Clinical characteristics of pathologically proven cortical–basal ganglionic degeneration (CBGD)
Patient | Age at death, y | Sex | Duration, y | Presentation | Extrapyramidal signs | Cognitive impairment | Other features | Clinical diagnosis | Original neuropathological diagnosis |
---|---|---|---|---|---|---|---|---|---|
* Patients reported by Riley et al.11 | |||||||||
† Patients reported by Bergeron et al.2 | |||||||||
1 | 69 | F | 4 | Confusion Disorientation Memory loss | Rigidity, bradykinesia L > R side after 1 year | Early | Mute after 1 year | AD | Dementia unclassified vs atypical Pick’s |
2 | 78 | M | 5 | Bizarre behavior Memory loss Disorientation | Late difficulty walking | Early | AD | Dementia unclassified | |
3 | 76 | M | 6 | Memory loss Speech disorder progressing rapidly to mutism | Late rigidity and bradykinesia | Early | AD | Atypical Pick’s | |
4 | 70 | F | 6 | Memory loss Disorientation Confusion Loss of interests | Bilateral rigidity 1 year after onset | Early | AD | Dementia unclassified | |
5* | 62 | F | 10 | Action tremor L hand progressing to alien limb | L-sided bradykinesia, rigidity 4 years after onset | No | Cortical sensory loss Hyperreflexia L side L Babinski Ocular and limb apraxia Dysarthria Stimulus sensitive myoclonus | CBGD | CBGD |
6 | 64 | M | 7 | Withdrawn, forgetful Apathy | None specified | Early | AD | Dementia unclassified | |
7* | 68 | M | 7 | Difficulty controlling L hand progressing to alien limb Tripping L foot | L > R-sided bradykinesia, rigidity L arm action tremor | Late | Stimulus sensitive myoclonus L-sided cortical sensory loss and apraxia Ocular apraxia Dysarthria | CBGD | CBGD |
8 | 73 | F | 7 | Withdrawn Loss of interests Decreased speech output Early preserved memory | None specified | Yes | Atypical AD (Frontotemporal dementia) | Atypical Pick’s disease | |
9† | 77 | M | 5 | Memory loss Speech difficulty | Shuffling gait 2 years before death | Early | AD | CBGD | |
10† | 72 | M | 9 | Speech disorder progressing to anarthria | 6 years after onset right-sided bradykinesia and rigidity | Late | Stimulus sensitive facial myoclonus Buccolingual apraxia Apraxia of gaze and limbs Dysphagia | CBGD | CBGD |
11 | 71 | F | 4 | Behavior changes Episodic confusion Disorientation | 1 year after onset bradykinesia, rigidity, shuffling gait | Early | Alcoholic with hepatic cirrhosis | Dementia with parkinsonism | Pick’s + Wernicke’s encephalopathy |
12† | 68 | M | 6 | Personality changes Hypersexual Irritability | 4 years after onset bradykinesia, rigidity, and shuffling gait | Early | Frontotemporal dementia | CBGD | |
13 | 64 | F | 3 | Difficulty controlling L arm and leg Alien limb | Marked bradykinesia, rigidity L > R side | Early | Emotional liability Stimulus sensitive Myoclonus L > R arm | CBGD | CBGD |