Neuroimaging of Primary Progressive Aphasia Variants
Primary progressive aphasia is a neurodegenerative syndrome, with the common feature being aphasia in the absence of marked impairment in other cognitive and behavioral domains. Three primary subtypes have been described: 1) nonfluent or agrammatic primary progressive aphasia, 2) semantic
primary progressive aphasia, and 3) logopenic primary progressive aphasia. Although sharing the same primary progressive aphasia designation, these variants show very diverse clinical phenotypes, molecular pathologies, and neuroimaging findings. This review presented current knowledge of clinical
phenotypes, molecular pathologies, and multimodal neuroimaging findings, including MR imaging, FDG-PET, amyloid PET, tau PET, and DTI. With increased awareness of the spectrum of neuroimaging abnormalities, the neuroradiologist can potentially add valuable information in correctly categorizing
these patients and their underlying pathologies.
Learning Objective: Describe the clinical features and imaging findings that distinguish the variants of primary progressive aphasia.
Learning Objective: Describe the clinical features and imaging findings that distinguish the variants of primary progressive aphasia.
Keywords: AD = Alzheimer disease; FA = fractional anisotropy; FTLD = frontotemporal lobar degeneration; FTLD-TDP = frontotemporal lobar degeneration-TAR DNA binding; FTLD-tau = tau-type frontotemporal lobar degeneration; PPA = primary progressive aphasia; lvPPA = logopenic variant primary progressive aphasia; naPPA = nonfluent or agrammatic primary progressive aphasia; svPPA = semantic variant primary progressive aphasia
Document Type: Research Article
Publication date: February 1, 2018
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