Coexistence of Amyotrophic Lateral Sclerosis and Alzheimer’s Disease: Case Report and Review of the Literature

Author:

Verde Federico12ORCID,Aiello Edoardo Nicolò1,Adobbati Laura1,Poletti Barbara13,Solca Federica1,Tiloca Cinzia1,Sangalli Davide4,Maranzano Alessio1,Muscio Cristina5,Ratti Antonia16,Zago Stefano7,Ticozzi Nicola12,Frisoni Giovanni Battista8,Silani Vincenzo12

Affiliation:

1. Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milan, Italy

2. Department of Pathophysiology and Transplantation, “Dino Ferrari” Center, Università degli Studi di Milano, Milan, Italy

3. Department of Oncology and Hemato-Oncology, Università degli Studi di Milano, Milan, Italy

4. Department of Neurology and Stroke Unit, Azienda Socio Sanitaria Territoriale Lecco, Lecco, Italy

5. Neurology-5 (Neuropathology) Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy

6. Department of Medical Biotechnology and Translational Medicine, Università degli Studi di Milano, Milan, Italy

7. Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy

8. Memory Clinic and LANVIE - Laboratory of Neuroimaging of Aging, University Hospitals and University of Geneva, Geneva, Switzerland

Abstract

We describe a case of amyotrophic lateral sclerosis (ALS) associated with Alzheimer’s disease (AD) and review the literature about the coexistence of the two entities, highlighting the following: mean age at onset is 63.8 years, with slight female predominance; ALS tends to manifest after cognitive impairment and often begins in the bulbar region; average disease duration is 3 years; cognitive phenotype is mostly amnestic; the pattern of brain involvement is, in most cases, consistent with AD. Our case and the reviewed ones suggest that patients with ALS and dementia lacking unequivocal features of FTD should undergo additional examinations in order to recognize AD.

Publisher

IOS Press

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Medicine,General Neuroscience

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