, JL. Apraxie d'aggravation lentement progressive: étude par IRM et tomographic à positrons dans 4 cas. Rev Neurol 1991; 147: 183–91.Google Scholar
21.Confavreux, C, Croisile, B, Garassus, P, Aimard, G, Trillet, M. Progressive amusia and aprosody. Arch Neurol 1992; 49: 971–6.CrossRefGoogle ScholarPubMed
22.Goldstein, K. Der Aufbau des Organismus. Den Haag: Martinus Nijhoff, 1934: 23–4.Google Scholar
23.Gainotti, G. Emotional behavior and hemispheric side of lesion. Cortex 1972; 8: 41–55.CrossRefGoogle ScholarPubMed
24.Plesner, A, Munk-Andersen, E, Lühdorf, K. Epileptic aphasia and dysphoria interpreted as endogeneous depression. Acta Neurol Scand 1987; 76: 215–8.CrossRefGoogle ScholarPubMed
25.Jongsma, MJ, Vanneste, JAL. De sprakeloze patiënt. Ned Tijdschr Geneesk 1991; 135: 1257–9.Google ScholarPubMed