Unique ID issued by UMIN | UMIN000014098 |
---|---|
Receipt number | R000016388 |
Scientific Title | Clinical study for degenerative dementia |
Date of disclosure of the study information | 2014/06/01 |
Last modified on | 2016/12/23 13:05:38 |
Clinical study for degenerative dementia
Degenerative dementia clinical study
Clinical study for degenerative dementia
Degenerative dementia clinical study
Japan |
Corticobasal syndrome, Primary progressive aphasia, Dementia with Lewy bodies
Neurology |
Others
NO
Approximately, 20 % of patients with corticobasal syndrome, primary progressive aphasia, and dementia with Lewy bodies show Alzheimer's disease (AD) pathology. In this study, we aim to establish the diagnostic methods to differentiate patients with AD from non-AD pathology.
Others
To establish the method of differential diagnosis using neuroimaging and neurospychological tests.
Exploratory
Pragmatic
Not applicable
Dopamine transporter scan
Neurospychological battery
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Diagnosis
Other |
Neuropshychological tests and Dopamine transporter scan
40 | years-old | <= |
90 | years-old | > |
Male and Female
1. corticobasal syndrome (CBS,J Neurol Neurosurg Psychiatry. 2012;83(4):405)
1. Mandatory criteria
1-1 Insidious onset and gradual progression
1-2 No sustained response to levodopa treatment
2. Major and minor criteria
2-1 Motor features
Akinetic rigid syndrome
Focal or segmental myoclonus
Asymmetrical dystonia
2-2 Cortical motor sensory features
Limb apraxia
Alien limb phenomenon
Cortical sensory loss or dyscalculia
2-3 Cognitive features
Speech and language impairment
Frontal executive dysfunction
Visuospatial deficits
2. Dementia with Lewy bodies (DLB, Neurology 2005;65;1863)
1. Central feature
Dementia defined as progressive cognitive decline of sufficient magnitude to interfere with normal social or occupational function.
Deficits on tests of attention, executive function, and visuospatial ability may be especially prominent.
2. Core features (two core features are sufficient for a diagnosis of probable DLB, one for possible DLB)
2-1 Fluctuating cognition with pronounced variations in attention and alertness
2-2 Recurrent visual hallucinations that are typically well formed and detailed
2-3 Spontaneous features of parkinsonism
3. Suggestive features (If one or more of these is present in the presence of one or more core features, a diagnosis of probable DLB can be made. In the absence of any core features, one or more suggestive features is sufficient for possible DLB. Probable DLB should
not be diagnosed on the basis of suggestive features alone.)
3-1 REM sleep behavior disorder
3-2 Severe neuroleptic sensitivity
3-3 Low dopamine transporter uptake in basal ganglia demonstrated by SPECT or PET imaging
3. Primary progressive aphasia (PPA, Neurology 2011;76:1006)
1. Most prominent clinical feature is difficulty with language
2. These deficits are the principal cause of impaired daily living activities
3. Aphasia should be the most prominent deficit at symptom onset and for the initial phases of the disease
1) Cognitive dysfunction, systemic diseases or central nervous system other than CBS, PPA, and DLB (Schizophrenia, Bipolar disorder, Parkinson's disease, Vascular dementia, Huntington disease, brain tumor, Pick disease, Creutzfeldt-Jakob disease,Normal pressure hydrocephalus, Progressive supranuclear palsy,cerebral stroke, subdural hematoma, multiple sclerosis, epilepsy, HIV infection, neurosyphilis)
2. In the presence of any other physical illness such as Vitamine deficiency
3. In case physicians judge that the participants are mismatched.
150
1st name | |
Middle name | |
Last name | Yumiko Motoi |
Juntendo University school of Medicine
Department of Diagnosis, Prevention and Treatment of Dementia
Bunkyo-ku Hongo 2-3-18 Regalo Ochanomizu II 602
+81-3-5689-8556
motoi@juntendo.ac.jp
1st name | |
Middle name | |
Last name | Yumiko Motoi |
Juntendo University school of Medicine
Department of Diagnosis, Prevention and Treatment of Dementia
Bunkyo-ku Hongo 2-3-18 Regalo Ochanomizu II 602
+81-3-5689-8556
motoi@juntendo.ac.jp
Juntendo University school of Medicine
Department of Diagnosis, Prevention and Treatment of Dementia
Grants-in-Aid for Scientific Research
Japanese Governmental office
NO
2014 | Year | 06 | Month | 01 | Day |
Unpublished
Completed
2014 | Year | 05 | Month | 31 | Day |
2014 | Year | 06 | Month | 01 | Day |
2014 | Year | 05 | Month | 28 | Day |
2016 | Year | 12 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016388