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論文
タイトル
タイトル(英)
Dynamic aphasia as an early sign of corticobasal degeneration: Clinico-radio-pathological correlation.
参照URL
https://researchmap.jp/masatohasegawa/published_papers/48232553
著者
著者(英)
Masanori Kurihara,Akira Arakawa,Aya Midori Tokumaru,Tomoyasu Matsubara,Hiroto Eguchi,Yasushi Shimo,Masato Hasegawa,Kazutomi Kanemaru,Katsuhiko Takeda,Atsushi Iwata,Shigeo Murayama,Yuko Saito
担当区分
概要
概要(英)
A 72-year-old man presented with a 6-month history of decreased voluntary speech. Sparse speech and decreased word fluency were observed. Articulation, naming, comprehension, and repetition were preserved. Agrammatism and paraphasia were not observed. These characteristics matched those reported as dynamic aphasia. Other findings were mild behavioral symptoms, recent memory impairment, and right hemiparkinsonism. The patient's voluntary speech continued to reduce and behavioral symptoms progressed. Brain MRI including voxel-based morphometric analysis showed left-dominant white matter volume reduction in the frontal lobe including those between the left supplementary motor area (SMA)/preSMA and the frontal operculum, likely involving the frontal aslant tract (FAT). The patient became completely mute after two years from disease onset and died of aspiration pneumonia. The neuropathological diagnosis was corticobasal degeneration (CBD). This case suggests that dynamic aphasia may be the initial sign of CBD and that early involvement of left FAT may be responsible for this feature.
出版者・発行元
出版者・発行元(英)
誌名
誌名(英)
eNeurologicalSci
37
開始ページ
100526
終了ページ
100526
出版年月
2024年12月
査読の有無
招待の有無
掲載種別
研究論文(学術雑誌)
ISSN
DOI URL
https://doi.org/10.1016/j.ensci.2024.100526
共同研究・競争的資金等の研究課題
研究者