Summary
An autopsy case with clinical features of progressive parkinsonism and dementia of presenile occurrence was characterized by the following neuropathologic findings: (1) severe degeneration in the striationigral system and (2) widespread occurrence of numerous senile plaques and Alzheimer's neurofibrillary tangles in the cerebral cortex. We believe this to be a very rare case of striatonigral degeneration combined with Alzheimer's disease, because, as far as we know, only two similar cases have been reported and they had not such typical characteristics of Alzheimer's disease as ours did. In addition, in our case the biochemical examination revealed that the activity of one of the dopamine-synthesizing enzymes, tyrosine hydroxylase, was greatly decreased in the nigro-striato-pallidal system.
References
Adams RD (1968) The striatonigral degenerations. In: Vinken PJ Bruyn GW (eds) Handbook of clinical neurology, vol 6. North-Holland, Amsterdam New York
Hashizume Y, Hara N, Goto H (1979) Striatonigral degeneration with massive appearance of senile plaques. Annual Meeting of Clinical Neuropathology, Hiroshima, Japan
Hirayama K, Saito M, Chida T, Iizuka R, Murofushi K, Fukuda Y (1977) Olivo-ponto-cerebellar atrophy and striato-nigral degeneration —Clinico-pathological study. Adv Neurol Sci 21:461–475
Nagatsu T, Kato T, Numata T, Ikuta K, Sano M, Nagatsu I, Kondo Y, Inagaki S, Iizuka R, Hori A, Narabayashi H (1977) Phenilethanolamine N-methyltransferase and other enzymes of catecholamine metabolism in human brain. Clin Chim Acta 75:221–232
Nagatsu T, Kato T, Nagatsu I, Kondo Y, Inagaki S, Iizuka R, Narabayashi H (1979) Catecholamine-related enzymes in the brain of patients with parkinsonism and Wilson's disease. In: Poirier LJ, Soukes TL, Bédard PJ (eds) Advances in neurology, vol 24. Raven Press, New York, pp 283–292
Rothschild D, Kasanin J (1936) Clinicopathologic study of Alzheimer's disease. Arch Neurol Psychiat 36:293–321
Takei Y, Mirra SS (1973) Striatonigral degeneration. A form of multiple system atrophy with clinical parkinsonism. In: Zimmermann HM (ed) Progress in neuropathology, vol 2. Grune & Stratton, New York
Trotter, JL (1973) Striatonigral degeneration, Alzmeiner's disease and inflammatory changes. Neurology 23:1211–1216
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Kosaka, K., Iizuka, R., Mizutani, Y. et al. Striatonigral degeneration combined with Alzheimer's disease. Acta Neuropathol 54, 253–256 (1981). https://doi.org/10.1007/BF00687749
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DOI: https://doi.org/10.1007/BF00687749