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Beschreibung

This book unites the diverse range of complex neurodegenerative diseases into a textbook designed for clinical practice, edited by globally leading authorities on the subject.

  • Presents a clinically oriented guide to the diseases caused by neurodegeneration 
  • Templated chapters combine clinical and research information on neurodegenerative diseases beginning with the common elements before treating each disease individually
  • Diseases are grouped by anatomical regions of degeneration and include common disorders such as Parkinson’s Disease, Alzheimer’s Disease, Amyotrophic Lateral Sclerosis/Motor Neuron Disease, and Multiple Sclerosis as well as less common diseases 
  • Edited by globally leading authorities on the subject, and written by expert contributing authors

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Neurodegeneration

Edited by

Anthony Schapira, MD, DSc, FRCP, FMedSci

Institute of Neurology, University College London, London, UK

Zbigniew Wszolek, MD

Mayo Clinic, Jacksonville, Florida, USA

Ted M. Dawson, MD, PhD

Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Nicholas Wood, FRCP, PhD, FMedSci

National Hospital for Neurology and Neurosurgery, Institute of Neurology, London, UK

Cover image: © mattpaul/Getty Images

This edition first published 2017 © 2017 by John Wiley & Sons Ltd

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of the editors to be identified as the authors of this work has been asserted in accordance with law.

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Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats.

Limit of Liability/Disclaimer of WarrantyThe contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging-in-Publication Data

Names: Schapira, Anthony H. V. (Anthony Henry Vernon), editor. | Wszolek, Zbigniew K., editor. | Dawson, Ted Murray editor. | Wood, N. W. (Nicholas W.), editor. Title: Neurodegeneration / edited by Anthony Schapira, Zbigniew Wszolek, Ted Dawson, Nicholas Wood. Other titles: Neurodegeneration (Schapira) Description: Oxford, UK; Hoboken, NJ: John Wiley & Sons Ltd, 2017. | Includes bibliographical references and index. Identifiers: LCCN 2016041714 (print) | LCCN 2016043003 (ebook) | ISBN 9780470672686 (cloth : alk. paper) | ISBN 9781118661925 (Adobe PDF) | ISBN 9781118661918 (ePub) Subjects: | MESH: Neurodegenerative Diseases–physiopathology Classification: LCC RC355 (print) | LCC RC355 (ebook) | NLM WL 358.5 | DDC 616.8—dc23 LC record available at https://lccn.loc.gov/2016041714

Cover images (top to bottom): © KTSDESIGN/Gettyimages; © KTSDESIGN/SCIENCE PHOTO LIBRARY/Gettyimages; © SEBASTIAN KAULITZKI/Gettyimages; © Mark N Miller, University of California, SF/Gettyimages

CONTENTS

List of Contributors

Preface

Dedication

Chapter 1 Pathology of Brain Aging

Introduction

Brain pathologies in aging

Genetics and the environment: risk factors and potential therapeutic targets

Summary

References

Chapter 2 Protein Aggregation and Neurodegeneration: Tauopathies and Synucleinopathies

Introduction

Amyloids

Tauopathies

Synucleinopathies

Experimental transmission of tauopathy and synucleinopathy

Additional therapeutic implications

Acknowledgments

References

Chapter 3 Prion Degeneration

Clinical definition and epidemiology

Spectrum of clinical phenotype

Pathology/pathophysiology of prion diseases

Clinical prodrome and biomarkers

Examination and investigations (including imaging)

Diagnosis and prognosis

Treatment options (including comorbid conditions)

Future developments

References

Chapter 4 Excitotoxicity

Clinical definition and epidemiology

Spectrum of clinical phenotype

Pathology/pathophysiology specific to the disease

Diagnostic considerations in excitotoxicity

Treatment approaches

Future developments

Acknowledgment

References

Chapter 5 Etiology and Pathogenesis of Parkinson Disease

Introduction

Experimental models for studying PD

Genetics and the development of PD

Mitochondria

Neuroinflammation, immunity, and the widespread Lewy body pathology in PD

Prion-like mechanism of α-synuclein spread

Environmental risk factors

Recurrent themes

References

Chapter 6 Parkinson Disease: Treatment Options – Surgical Therapy

Introduction

Standard surgical targets for Parkinson disease: the pallidum and subthalamic nucleus

Patient selection

Emerging targets for Parkinson disease: the pedunculopontine area

Experimental surgery for Parkinson disease: some potential future directions

Summary

References

Chapter 7 Multiple System Atrophy: Clinical, Genetics, and Neuropathology

History and definition

Spectrum of clinical phenotype

Pathology/pathophysiology specific to the disease

Investigations

Diagnosis and prognosis

Treatment options

Future and experimental developments

Conclusions

References

Chapter 8 Progressive Supranuclear Palsy

Introduction

Clinical definition and epidemiology

Spectrum of the clinical phenotype

Pathology

Clinical prodrome and biomarkers

Examination and investigations

Diagnosis and prognosis

Treatments

Future developments

Conclusions

Acknowledgement

References

Chapter 9 Dementia with Lewy Bodies

Clinical definition

Epidemiology

Spectrum of clinical phenotypes of DLB

Pathology and pathophysiology

Biomarkers

Diagnosis

Prognosis

Treatment options and management

Future development

References

Chapter 10 Corticobasal Degeneration

Clinical definition and epidemiology

Spectrum of clinical phenotype

Pathology/pathophysiology of CBD

Biomarkers

Examination and investigations

Diagnosis and prognosis

Treatment

Future developments

References

Chapter 11 Alzheimer’s Disease

Clinical definition

Epidemiology

AD Criteria

Atypical phenotype

Pathophysiology of AD

Neuropathology of AD

Genetics of AD

Environment

Diagnosis

Management

The future in Alzheimer’s disease

References

Chapter 12 Frontotemporal Dementia

Introduction

Clinical definition and epidemiology

Spectrum of clinical phenotype

Pathology /pathophysiology

Clinical prodrome and biomarkers

Morphologic and functional imaging

Diagnosis and prognosis

Treatment options

Future developments

References

Chapter 13 Prion Diseases and Other Rapidly Progressive Dementias

Prion diseases

Non-prion, rapidly progressive dementias

References

Chapter 14 Amyotrophic Lateral Sclerosis and Primary Lateral Sclerosis

Clinical definition and epidemiology

Spectrum of the clinical phenotype

Pathophysiology

Examination and investigations

Diagnosis and prognosis

Treatment

References

Chapter 15 Hereditary Spastic Paraplegia

Introduction

Neuropathology

Conclusions

Acknowledgments

References

Chapter 16 Spinal Muscular Atrophy

Introduction

Genetic basis of disease

Epidemiology

Clinical characteristics

Pathology

Diagnosis

Medical care and treatment

Disease pathophysiology

Animal models

Disease mechanisms

Therapeutics development

Concluding remarks

References

Chapter 17 Spinal and Bulbar Muscular Atrophy (Kennedy Disease)

Clinical definition and epidemiology

Clinical phenotype

Pathology and pathogenesis

Examination and laboratory investigations

Diagnosis and prognosis

Treatment

Future developments

References

Chapter 18 Optic Neuropathies

Introduction

Leber’s hereditary optic neuropathy (LHON)

Dominant optic atrophy

Optic neuropathy and hereditary neuropathy

Optic neuropathy and other central nervous system degenerative disorders

References

Chapter 19 Peripheral Nerve Neuropathies Including Charcot–Marie–Tooth Disease

Clinical definition, epidemiology, and causes of peripheral neuropathies

Spectrum of peripheral neuropathy phenotypes

Molecular genetics of inherited peripheral neuropathies

Chronic inflammatory demyelinating polyradiculoneuropathy and Guillain–Barré syndrome: acquired inflammatory demyelinating neuropathies

Identification of biomarkers in peripheral neuropathies

Investigation of peripheral neuropathies

Diagnosis of peripheral neuropathies

Treatment options in peripheral neuropathies

Future developments in peripheral neuropathies

References

Chapter 20 Axonal Loss and Neurodegeneration in Multiple Sclerosis

Clinical definition and epidemiology

Spectrum of clinical phenotype

Genetic and environmental influences in MS

Neurodegeneration in MS

Diagnosis and disease progression

Treatment options

Future developments

Acknowledgments

References

Chapter 21 Huntington’s Disease and Other Choreas

Huntington’s disease

Other degenerative choreas

Conclusions and the future

References

Chapter 22 Spinocerebellar Ataxias

Clinical definition and epidemiology

Spectrum of clinical and pathological phenotypes

Diagnostic examination and investigations

SCA genetics and pathogenesis

Approaches to therapy

References

Chapter 23 Ataxia Telangiectasia

Clinical definition and epidemiology

Spectrum of clinical phenotype and genetics

Pathology/pathophysiology specific to the disease

Clinical biomarkers

Examination and investigations (including imaging)

Diagnosis and prognosis

Treatment options

References

Chapter 24 Niemann–Pick Disease

Introduction

Primary acid sphingomyelinase deficiencies– Niemann–Pick diseases type A and B

Endosomal/lysosomal trafficking deficiency – Niemann–Pick disease, type C

References

Chapter 25 X-linked Adrenoleukodystrophy

Clinical definition and epidemiology

Spectrum of clinical phenotype

Pathology/pathophysiology specific to the disease

Examination, investigations (including imaging)

Diagnosis and prognosis

Treatment options (including comorbid conditions)

Future developments

References

Chapter 26 Neurodegeneration with Brain Iron Accumulation, Wilson Disease, and Manganism

Neurodegenerative disorders with brain iron accumulation (NBIA)

Manganism

Wilson disease

References

Index

EULA

List of Tables

CHAPTER 1

Table 1.1

Subtypes and locations of Alzheimer’s disease (AD) neuropathologic changes in aging and in different stages of AD.

CHAPTER 3

Table 3.1

Phenotypes of current human prion diseases.

Table 3.2

Mutations and polymorphisms of

PRNP

Table 3.3

Diagnostic criteria of prion disease.

CHAPTER 4

Table 4.1

Modification of expression of proteins involved in excitoprotective cellular stress adaptation, as affected by energy restriction, exercise, and cognitive stimulation.

CHAPTER 6

Table 6.1

Effects of unilateral PPN DBS on UPDRS part II subscores (falling and freezing) after 3 and 12 months of stimulation.

CHAPTER 7

Table 7.1

Diagnostic criteria of MSA.

Table 7.2

Features supporting (red flags) and not supporting a diagnosis of MSA.

Table 7.3

Clinicopathological correlations of MSA.

Table 7.4

Structural and functional imaging in MSA.

Table 7.5

Symptomatic management of MSA. Adapted from Wenning & Stefanova 2009 [44] and Flabeau et al. 2010 [135].

CHAPTER 9

Table 9.1

Criteria for the clinical diagnosis of dementia with Lewy bodies (DLB).

Table 9.2

The neuropathological diagnosis of DLB. The table depicts the neuropathological certainty of the DLB diagnosis.

Table 9.3

Symptoms in DLB, their pharmacological management, and complications.

CHAPTER 11

Table 11.1

Stages of preclinical criteria.

Table 11.2

MCI criteria incorporating biomarkers.

Table 11.3

AD dementia criteria incorporating biomarkers.

Table 11.4

Differential diagnosis of dementia.

Table 11.5

Commonly used drugs that may cause memory loss.

Table 11.6

FDA-approved medications for AD.

CHAPTER 12

Table 12.1

Summary of behavioral variant frontotemporal dementia and primary progressive aphasia.

Table 12.2

Clinical, imaging, and pathological characteristics of major forms of monogenic FTD.

Table 12.3

Simplified pathologic classification of frontotemporal lobar degeneration.

CHAPTER 13

Table 13.1

Codon 129 status in CJD and controls.

Table 13.2

CSF 14-3-3 abnormality by prion disease state.

Table 13.3

Causes of rapidly progressive dementia (RPD) in a cohort of patients referred for evaluation of possible prion disease.

Table 13.4

Typical results of diagnostic tests in common conditions that cause RPD.

CHAPTER 14

Table 14.1

Nomenclature of idiopathic adult motor neuron disease [6, 126, 329].

Table 14.2

El Escorial criteria for the diagnosis of ALS, original and revised criteria [13, 14].

Table 14.3

Epidemiology of ALS [18–20, 28, 330].

Table 14.4

Genetic forms of ALS.

Table 14.5

Biomarkers for the evaluation of upper and lower motor neuron involvement and cognitive dysfunction in ALS and PLS.

Table 14.6

El Escorial guidelines for electrophysiological testing in the diagnosis of ALS.

Table 14.7

ALS Functional Rating Scale – revised version (ALSFRS-R).

CHAPTER 15

Table 15.1

Identified SPG gene products, grouped functionally.

CHAPTER 16

Table 16.1

SMA disease classification.

CHAPTER 17

Table 17.1A

Clinical features of SBMA cases observed personally.

Table 17.1B

Laboratory features of SBMA cases observed personally.

CHAPTER 19

Table 19.1

Classification of CMT, HNPP, and HNA and associated protein functions. Adapted from [8, 30].

Table 19.2

Classification of dHMNs and associated protein functions.

Table 19.3

Classification of HSAN and associated protein functions.

CHAPTER 21

Table 21.1

Clinical features of Huntington’s disease.

Table 21.2

Prevalence of neuropsychiatric symptomatology in Huntington’s disease (adapted from van Duijn et al. 2007 [40]).

Table 21.3

Clinical staging of Huntington’s disease, the Total Functional Capacity rating scale (adapted with permission from [14]).

Table 21.4

Drug management of movement disorder

Table 21.5

Drug management of neuropsychiatric disease.

Table 21.6

Non-drug based management of Huntington’s disease.

Table 21.7

Relationship of CAG size to phenotype.

Table 21.8

Risk for a healthy individual at 50% prior risk of Huntington’s disease carrying the HD gene at different ages.

Table 21.9

Mouse models of Huntington’s disease.

Table 21.10

Completed clinical trials in Huntington’s disease.

Table 21.11

Principal causes of Huntington’s disease look-alike cases [2].

CHAPTER 22

Table 22.1

Aid to differential diagnosis by clinical presentation in SCA.

Table 22.2

Spinocerebellar ataxias (the most common forms are in bold type).

Table 22.3

Manipulations of SCA transgenic models to evaluate pathogenesis and potential therapy.

CHAPTER 23

Table 23.1

Types of ataxia telangiectasia caused by

ATM

mutation and identified mutations associated with them.

CHAPTER 25

Table 25.1

Clinical phenotypes in males with X-ALD [4, 5].

Guide

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