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Diagnostic criteria for nonfluent/agrammatic variant PPA

Diagnostic criteria for nonfluent/agrammatic variant PPA
I. Clinical diagnosis of nonfluent/agrammatic variant PPA
At least one of the following core features must be present:
  1. Agrammatism in language production
  2. Effortful, halting speech with inconsistent speech sound errors and distortions (apraxia of speech)
At least 2 of 3 of the following other features must be present:
  1. Impaired comprehension of syntactically complex sentences
  2. Spared single-word comprehension
  3. Spared object knowledge
II. Imaging-supported nonfluent/agrammatic variant diagnosis
Both of the following criteria must be present:
  1. Clinical diagnosis of nonfluent/agrammatic variant PPA
  2. Imaging must show one or more of the following results:

    a. Predominant left posterior fronto-insular atrophy on MRI

    b. Predominant left posterior fronto-insular hypoperfusion or hypometabolism on SPECT or PET

III. Nonfluent/agrammatic variant PPA with definite pathology
Clinical diagnosis (criterion 1 below) and either criterion 2 or 3 must be present:
  1. Clinical diagnosis of nonfluent/agrammatic variant PPA
  2. Histopathologic evidence of a specific neurodegenerative pathology (eg, FTLD-tau, FTLD- TDP, AD, other)
  3. Presence of a known pathogenic mutation
AD: Alzheimer disease; FTLD: frontotemporal lobar degeneration; PPA: primary progressive aphasia.
Reproduced with permission from: Gorno-Tempini ML, Hillis AE, Weintraub S, et al. Classification of primary progressive aphasia and its variants. Neurology 2011; 76:1006. DOI: 10.1212/WNL.0b013e31821103e6. Copyright © 2011 American Academy of Neurology. Unauthorized reproduction of this material is prohibited.
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