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A longitudinal study of speech production in primary progressive aphasia and behavioral variant frontotemporal dementia.


ABSTRACT: We examined longitudinal change in language expression during a semi-structured speech sample in 48 patients with primary progressive aphasia (PPA) or behavioral variant frontotemporal dementia (bvFTD) and related this to longitudinal neuroimaging of cortical thickness available in 25 of these patients. All patient groups declined significantly on measures of both speech fluency and grammar, although patients with nonfluent/agrammatic PPA (naPPA) declined to a greater extent than patients with the semantic variant, the logopenic variant, and bvFTD. These patient groups also declined on several neuropsychological measures, but there was no correlation between decline in speech expression and decline in neuropsychological performance. Longitudinal decline in grammaticality, assessed by the number of well-formed sentences produced, was associated with longitudinal progression of gray matter atrophy in left frontal operculum/insula and bilateral temporal cortex.

SUBMITTER: Ash S 

PROVIDER: S-EPMC6656376 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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A longitudinal study of speech production in primary progressive aphasia and behavioral variant frontotemporal dementia.

Ash Sharon S   Nevler Naomi N   Phillips Jeffrey J   Irwin David J DJ   McMillan Corey T CT   Rascovsky Katya K   Grossman Murray M  

Brain and language 20190507


We examined longitudinal change in language expression during a semi-structured speech sample in 48 patients with primary progressive aphasia (PPA) or behavioral variant frontotemporal dementia (bvFTD) and related this to longitudinal neuroimaging of cortical thickness available in 25 of these patients. All patient groups declined significantly on measures of both speech fluency and grammar, although patients with nonfluent/agrammatic PPA (naPPA) declined to a greater extent than patients with t  ...[more]

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