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NEUROLOGY 1980;30:820
© 1980 American Academy of Neurology

Presenile Alzheimer disease

Amyloid plaques in the cerebellum

John D. Pro, M.D., Maj. Craig H. Smith, U. S. A., M.D. and S. Mark Sumi, M. D.

Laboratory of Neuropathology, Department of Pathology (Dr. Sumi), and the Division of Neurology, Department of Medicine (Drs. Pro and Smith), University of Washington School of Medicine, Seattle, WA.

Seven of 24 patients with pathologically proved Alzheimer disease had amyloid plaques resembling kuru plaques in the cerebellum. In all seven patients, the dementia was presenile in onset, there was a positive family history of the disease in five patients, and other neurologic symptoms were present in five. Similar plaques have been described in one of two patients with familial Alzheimer disease from whom spongiform encephalopathy was induced in subhuman primates after intracerebral inoculation of brain tissue. These observations suggest that some cases of familial Alzheimer disease may be clinically distinct from senile dementia and may not be genetic in origin.

Address correspondence and reprint requests to Dr. Sumi, Laboratory of Neuropathology, Mail Stop RJ-05, University of Washington School of Medicine, Seattle, WA 98195.

Accepted for publication October 24, 1979.

Presented in part at the thirty-first annual meeting of the American Academy of Neurology, Chicago, April 1979.




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