Language Dysfunction in Posterior Cortical Atrophy

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Neurodegenerative Diseases".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 1793

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Guest Editor
Frontotemporal Disorders Unit, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Interests: atypical Alzheimer’s disease; posterior cortical atrophy
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Special Issue Information

Dear Colleagues,

Patients with posterior cortical atrophy (PCA) syndrome, an atypical variant of Alzheimer’s disease (AD), experience gradually progressive visuospatial deficits during the initial phase of the illness. As the underlying neurodegenerative disease progresses, the language domain becomes impacted as PCA patients develop deficits in word retrieval, reading, writing, and spelling. The mechanisms of this secondary aphasia syndrome and associations with visuospatial functions remain largely unknown.

Research into the clinical, neuroanatomical, and neuropathological features of these and other PCA symptoms may not only facilitate earlier and more accurate diagnosis, but also ultimately inform the inclusion of these patients in clinical treatment trials.

This Special Issue will highlight multiple approaches that could help improve the characterization, diagnosis, and mechanistic understanding of PCA, with a particular focus on how language is impacted in this syndrome. We will feature new investigations that shed light on the relationships between these clinical symptoms and biomarkers, including molecular PET, hypometabolism profiles (18F FDG-PET), brain structural and functional MRI, and fluid biomarkers (CSF and plasma). Through this effort, we hope to inspire new collaborations and research ideas across the PCA and atypical AD research community.

Dr. Deepti Putcha
Guest Editor

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Keywords

  • Alzheimer’s disease
  • atypical AD
  • visual variant
  • posterior cortical atrophy
  • reading
  • spelling
  • writing
  • visual
  • visuospatial

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Published Papers (1 paper)

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Research

14 pages, 1617 KiB  
Article
Effects of Route Complexity and Lighting on Route Following in Alzheimer’s Disease and Posterior Cortical Atrophy
by Amelia M. Carton, Chris Frost, Teresa Poole, Biao Yang, Ian D. McCarthy, Tatsuto Suzuki, Catherine Holloway, Robin Serougne, Derrick Boampong, Mary Pat Sullivan, Nick Tyler, Sebastian Crutch and Keir X. X. Yong
Brain Sci. 2024, 14(12), 1217; https://doi.org/10.3390/brainsci14121217 - 30 Nov 2024
Viewed by 1184
Abstract
Objective: Visual processing deficits arising in dementia are associated with particular functional disability. This study aimed to investigate the effects of the built environment on mobility and navigation in people with dementia-related visual loss. Methods: Participants with posterior cortical atrophy (PCA; “visual-variant Alzheimer’s”; [...] Read more.
Objective: Visual processing deficits arising in dementia are associated with particular functional disability. This study aimed to investigate the effects of the built environment on mobility and navigation in people with dementia-related visual loss. Methods: Participants with posterior cortical atrophy (PCA; “visual-variant Alzheimer’s”; n = 11), typical Alzheimer’s disease (tAD; N = 10), and controls (n = 13) repeatedly walked down routes within a simplified real-world setting. Participant groups were of comparable age and gender. Routes were of different complexity (straight, U-shaped, and S-shaped), overhead lighting levels (low and high) and with or without a dynamic LED (light-emitting diode) cue (trial n = 24). Ratios of walking times for each experimental condition (each complex route vs the straight route, high lighting vs low, and LED cue vs no cue) were compared between participant groups. Kinematic measures were produced from a total of 10,813 steps using wearable inertial measurement units (IMUs). Results: The walking time ratios relating to route complexity were higher in the PCA group than in controls: 30.3% (95% CI [13.5%, 49.5%] higher for U-shaped vs straight and 31.9% [21.1%, 55.3%] for S-shaped vs straight, averaged over other conditions). The analogous results relating to route complexity for the tAD group were intermediate between those for the PCA and control groups. There was no evidence that walking time ratios differed according to lighting level or the presence of the LED cue. Conclusions: Findings contribute to evidence-based design for dementia-friendly environments, emphasizing consequences of environmental complexity for functional independence and mobility in people with dementia-related visual loss. Findings inform recommendations for environmental design to support the independence of individuals with dementia. Full article
(This article belongs to the Special Issue Language Dysfunction in Posterior Cortical Atrophy)
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