[PMID]: | 29304167 |
[Au] Autor: | Caine D; Nihat A; Crabb P; Rudge P; Cipolotti L; Collinge J; Mead S |
[Ad] Endereço: | NHS National Prion Clinic, National Hospital for Neurology and Neurosurgery (NHNN), University College London Hospitals NHS Foundation Trust, London, United Kingdom. |
[Ti] Título: | The language disorder of prion disease is characteristic of a dynamic aphasia and is rarely an isolated clinical feature. |
[So] Source: | PLoS One;13(1):e0190818, 2018. |
[Is] ISSN: | 1932-6203 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | BACKGROUND: Akinetic mutism is a key diagnostic feature of prion diseases, however, their rapidly progressive nature makes detailed investigation of the language disorder in a large cohort extremely challenging. This study aims to position prion diseases in the nosology of language disorders and improve early clinical recognition. METHODS: A systematic, prospective investigation of language disorders in a large cohort of patients diagnosed with prion diseases. 568 patients were included as a sub-study of the National Prion Monitoring Cohort. All patients had at least one assessment with the MRC Scale, a milestone-based functional scale with language and non-language components. Forty patients, with early symptoms and able to travel to the study site, were also administered a comprehensive battery of language tests (spontaneous speech, semantics, syntax, repetition, naming, comprehension and lexical retrieval under different conditions). RESULTS: 5/568 (0.9%) patients presented with leading language symptoms. Those with repeated measurements deteriorated at a slower rate in language compared to non-language milestones. Amongst the subgroup of 40 patients who underwent detailed language testing, only three tasks-semantic and phonemic fluency and sentence comprehension-were particularly vulnerable early in the disease. These tasks were highly correlated with performance on non-verbal executive tests. Patients were also impaired on a test of dynamic aphasia. CONCLUSION: These results provide evidence that the language disorder in prion disease is rarely an isolated clinical or cognitive feature. The language abnormality is indicative of a dynamic aphasia in the context of a prominent dysexecutive syndrome, similar to that seen in patients with the degenerative movement disorder progressive supranuclear palsy (PSP). |
[Mh] Termos MeSH primário: |
Afasia/complicações Doenças Priônicas/complicações
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[Mh] Termos MeSH secundário: |
Estudos de Casos e Controles Feminino Seres Humanos Testes de Linguagem Masculino Meia-Idade Testes Neuropsicológicos Estudos Prospectivos
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T |
[Em] Mês de entrada: | 1802 |
[Cu] Atualização por classe: | 180223 |
[Lr] Data última revisão:
| 180223 |
[Sb] Subgrupo de revista: | IM |
[Da] Data de entrada para processamento: | 180106 |
[St] Status: | MEDLINE |
[do] DOI: | 10.1371/journal.pone.0190818 |
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