Format

Send to

Choose Destination
Alzheimers Dement. 2015 Nov;11(11):1358-66. doi: 10.1016/j.jalz.2015.01.004. Epub 2015 Mar 21.

Combined Alzheimer's disease and cerebrovascular staging explains advanced dementia cognition.

Author information

1
Alzheimer Disease Research Unit, CIEN Foundation, Carlos III Institute of Health, Alzheimer Center Reina Sofia Foundation, Madrid, Spain. Electronic address: mazea@fundaciocien.es.
2
Alzheimer Disease Research Unit, CIEN Foundation, Carlos III Institute of Health, Alzheimer Center Reina Sofia Foundation, Madrid, Spain.
3
Alzheimer Disease Research Unit, CIEN Foundation, Carlos III Institute of Health, Alzheimer Center Reina Sofia Foundation, Madrid, Spain; Unidad Funcional de Investigación en Enfermedades Crónicas and CIBERNED, Instituto de Salud Carlos III, Madrid, Spain.
4
Hospital Universitario Puerta de Hierro, Neurology Unit, Madrid, Spain.

Abstract

INTRODUCTION:

The absence of a consensus system for full neuropathological evaluation limits clinicopathological studies and comparability between laboratories. Combined staging for Alzheimer's type and cerebral vascular pathology may allow a better classification of cases for clinical and cognitive correlation.

METHODS:

Cognitive and postmortem neuropathological data were obtained from 70 brains donated to the Tissue Bank of the Centro de Investigación de Enfermedades Neurológicas (CIEN) Foundation according to recently developed staging schemes for Alzheimer's type and vascular pathology. Subjects belonged to a cohort of institutionalized patients with moderate or severe dementia and a mean follow-up period of 7 years.

RESULTS:

Cases were classified into three groups: Alzheimer's predominant (64.1%), vascular predominant (6.3%) and mixed pathology (29.6%). Significant differences were observed in Severe Mini-Mental State Examination and verbal fluency between the vascular predominant and the other groups of patients.

DISCUSSION:

The combination of scales measuring cerebral vascular and Alzheimer's type pathology allowed a classification of patients that reveals differences between groups in premortem cognitive features.

KEYWORDS:

Dementia; NIA; Neuropathological changes; Staging system; Vascular changes

PMID:
25804997
DOI:
10.1016/j.jalz.2015.01.004
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center