{"title":"Association of Type 2 Diabetes Mellitus With Perivascular Spaces and Cerebral Amyloid Angiopathy in Alzheimer's Disease: Insights From MRI Imaging.","authors":"Özlem Bizpınar Munis","doi":"10.12779/dnd.2023.22.3.87","DOIUrl":"https://doi.org/10.12779/dnd.2023.22.3.87","url":null,"abstract":"<p><strong>Background and purpose: </strong>According to the amyloid cascade hypothesis, fibrillary amyloid-beta load in the brain causes Alzheimer's disease (AD) with toxic effects. Recently, perivascular spaces (PVSs), fluid-filled cavities around small penetrating arterioles and venules in the brain, and the glymphatic system relationship with type 2 diabetes mellitus (DM2) and AD has been an important research topic from a physiopathological point of view. There are two types of PVSs that are associated with sporadic atherosclerosis and cerebral amyloid angiopathy. In this study, we evaluated the relationship between the number and localization of enlarged PVSs in AD.</p><p><strong>Methods: </strong>A total of 254 patients with AD and 125 healthy controls were included in this study All the patients were evaluated with neurological and cognitive examinations and magnetic resonance imaging (MRI). PVSs on MRI were graded by recording their number and location. The study was a retrospective study.</p><p><strong>Results: </strong>In our study, the number of white matter convexity-central semiovale localized PVSs was higher in patients than in the control group. In addition, the number of PVSs in this localization score was higher in patients with DM2. Cerebral PVS counts were higher in patients with AD than in the control group.</p><p><strong>Conclusions: </strong>These results suggest the important role of cerebral amyloid angiopathy, one of the vascular risk factors, and the glymphatic system in the pathogenesis of AD. In addition, the results of our study suggest that the evaluation of PVSs levels, especially at the (centrum semiovale), using imaging studies in AD is a potential diagnostic option.</p>","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/f9/dnd-22-87.PMC10400344.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyuk Sung Kwon, Hyesun Lee, Young Seo Kim, Hojin Choi, Kyu-Yong Lee, Young Joo Lee, Eun-Hye Lee, Mina Hwang, Hyunhee Park, Seong-Ho Koh
{"title":"Comparing Neurofilament Light Chain Levels in Serum and Plasma.","authors":"Hyuk Sung Kwon, Hyesun Lee, Young Seo Kim, Hojin Choi, Kyu-Yong Lee, Young Joo Lee, Eun-Hye Lee, Mina Hwang, Hyunhee Park, Seong-Ho Koh","doi":"10.12779/dnd.2023.22.3.109","DOIUrl":"https://doi.org/10.12779/dnd.2023.22.3.109","url":null,"abstract":"Neurofilament light chain (NfL) has been suggested as a blood-based biomarker for neuroaxonal injury.1 Blood level of NfL is known to be increased in diverse neurological disorders, including ischemic stroke, demyelinating disease, amyotrophic lateral sclerosis, frontotemporal dementia, and Alzheimer’s disease.2,3 Both serum and plasma NfL levels are associated with smaller hippocampal volume, thinner cerebral cortex, and longitudinal cognitive decline.4,5 Depending on the study, serum or plasma NfL level was analyzed. Previous studies have reported a significant correlation between serum and plasma NfL levels.6,7 However, it is unclear whether such correlation is well maintained under specific conditions such as old age and those who aer amyloid positive. Thus, the objective of this study was to investigate the association between serum and plasma NfL levels according to amyloid positivity.","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/c6/dnd-22-109.PMC10400347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dongwhane Lee, Sun Young Chae, Sung Hun Kim, Hyung-Ji Kim
{"title":"A Patient With Fahr's Disease Who Presented Prominent Visuospatial Dysfunction.","authors":"Dongwhane Lee, Sun Young Chae, Sung Hun Kim, Hyung-Ji Kim","doi":"10.12779/dnd.2023.22.3.117","DOIUrl":"10.12779/dnd.2023.22.3.117","url":null,"abstract":"","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/b1/dnd-22-117.PMC10400346.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comment: Post COVID-19 Vaccination Encephalitis as a Cause of Subacute Progressive Dementia: A Case Report and Literature Review.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.12779/dnd.2023.22.3.112","DOIUrl":"10.12779/dnd.2023.22.3.112","url":null,"abstract":"We would like to share ideas on the publication “Post COVID-19 Vaccination Encephalitis as a Cause of Subacute Progressive Dementia: A Case Report and Literature Review.1” Jung et al.1 reported an unusual occurrence of vaccination-induced encephalitis in a patient with dementia. According to Jung et al.,1 we should thoroughly assess older individuals who have cognitive deficits and take their histories to rule out reversible causes. The authors advised that clinicians should take autoimmune encephalitis into account as a potential diagnosis when evaluating post-vaccination neurologic symptoms and subacute dementia.1","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/2d/dnd-22-112.PMC10400343.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haeyoon Kim, Seonyeong Yang, Jaesel Park, Byeong Chae Kim, Kyung-Ho Yu, Yeonwook Kang
{"title":"Effect of Education on Discriminability of Montreal Cognitive Assessment Compared to Mini-Mental State Examination.","authors":"Haeyoon Kim, Seonyeong Yang, Jaesel Park, Byeong Chae Kim, Kyung-Ho Yu, Yeonwook Kang","doi":"10.12779/dnd.2023.22.2.69","DOIUrl":"10.12779/dnd.2023.22.2.69","url":null,"abstract":"<p><strong>Background and purpose: </strong>The Montreal Cognitive Assessment (MoCA) has been known as a screening test for detecting mild cognitive impairment (MCI) better than Mini-Mental State Examination (MMSE). However, in previous domestic studies, no significant difference was found in the discriminability between MoCA and MMSE. Researchers have suggested that this might be because older Koreans are less educated than older Westerners. This study was conducted to examine the effect of education on the discriminability of MoCA compared to the MMSE.</p><p><strong>Methods: </strong>Participants were 123 cognitively normal elderly, 118 with vascular MCI, 108 with amnestic MCI, 121 with vascular dementia, and 113 with dementia of the Alzheimer's type. The Korean-MoCA (K-MoCA) and Korean-MMSE (K-MMSE) were administered. Multiple regression analyses and receiver operating characteristic (ROC) curve analyses were performed.</p><p><strong>Results: </strong>In all participants, education significantly affected both K-MoCA and K-MMSE scores along with age. The effect of education was re-examined by subgroup analysis after dividing subjects according to the level of education. Effect of education on K-MoCA and K-MMSE was only shown in the group with <9 years of education. ROC curve analyses revealed that the discriminability of K-MoCA to differentiate between vascular MCI and normal elderly was significantly higher than that of K-MMSE. When re-examining subgroups divided by education level, however, this higher discriminability of K-MoCA disappeared in the group with <9 years of education.</p><p><strong>Conclusions: </strong>These results indicate no difference in discriminating cognitive deficits between K-MoCA and K-MMSE in Korean elderly with <9 years of education.</p>","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/bf/dnd-22-69.PMC10166679.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9522170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Classification of Aβ State From Brain Amyloid PET Images Using Machine Learning Algorithm.","authors":"Chanda Simfukwe, Reeree Lee, Young Chul Youn","doi":"10.12779/dnd.2023.22.2.61","DOIUrl":"10.12779/dnd.2023.22.2.61","url":null,"abstract":"<p><strong>Background and purpose: </strong>Analyzing brain amyloid positron emission tomography (PET) images to access the occurrence of β-amyloid (Aβ) deposition in Alzheimer's patients requires much time and effort from physicians, while the variation of each interpreter may differ. For these reasons, a machine learning model was developed using a convolutional neural network (CNN) as an objective decision to classify the Aβ positive and Aβ negative status from brain amyloid PET images.</p><p><strong>Methods: </strong>A total of 7,344 PET images of 144 subjects were used in this study. The 18F-florbetaben PET was administered to all participants, and the criteria for differentiating Aβ positive and Aβ negative state was based on brain amyloid plaque load score (BAPL) that depended on the visual assessment of PET images by the physicians. We applied the CNN algorithm trained in batches of 51 PET images per subject directory from 2 classes: Aβ positive and Aβ negative states, based on the BAPL scores.</p><p><strong>Results: </strong>The binary classification of the model average performance matrices was evaluated after 40 epochs of three trials based on test datasets. The model accuracy for classifying Aβ positivity and Aβ negativity was (95.00±0.02) in the test dataset. The sensitivity and specificity were (96.00±0.02) and (94.00±0.02), respectively, with an area under the curve of (87.00±0.03).</p><p><strong>Conclusions: </strong>Based on this study, the designed CNN model has the potential to be used clinically to screen amyloid PET images.</p>","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c9/2f/dnd-22-61.PMC10166673.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9821300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heui-Seop Jung, Yun Jeong Hong, Seong Hoon Kim, Yun Sang Oh, Si Baek Lee, Myung Ah Lee, Jeong Wook Park
{"title":"Post COVID-19 Vaccination Encephalitis as a Cause of Subacute Progressive Dementia: A Case Report and Literature Review.","authors":"Heui-Seop Jung, Yun Jeong Hong, Seong Hoon Kim, Yun Sang Oh, Si Baek Lee, Myung Ah Lee, Jeong Wook Park","doi":"10.12779/dnd.2023.22.2.81","DOIUrl":"10.12779/dnd.2023.22.2.81","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic has caused more than 500 million infected cases, causing a new public health crisis.1 Many people are vaccinated against COVID-19 to prevent infection and bring an end to the pandemic. However, various complications have been reported.1,2 Autoimmune encephalitis is a progressive encephalopathy that can develop rapidly (usually in less than 6 weeks) caused by brain inflammation.3 In this case report, we present a rare case of a 59-year-old woman who visited an outpatient clinic because of subacute onset cognitive decline. She was diagnosed with post COVID-19 vaccination encephalitis. We observed 1-year cognitive outcomes and neuroimaging changes of the patient. Clinical, neuroimaging, and cerebrospinal fluid (CSF) findings of the patient are described below.","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/c7/dnd-22-81.PMC10166676.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seyul Kwak, Seong A Shin, Hyunwoong Ko, Hairin Kim, Dae Jong Oh, Jung Hae Youn, Jun-Young Lee, Yu Kyeong Kim
{"title":"Erratum: A Comparison Between the Performances of Verbal and Nonverbal Fluency Tests in Discriminating Between Mild Cognitive Impairments and Alzheimer's Disease Patients and Their Brain Morphological Correlates.","authors":"Seyul Kwak, Seong A Shin, Hyunwoong Ko, Hairin Kim, Dae Jong Oh, Jung Hae Youn, Jun-Young Lee, Yu Kyeong Kim","doi":"10.12779/dnd.2023.22.2.85","DOIUrl":"10.12779/dnd.2023.22.2.85","url":null,"abstract":"<p><p>[This corrects the article on p. 17 in vol. 21, PMID: 35154337.].</p>","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/89/dnd-22-85.PMC10166678.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Anti-LGI1 Encephalitis Presented With Prominent Psychosis Without Loss of Consciousness.","authors":"Ja Hyeon Cho, Sun Jung Kim, Kyung Won Park","doi":"10.12779/dnd.2023.22.2.78","DOIUrl":"10.12779/dnd.2023.22.2.78","url":null,"abstract":"elevation of protein (white blood cell [WBC]: 3 mm 3 , protein: 92 mg/dL, glucose: 81 mg/dL, virus/bacteria polymerase chain reaction [PCR]: all negative). Tests for anti-LGI1 antibody in CSF and blood tests were positive. Thus, anti-LGI1 encephalitis was diagnosed. A steroid pulse therapy for 5 days was done initially. Right after steroid pulse therapy, intravenous immunoglobulin therapy for 5 days was done. At 11 days after treatment with steroid pulse and intravenous immunoglobulin therapies, the patient’s cognitive and psychiatric symptoms returned to his previous levels. In MMSE, he scored 30. No SNSB test was performed after treatment because neither the patient nor caregivers complained of any symptoms","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1f/27/dnd-22-78.PMC10166675.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9821303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
YoungSoon Yang, Vo Van Giau, Seong Soo A An, SangYun Kim
{"title":"Erratum: Plasma Oligomeric Beta Amyloid in Alzheimer's Disease with History of Agent Orange Exposure.","authors":"YoungSoon Yang, Vo Van Giau, Seong Soo A An, SangYun Kim","doi":"10.12779/dnd.2023.22.2.84","DOIUrl":"10.12779/dnd.2023.22.2.84","url":null,"abstract":"<p><p>[This corrects the article on p. 41 in vol. 17, PMID: 30906391.].</p>","PeriodicalId":72779,"journal":{"name":"Dementia and neurocognitive disorders","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3c/75/dnd-22-84.PMC10166677.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9462392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}