Summary
Loss of neurons from the substantia nigra (SN), which is often encountered in Pick's disease, was quantitatively analyzed in 13 cases of Pick's disease and 19 age-matched controls. On sections from the upper and lower portions of the SN, the pigmeted zone (zona compacta) and the non-pigmented zone (zona reticulata) were delineated, and these zones were partitioned into quarters: medial, mid-medial, mid-lateral and lateral. Neuronal loss was fairly severe and more evident in the upper section of the SN (−40%), especially in the midmedial and lateral quarters. In the lower section (neuronal loss:−28%), the medial quarter was most severely affected. Non-pigmented neurons were preserved. Fibrillary gliosis was denser in the zona reticulata, where neuronal loss was minimal. These findings revealed a selective vulnerability of nigral neurons according to their topography and pigmentation and suggests the primary involvement of some neuronal groups (especially the pigmented neurons) of the SN in Pick's disease.
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References
Akelaitis AJ (1944) Atrophy of basal ganglia in Pick's disease. Arch Neurol Psychiatry 51: 27–34
Bogerts B, Häutsch J, Herzer M (1983) A morphometric study of the dopamine-containing cell groups in the mesencephalon of normals, Parkinson patients and schizophrenics. Biol Psychiatry 18: 951–969
Delay J, Brion S, Escourolle R (1960) Les lesions des noyaux gris et du tronc cérébral dans la maladie de Pick. Encéphale 49: 463–494
Ditter SM, Mirra SS (1987) Neurologic and clinical features of Parkinson's disease in Alzheimers disease patients. Neurology 37: 754–760
Escourolle R (1956) La maladie de Pick. Etude critique d'ensenble et synthese anatom-clinique. Thèse médecine, Foulon, Paris
Forno LS (1983) Reaction of the substantia nigra to massive basal ganglia infarction. Acta Neuropathol (Berl) 62: 96–102
German DC, Manaye K, Smith VK, Woodward DJ, Saper CB (1989) Midbrain dopaminergic cell loss in Parkinson's disease: computer visualization. Ann Neurol 26: 507–514
Gibb WRG, Lees AJ (1987) The progression of idiopathic Parkinson's disease is not explained by age-related changes: clinical and pathological comparison with post-encephalitic parkinsonian syndrome. Acta Nauropathol (Berl) 73: 195–201
Gibb WRG, Mountjoy CQ, Mann DMA, Lees AJ (1989) The substantia nigra and ventral tegmental area in Alzheimer's disease and Down's syndrome. J Neurol Neurosurg Psychiatry 52: 193–200
Goto S, Hirano A, Matsumoto S (1989) Subdivisional involvement of nigrostriatal loop in idiopathic Parkinson's disease and striatonigral degeneration. Ann Neurol 26: 766–770
Hassler R (1938) Zur Pathologie der Paralysis agitans und des postenzephalitischen Parkinsonismus. J Psychol Neurol 48: 387–476
Hirsch E, Graybiel AM, Agid YA (1988) Melanized dopaminergic neurons are differentially susceptible to degeneration in Parkinson's disease. Nature 334: 345–348
Kanazawa I, Kwak S, Sasaki H, Muramoto O, Mizutani T, Hori A, Nukina N, (1988) Studies on neurotransmitter markers of the basal ganglia in Pick's disease, with special reference to dopamine reduction. J Neurol Sci 83: 63–74
Klaue R (1940) Parkinsonsche Krankheit (Paralysisagitans) und postencephalitischer Parkinsonismus: Vergleich einer klinisch-anatomichen Differentialdiagnose. Arch Psychiatr Nervenkr 111: 251–321
Kosaka K (1988) Clinical aspects of age-related dementia (Japanese). Kongo Shuppan, Tokyo
Kosaka K, Ikeda K, Kobayashi K, Hamamoto J, Matsushita M (1985) On pyramidal tract lesions in Pick's disease (Japanese). Clin Psychiatr (Seishin-Igaku) 27: 1171–1178
Kosaka K, Ikeda K, Kobayashi K (1990) Striatopallidonigral degeneration in Pick's disease—A clinicopathological study of 41 cases. J Neurol (in press)
Leverenz J, Sumi SM (1986) Parkinson's disease in patients with Alzheimer's disease. Arch Neurol 43: 662–664
Lüer Th, Spatz H (1957) Picksche Krankheit (Progressive umschriebene Großhirnatrophie). In: Lubarsch O, Henke F, Roessle R (eds) Handbuch der speziellen pathologischen Anatomie und Histologie, vol 13. Springer, Berlin, pp 614–715
Mann DMA, Yates PO (1974) Lipoprotein pigments—Their relationship to ageing in the human nervous system. II. The melanin content of pigmented nerve cells. Brain 97: 489–498
Mann DMA, Yates PO, Marcyniuk B (1987) Dopaminergic neurotransmitter system in Alzheimer's disease and in Down's syndrome at middle age. J Neurol Neurosurg Psychiatry 50: 341–344
Neumayer E (1971) Kombination von M. Parkinson mit anderens zentralnervösen Krankheiten. Z Neurol 199: 306–318
Olzsewski J, Baxter D (1982) Cytoarchitecture of the human brain stem, 2nd ed. Karger, Basel New York, pp 50–56
Oyanagi K, Takeda S, Takahashi H, Ohama E, Ikuta F (1989) A quantitative investigation of the substantia nigra in Huntington's disease. Ann Neurol 26: 13–19
Parkinson J (1817) An essay on the shaking palsy. Sherwood, Neely and Jones, London
Pakkenberg H, Brody H (1965) The number of nerve cells in substantia nigra in paralysis agitans. Acta Neuropathol (Berl) 5: 320–324
Pick A (1982) Über die Beziehungen der senilen Hirnatrophie zur Aphasie. Prag Med Wochenschr 17: 165–167
Poppe W, Tennstedt A (1963) Klinisch-und pathologischanatomische Untersuchungen über Kombinationsformen präseniler Hirnatrophien (Pick, Alzheimer) mit spinalen atrophisierenden Prozessen. Psychiat Neurol 145: 322–344
Rinne JO, Rummukainen J, Paljärvi L, Rinne UK (1989) Dementia in Parkinson's disease is related to neuronal loss in the medial substrate nigra. Ann Neurol 26: 47–50
Simma K (1952) Die subcorticalen Veränderungen bei Pikscher Krankheit im Vergleich zur Chorea Huntington. Monatsschr Psychiatr Neurol 123: 205–238
Tabaton M, Schenone A, Romagnoli P, Mancardi GL (1985) A quantitative and ultrastructural study of substantia nigra and nucleus centralis superior in Alzheimer's disease. Acta Neuropathol (Berl) 68: 218–223
v. Bagh K (1941) Über anatomische Befunde bei 30 Fällen von systematischer Atrophie der Großhirnrinde (Pickscher Krankheit) mit besonderer Berücksichtigung der Stammaganglien und der langen absteigenden Leitungsbahnen. Arch Psychiatr Nervenkr 114: 68–70
v. Bagh K (1946) Klinische und pathologische-anatomische Studien an 30 Fällen systematischer umschriebener Atrophie der Großhirnrinde (Pickscher Krankheit). Ann Scand Sci Fenn [a] 10: 1–132
van Bogaert L (1934) Syndrome extrapyramidal au cours d'une malade de Pick. J Belge Neurol Psychiatr 34: 315–320
v. Braumühl A (1930) Über Stammganglienveränderungen bei Pickscher Krankheit. Z Gesamt Neurol Psychiatr 124: 214–221
Walker AE (1952) Cerebral pedunculotomy for the relief of involuntary movement. J Nerv Ment Dis 116: 766–775
Winkeleman NW, Book MH (1949) Asymptomatic extrapyramidal involvement in Pick's disease. J Neuropathol Exp Neurol 8:30–42
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Uchihara, T., Tsuchiya, K. & Kosaka, K. Selective loss of nigral neurons in Pick's disease: a morphometric study. Acta Neuropathol 81, 155–161 (1990). https://doi.org/10.1007/BF00334504
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DOI: https://doi.org/10.1007/BF00334504