4.5 Article

Changes in subcortical structures in early- versus late-onset Alzheimer's disease

期刊

NEUROBIOLOGY OF AGING
卷 34, 期 7, 页码 1740-1747

出版社

ELSEVIER SCIENCE INC
DOI: 10.1016/j.neurobiolaging.2013.01.001

关键词

Alzheimer's Disease; Onset age; Early onset; Subcortical structure; Longitudinal study; Amygdala; Hippocampus; Thalamus; Putamen; Globus pallidus; Caudate nucleus; Basal ganglia

资金

  1. Korea Healthcare Technology R&D Project, Ministry of Health and Welfare, Republic of Korea [A102065]
  2. Korean Science and Engineering Foundation (KOSEF) NRL program grant
  3. Korean government (MEST) [2011-0028333]
  4. Samsung Medical Center Clinical Research Development Program grants [CRL-108011, CRS 110-14-1]
  5. Converging Research Center Program through the Ministry of Education, Science and Technology [2010K001054]

向作者/读者索取更多资源

Patients with early-onset Alzheimer's disease (EOAD) are reported to be different from those with late-onset Alzheimer's disease (LOAD) in terms of neuropsychological and neuroimaging findings. In this study, we aimed to compare the longitudinal volume changes of 6 subcortical structures (the amygdala, hippocampus, thalamus, putamen, globus pallidus, and caudate nucleus) between patients with EOAD and LOAD for 3 years. We prospectively recruited 36 patients with probable Alzheimer's disease (14 EOAD, 22 LOAD) and 14 normal control subjects. We analyzed the volume of subcortical structures using an automatic surface-based method. At baseline, there were no differences in the volumes of subcortical structures between patients with EOAD and LOAD. However, over 3 years of longitudinal follow-up, patients with EOAD showed more rapid volumetric decline in the caudate, putamen, and thalamus than patients with LOAD, which is consistent with neuropsychological results. Our findings suggested that the cognitive reserve theory might be applicable to explain different decline rates of the volumes of the basal ganglia and thalamus according to onset age. (C) 2013 Elsevier Inc. All rights reserved.

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