Role of the dorsomedial nucleus of the thalamus in Alzheimer's disease

It is not known whether changes in the thalamus play a role in the memory loss or dementia of Alzheimer's disease (AD), although trauma, infarction, and hemorrhage to the thalamus, particularly the dorsomedial nucleus (DMN), can cause these cognitive changes. To determine the pathologic changes...

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Veröffentlicht in:Journal of geriatric psychiatry and neurology 1995, Vol.8 (1), p.32-37
Hauptverfasser: PASKAVITZ, J. F, LIPPA, C. F, HAMOS, J. E, PULASKI-SALO, D, DRACHMAN, D. A
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container_issue 1
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container_title Journal of geriatric psychiatry and neurology
container_volume 8
creator PASKAVITZ, J. F
LIPPA, C. F
HAMOS, J. E
PULASKI-SALO, D
DRACHMAN, D. A
description It is not known whether changes in the thalamus play a role in the memory loss or dementia of Alzheimer's disease (AD), although trauma, infarction, and hemorrhage to the thalamus, particularly the dorsomedial nucleus (DMN), can cause these cognitive changes. To determine the pathologic changes in the DMN in AD, we examined the DMN in 16 cases of AD and 7 age-matched controls, with quantitative assessments of the total neuronal population and synaptic density, Alz-50-positive neurons, neurofibrillary tangles (NFT), and senile plaques (SP). We examined sections after staining with cresyl violet, a silver stain, and immunocytochemical staining for Alz-50 and synapsin I. Stereologic analysis demonstrated a mean loss of 29% of DMN neurons in AD and a synaptic density decrease of 21%. Alz-50 staining and NFT were present in all AD cases but in none of the controls. Senile plaques were 52 times more frequent in the DMN in AD than in the age-matched controls. The large variation in pathologic changes among our AD cases suggests that neuronal losses and other pathology in the DMN in AD may contribute to the total brain burden of pathology resulting in dementia in some AD patients, but not in others.
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language eng
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source SAGE Complete A-Z List; MEDLINE
subjects Aged
Aged, 80 and over
Alzheimer Disease - pathology
Biological and medical sciences
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Humans
Immunoenzyme Techniques
Medical sciences
Middle Aged
Neurology
Thalamic Nuclei - pathology
title Role of the dorsomedial nucleus of the thalamus in Alzheimer's disease
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