The Significance of Vascular Pathogenesis in the Examination of Corticobasal Syndrome

Frontiers in Aging Neuroscience

Anna Dunalska¹  Piotr Alster¹  Julia Pikul²  Katarzyna Schok²  Katarzyna Anna Wiejak² 

[1] Department of Neurology, Medical University of Warsaw, Warsaw, Poland;Students’ Scientific Association of the Department of Neurology, Medical University of Warsaw, Warsaw, Poland;

关键词: tauopathies;    corticobasal syndrome;    corticobasal degeneration;    vascular;    neurodegeneration;   

DOI  :  10.3389/fnagi.2021.668614

来源: DOAJ

【 摘 要 】

Corticobasal syndrome (CBS) is a clinical entity, classified as an atypical Parkinsonism, characterized by both motor and higher cortical dysfunctions. The clinical manifestation of CBS is associated with several pathologies, among which corticobasal degeneration (CBD) is the most common. The aim of our study was to elaborate on the possible vascular pathogenesis of CBS and consider types of vascular lesions in these cases. Several cases of vascular CBS are described in the literature. The majority of presented patients were affected by internal carotid artery (ICA) stenosis and ischemic strokes; few cases were associated with vascular malformations or autoimmune diseases. Vascular CBS is preceded by an abrupt onset. The clinical manifestation does not significantly differ with non-vascular CBS. Patients with vascular CBS are usually elderly; often with coexistent hypertension, dyslipidemia and diabetes mellitus. Inferring from our observations, cerebral hypoperfusion can play a significant role in neuropathological changes in neurodegenerative diseases. To the best of our knowledge paper is the first comprehensive review of vascular CBS and we are positive that our observations show that further research concerning the vascular pathogenesis of tauopathy atypical Parkinsonism is required.

【 授权许可】

Unknown