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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Acta neuropathologica 37 (1977), S. 111-118 
    ISSN: 1432-0533
    Keywords: Ageing ; Dementia ; Neuronal loss ; Neurofibrillary tangles ; Granulovacuolar degeneration ; Hippocampus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The number of pyramidal neurones in the hippocampal cortex was determined in serially sectioned mesial temporal lobe from brains of 18 mentally normal people; as well as those of 8 demented patients with pathologically confirmed Alzheimer's disease. Normal ageing was accompanied by a gradual loss of neurones, whereas dements' brains showed a much more severe decrease, exceeding that of controls at any age. A high degree of negative exponential correlation was found between the density of neurones/mm3 of cortex and both the number of neurones with neurofibrillary degeneration and the number with granulovacuolar degeneration. The functional significance of the latter changes is thus probably greater than previously assumed, given the diminished population of surviving neurones in which these alterations appear. Both tangles and granulovacuoles demonstrated a stronger propensity for occurring in the posterior half of the hippocampus in demented patients' brains. This would not have been predicted from the relative distribution of neuronal loss in the two halves. The posterior portion of the hippocampus may be considerably more susceptible to the degenerative nerve cell changes prominent in dementia of the Alzheimer type.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0533
    Keywords: Aging ; Dementia ; Neurofibrillary tangles ; Granulovacuolar degeneration ; Hippocampus ; Topography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Topographic analysis was performed of the distribution of Alzheimer's neurofibrillary tangles and the granulovacuolar degeneration of Simchowicz in the hippocampal cortex of patients with Alzheimer's dementia and mentally normal aged controls. A semiautomated scanning stage microscope was linked potentiometrically to an XY pen recorder in order to plot cytoarchitectonic “scattergrams” from the sequentially screened hippocampal formations. The density of both lesions per cubic mm of pyramidal cortex was quantified by measuring the area of each of six “zones”, using a digitizer and programmable calculator. In elderly normal brains as well as those of Alzheimer's disease, the statistically most representative ranking order of predilection forneurofibrillary tangles (in decreasing severity) was: entorhinal cortex 〉 subiculum 〉 H1 〉 end-plate 〉 presubiculum 〉 H2. Forgranulovacuolar degeneration the best rank order was: subiculum 〉 H1 〉 H2 〉 end-plate 〉 entorhinal cortex 〉 presubiculum. The notable similarities of both such orders of predilection to the well-recognized “selective vulnerability” of certain hippocampal neurones in clinical conditions of hypoxia, ischemia and epilepsy suggest some common, focally accentuated cytotoxic mechanism may underlie all these regional predispositions.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Acta neuropathologica 53 (1981), S. 299-318 
    ISSN: 1432-0533
    Keywords: Dementia ; Hippocampus ; Alzheimer's disease ; Ageing ; Microvasculature
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The diameters and densities of capillaries and arterioles in the hippocampal cortex of normal subjects and patients with Alzheimer's dementia were measured in thick celloidin sections stained for alkaline phosphatase. Microvascular diameters in general are affected more by age than by the presence of dementia of the Alzheimer type. The diameter of both capillaries and arterioles increases significantly with age. The density of capillaries decreases whereas that of the arterioles increases significantly. The capillary changes suggest that a reduced exchange potential accompanies ageing. In brains of people with Alzheimer's disease the overall capillary diameters and densities do not differ from those of age-matched controls. Regional changes may, however, be important: those hippocampal zones showing the greatest severity of or increment in nerve cell lesions do correspond to those having the highest levels of or increase in capillary density and the greatest decrease in diameter, suggesting a direct association between neuronal susceptibility to Alzheimer changes and degree of regional blood supply. Capillary surface areas, volumes, and area/capillary volume ratios support the possibility of this relationship. Neurofibrillary tangles and granulovacuolar degeneration do not correlate equally with the degree of capillary “irrigation” tangles are more closely related to these morphological vascular parameters.
    Type of Medium: Electronic Resource
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