Ghosh Amitabha
Department of Neurology, Apollo Gleneagles Hospital, Kolkata, West Bengal, India.
Ann Indian Acad Neurol. 2020 Sep;23(Suppl 2):S67-S72. doi: 10.4103/aian.AIAN_715_20. Epub 2020 Sep 25.
Dementias with predominant language involvement, called primary progressive aphasias provide us with unique insight into systematic breakdown of language in neurodegenerative diseases and the structures and networks involved. Clinical and neuroimaging models quite distinct from those seen in stroke aphasias have evolved. In this short overview, we will discuss the cognitive processes involved in expressive and receptive verbal communication and how these processes are affected in the different variants of primary progressive aphasia producing distinctive clinical patterns. We will also discuss the brain's language network and how different components of the network break down in each of the primary progressive aphasia variants.
以语言功能障碍为主的痴呆症,即原发性进行性失语症,为我们深入了解神经退行性疾病中语言的系统性衰退以及所涉及的结构和网络提供了独特视角。与中风后失语症截然不同的临床和神经影像学模型已经形成。在本简短综述中,我们将讨论表达性和接受性言语交流中涉及的认知过程,以及这些过程在原发性进行性失语症的不同变体中是如何受到影响的,这些变体产生了独特的临床模式。我们还将讨论大脑的语言网络,以及该网络的不同组成部分在每种原发性进行性失语症变体中是如何衰退的。