Prabhakar Appaswamy Thirumal, Mathew Vivek, Sivadasan Ajith, Aaron Sanjith, George Anirudh, Alexander Mathew
Department of neurological sciences, Christian medical college, Vellore, India.
Int J Speech Lang Pathol. 2019 Dec;21(6):547-552. doi: 10.1080/17549507.2018.1545870. Epub 2019 Jan 14.
Progressive language dysfunction due to a selective neurodegeneration of the language networks is called primary progressive aphasia (PPA). However, demographic data on PPA is limited. In this study from India, we determined the prevalence and clinical profile of patients presenting with PPA and its subtypes. Patients who were admitted to the neurosciences department during the period between January 2012 and December 2016 were screened, and patients who presented with slowly progressive aphasia for at least 2 years without other significant cognitive or behavioural symptoms and preservation of daily living activities were included. Patients had to fulfil the international consensus group criteria for PPA. All patients were evaluated with the mini-mental status examination (MMSE) and Strub and Black battery for neuropsychological testing. The language was tested using the progressive aphasia language scale (PALS). During the study period from January 2012 to December 2016, 23 patients fulfilled the international consensus criteria for PPA. Of these, 16 (69.6%) patients were diagnosed with PPA-G, 6 (26%) patients had PPA-S and 1 (4.4%) patient had PPA-L.: PPA is not an uncommon entity in India and the most common subtype in this study was PPA-G.
由于语言网络的选择性神经退行性变导致的进行性语言功能障碍称为原发性进行性失语(PPA)。然而,关于PPA的人口统计学数据有限。在这项来自印度的研究中,我们确定了患有PPA及其亚型的患者的患病率和临床特征。对2012年1月至2016年12月期间入住神经科学科的患者进行了筛查,纳入了那些出现至少2年缓慢进行性失语且无其他明显认知或行为症状且日常生活活动保持正常的患者。患者必须符合PPA的国际共识小组标准。所有患者均接受简易精神状态检查(MMSE)以及用于神经心理学测试的斯特鲁布和布莱克成套测验评估。使用进行性失语语言量表(PALS)对语言进行测试。在2012年1月至2016年12月的研究期间,23名患者符合PPA的国际共识标准。其中,16名(69.6%)患者被诊断为PPA-G型,6名(26%)患者为PPA-S型,1名(4.4%)患者为PPA-L型。:PPA在印度并非罕见疾病,本研究中最常见的亚型是PPA-G型。