Faruk Uğur Doğan, Bedia Samancı, Basar Bilgiç, Haşmet Ayhan Hanağası, Hakan Gürvit

Istanbul University, Istanbul Faculty of Medicine, Department of Neurology, Istanbul, Türkiye

Keywords: Atypical Alzheimer’s disease, corticobasal syndrome, Alzheimer’s disease diagnostic criteria

Abstract

Typical Alzheimer’s disease (AD) is a chronic neurodegenerative disease centered on progressive amnestic disorder. However, it may present atypically with various non-amnestic clinical profiles of other focal cortical dementia syndromes depending on the brain areas affected. One of these atypical forms is corticobasal syndrome (CBS), which is not included in the AD diagnostic criteria published by the National Institute of Aging and Alzheimer’s Association in 2011 and the International Working Group 2 in 2014, but is well known by behavioral neurologists. This paper presents the case report of a 61-year-old male patient with asymmetric parkinsonism, myoclonus, pyramidal findings, primitive reflexes, and cranial imaging findings evaluated as CBS and cerebrospinal fluid biomarkers compatible with AD pathology. CBS, which is not included in the current diagnostic criteria, but is known to be associated with AD pathology in a considerable number of cases, should not be ignored in the new AD diagnostic criteria to be determined in the future.

Peer Review

Externally peer-reviewed.

Author Contributions

Surgical and Medical Practices: F.U.D., B.S., B.B., H.A.H., H.G., Concept: F.U.D., B.S., H.G., Design: F.U.D., B.S., B.B., H.A.H., H.G., Data Collection or Processing: F.U.D., B.S., B.B., H.A.H., H.G., Analysis or Interpretation: F.U.D., B.S., B.B., H.A.H., H.G., Literature Search: F.U.D., B.S., B.B., H.A.H., H.G., Writing: F.U.D., B.S., B.B., H.A.H., H.G.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study received no financial support.