A decade with anomic primary progressive aphasia

Some patients with primary progressive aphasia (PPA) demonstrate only anomia. The lack of longitudinal observations of anomic PPA precluded us from determining whether progressive anomic aphasia was simply an early stage of semantic or logopenic variants, or a relatively independent variant. Herein,...

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Main Authors: Shoko Ota, Kazuo Kakinuma, Wataru Narita, Yoshiyuki Nishio, Nobuko Kawakami, Ayane Tamagake, Shigenori Kanno, Minoru Matsuda, Kyoko Suzuki
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:eNeurologicalSci
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405650224000157
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author Shoko Ota
Kazuo Kakinuma
Wataru Narita
Yoshiyuki Nishio
Nobuko Kawakami
Ayane Tamagake
Shigenori Kanno
Minoru Matsuda
Kyoko Suzuki
author_facet Shoko Ota
Kazuo Kakinuma
Wataru Narita
Yoshiyuki Nishio
Nobuko Kawakami
Ayane Tamagake
Shigenori Kanno
Minoru Matsuda
Kyoko Suzuki
author_sort Shoko Ota
collection DOAJ
description Some patients with primary progressive aphasia (PPA) demonstrate only anomia. The lack of longitudinal observations of anomic PPA precluded us from determining whether progressive anomic aphasia was simply an early stage of semantic or logopenic variants, or a relatively independent variant. Herein, we report the 10-year clinical course of a patient with PPA who presented with pure anomic aphasia for 9 years. He is a right-handed man with anomia, who noticed word-finding difficulty at age 73. He was admitted to the hospital at age 77. On admission, the patient showed pure anomic aphasia with preserved other language function. Episodic memory and visuospatial function were preserved. Magnetic resonance imaging (MRI) revealed left temporal lobe atrophy. At 82 years of age, the patient presented with pure anomic aphasia. At 83 years old, he showed mild impairment in word comprehension and semantic memory, in addition to anomia. MRI demonstrated further atrophy in the bilateral anterior temporal lobes, predominantly on the left side. This case suggests the possibility of slowly progressive, late-onset anomic PPA, which could be differentiated from the early stage of semantic or logopenic variants.
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spelling doaj-art-7a24eaa593fd4f30a34b24a7b92fcab82025-08-20T02:05:51ZengElseviereNeurologicalSci2405-65022024-06-013510050810.1016/j.ensci.2024.100508A decade with anomic primary progressive aphasiaShoko Ota0Kazuo Kakinuma1Wataru Narita2Yoshiyuki Nishio3Nobuko Kawakami4Ayane Tamagake5Shigenori Kanno6Minoru Matsuda7Kyoko Suzuki8Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, Sendai, Japan; Corresponding author at: Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8575, Japan.Department of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, Sendai, JapanSendai Rehabilitation Hospital, Tomiya, JapanDepartment of Behavioral Neurology and Neuropsychiatry, Osaka University United Graduate School of Child Development, Suita, JapanDepartment of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Neurology, Tohoku University Graduate School of Medicine, Sendai, JapanDepartment of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, Sendai, JapanSeizankai Group, Izuminomori Clinic, Sendai, JapanDepartment of Behavioral Neurology and Cognitive Neuroscience, Tohoku University Graduate School of Medicine, Sendai, JapanSome patients with primary progressive aphasia (PPA) demonstrate only anomia. The lack of longitudinal observations of anomic PPA precluded us from determining whether progressive anomic aphasia was simply an early stage of semantic or logopenic variants, or a relatively independent variant. Herein, we report the 10-year clinical course of a patient with PPA who presented with pure anomic aphasia for 9 years. He is a right-handed man with anomia, who noticed word-finding difficulty at age 73. He was admitted to the hospital at age 77. On admission, the patient showed pure anomic aphasia with preserved other language function. Episodic memory and visuospatial function were preserved. Magnetic resonance imaging (MRI) revealed left temporal lobe atrophy. At 82 years of age, the patient presented with pure anomic aphasia. At 83 years old, he showed mild impairment in word comprehension and semantic memory, in addition to anomia. MRI demonstrated further atrophy in the bilateral anterior temporal lobes, predominantly on the left side. This case suggests the possibility of slowly progressive, late-onset anomic PPA, which could be differentiated from the early stage of semantic or logopenic variants.http://www.sciencedirect.com/science/article/pii/S2405650224000157Primary progressive aphasiaAnomic aphasiaLate-onsetClinical course
spellingShingle Shoko Ota
Kazuo Kakinuma
Wataru Narita
Yoshiyuki Nishio
Nobuko Kawakami
Ayane Tamagake
Shigenori Kanno
Minoru Matsuda
Kyoko Suzuki
A decade with anomic primary progressive aphasia
eNeurologicalSci
Primary progressive aphasia
Anomic aphasia
Late-onset
Clinical course
title A decade with anomic primary progressive aphasia
title_full A decade with anomic primary progressive aphasia
title_fullStr A decade with anomic primary progressive aphasia
title_full_unstemmed A decade with anomic primary progressive aphasia
title_short A decade with anomic primary progressive aphasia
title_sort decade with anomic primary progressive aphasia
topic Primary progressive aphasia
Anomic aphasia
Late-onset
Clinical course
url http://www.sciencedirect.com/science/article/pii/S2405650224000157
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