Longitudinal Changes of Cerebral Glucose Metabolism in Semantic Dementia
Document type:
Zeitschriftenaufsatz
Author(s):
Diehl-Schmid, J.; Grimmer, T.; Drzezga, A.; Bornschein, S.; Perneczky, R.; Förstl, H.; Schwaiger, M.; Kurz, A.
Abstract:
Background: Semantic dementia (SD). Objective: To identify the pattern of decline of cerebral glucose metabolism in SD using cerebral 18F-fluoro-2-desoxy-D-glucose positron emission tomography scanning (18F-FDG-PET). Methods: Eight patients with SD underwent 18F-FDG-PET at baseline and at re-examination in average 15 months later. Results: Compared with healthy control subjects, patients with SD showed a significant asymmetrical (left > right) hypometabolism of the temporal lobes, particularly of the anterior poles, at baseline. At follow-up, we observed a deterioration of cognitive abilities. However, in addition to the temporal lobes no other cortical or subcortical region showed a significant reduction of glucose metabolism except the anterior cingulate cortex (pcorr < 0.05). Conclusion: Subtle functional changes suffice to produce significant neuropsycho- logical deterioration.
Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.