Perl D P
Division of Neuropathology, Department of Pathology, Psychiatry, and Neurobiology, Mount Sinai School of Medicine, New York, New York 10029, USA.
Neurol Clin. 2000 Nov;18(4):847-64. doi: 10.1016/s0733-8619(05)70229-2.
Neuropathologic studies have done much to define the range of disorders that may underlie dementia. By far, the most important disease entity is Alzheimer's disease, with its characteristic neurofibrillary tangles and senile plaques. The neuropathologic distinction between Alzheimer's disease, particularly in its early stages, and normal aging is a subject of intense interest, attracting considerable current research activity. The neuropathologic substrate of other entities that may lead to dementia is extensive and, in the absence of biologic markers for most of these disorders, postmortem examination remains the only definitive method for establishing a diagnosis.
神经病理学研究在确定可能导致痴呆症的一系列病症方面发挥了很大作用。到目前为止,最重要的疾病实体是阿尔茨海默病,其具有特征性的神经原纤维缠结和老年斑。阿尔茨海默病,尤其是在其早期阶段,与正常衰老之间的神经病理学区别是一个备受关注的课题,吸引了当前大量的研究活动。其他可能导致痴呆症的实体的神经病理学基础广泛,并且由于大多数这些病症缺乏生物标志物,尸检仍然是确诊的唯一决定性方法。