Keator Lynsey M, Wright Amy E, Saxena Sadhvi, Kim Kevin, Demsky Cornelia, Sebastian Rajani, Sheppard Shannon M, Breining Bonnie, Hillis Argye E, Tippett Donna C
a Department of Neurology , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
b Department of Cognitive Science , Krieger School of Arts and Sciences, Johns Hopkins University , Baltimore , MD , USA.
Neurocase. 2019 Jun-Aug;25(3-4):98-105. doi: 10.1080/13554794.2019.1625929. Epub 2019 Jun 4.
While language characteristics of logopenic variant primary progressive aphasia (lvPPA) are well-defined, behavioral characteristics are less understood. We investigated correlations between language and behavioral scores across three variants of primary progressive aphasia (PPA) and found language performance and behavioral disturbances are correlated in lvPPA, but not other PPA subtypes. Results suggest that unlike other PPA variants, patients diagnosed with lvPPA do not develop negative behaviors until language deficits are severe. This is consistent with the underlying neuropathology of lvPPA, Alzheimer's Disease. Such findings are crucial to clinical prognosis, especially when considering the progressive nature of this disease.
虽然语义性痴呆型原发性进行性失语(lvPPA)的语言特征已明确,但行为特征却鲜为人知。我们研究了原发性进行性失语(PPA)三种变体的语言和行为评分之间的相关性,发现语言表现与行为障碍在lvPPA中存在相关性,但在其他PPA亚型中则不然。结果表明,与其他PPA变体不同,被诊断为lvPPA的患者在语言缺陷严重之前不会出现负面行为。这与lvPPA的潜在神经病理学——阿尔茨海默病是一致的。这些发现对临床预后至关重要,尤其是考虑到这种疾病的进行性本质时。