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Familial dementia with Pick's cells – a case report of probable familial Pick's disease

Published online by Cambridge University Press:  13 June 2014

Fiona Gaughran
Affiliation:
Dept of Psychiatry, St Stephen's Hospital, Glanmire, Co. Cork, Ireland
Catherine Keohane
Affiliation:
Neuropathology Laboratory, Dept of Pathology, Cork Regional Hospital, Wilton, Cork, Co. Cork, Ireland
Mary Buckley
Affiliation:
Dept of Psychiatry, St. Stephen's Hospital, Glanmire, Co. Cork, Ireland

Abstract

The clinical and pathological features are described in a case of prolonged dementia in a 59 year old man with familial dementia and extrapyramidal disorder. Postmortem examination showed severe fronto-temporal and basal ganglia atrophy, with many “ballooned neurons” in the residual cortex most likely representing Pick's disease. The differential diagnosis is discussed and aspects of this rare condition are reviewed.

Type
Clinical and Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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References

1.Heston, LL, Mastri, AR. Age at onset of Pick's and Alzheimer's dementia: implications for diagnosis and research. J Gerontol 1982; 37(4): 422–4.CrossRefGoogle ScholarPubMed
2.Tomlinson, BE, Blessed, G, Roth, M. Observations on the brains of demented old people. J Neurol Sci 1970; 11: 205–42.CrossRefGoogle ScholarPubMed
3.Pick, A. Uber die Beziehungen der senilen hirnatrophie zur Aphasie. Prager Med Wochenschr 1892; 17: 165–7.Google Scholar
4.Rewcastle, NB. In: Davis, RD, Robertson, DM, editors. “Textbook of Neuropathology”. 2nd ed. Baltimore MD: Williams & Wilkson, 1991: 918.Google Scholar
5.Sjogren, T, Sjogren, H, Lingren, GH. Morbus alzheimer and morbus pick: genetic, chemical and patho-anatomical study. Acta Psychiatr Scand 1952; 82 suppl: 166.Google Scholar
6.Heston, LL, White, JA, Mastri, AR. Pick's disease: clinical genetics and natural history. Arch Gen Psychiatry 1987; 44: 409–11.CrossRefGoogle ScholarPubMed
7.Groen, JJ, Endtz, LJ. Hereditary Pick's disease. Second re-examination of a large family and discussion of other hereditary cases with particular reference to electroencephalography and computerised tomography. Brain 1982; 105: 443–59.CrossRefGoogle Scholar
8.Cummings, JL, Duchen, LW. Kluver-Bucy syndrome in Pick's disease: clinical and pathologic correlations. Neurology NY 1981; 31(11): 1415–22.CrossRefGoogle ScholarPubMed
9.Tomlinson, BE. In: Adams, JH, Duchen, LW, editors. Greenfield's Neuropathology. 5th ed. London: Edward Arnold, 1992: 1354–62.Google Scholar
10.Lowe, J, Errington, DR, Lennox, G, Pike, I, Splendlove, I, Landon, M, Mayer, RJ. Ballooned neurons in several neurodegenerative diseases and stroke contain alpha B crystallin. Neuropathol Appl Neurobiol 1992; 18(4): 341–50.CrossRefGoogle ScholarPubMed
11.Moossy, J, Martinez, AJ, Hanin, I, Rao, G, Yonas, H, Boller, F. Thalamic and subcortical gliosis with dementia. Arch Neurol 1987; 44: 510–3.CrossRefGoogle ScholarPubMed
12.Neary, D, Snowden, JS, Northern, B, Goulding, B. Dementia of frontal lobe type. J Neurol Neurosurg Psychiatry 1988; 51(3): 353–61.CrossRefGoogle ScholarPubMed
13.Kim, RC, Collins, GH, Parisi, JE, Wright, AW, Chu, YB. Familial dementia of adult onset with pathological findings of a non specific nature. Brain 1981; 104: 6178.CrossRefGoogle ScholarPubMed
14.Hsu, SM, Raine, L, Fanger, H. Use of avidin-biolin-peroxidasc complex (ABC) in immunoperoxidase techniques; a comparison between ABC and unlabelled antibody (PAP) procedures. J Histochem Cytochem 1981; 294: 577–80.CrossRefGoogle Scholar
15.Knopman, DS, Christensen, KJ, Schut, LJ, Harbaugh, RE, Reeder, T, Ngo, T, Frey, W. The spectrum of imaging and neuropsychological findings in Pick's disease. Neurology 1989; 39(3): 362–8.CrossRefGoogle ScholarPubMed
16.Kanazawa, I, Kwak, S, Sasaki, H, Muramoto, O, Mizutani, T, Hori, A, Nukina, N. Studies on the neurotransmitter markers of the basal ganglia in Pick's disease with special reference to dopamine reduction. J Neurol Sci. 1988; 83(1): 6374.CrossRefGoogle ScholarPubMed
17.Winkleman, NW, Book, MH. Asymptomatic extrapyramidal involvement in Pick's disease: a clinicopathological study of two cases. J Neuropathol Exp Neurol 1949; 8: 3042.CrossRefGoogle Scholar
18.Sam, M, Gutmann, L, Schochet, SS Jr, Doshi, H. Pick's disease: a case resembling amyotrophic lateral sclerosis. Neurology 1991; 41(11): 1831–3.CrossRefGoogle ScholarPubMed
19.Yoshimuru, N. Topography of Pick body distribution in Pick's disease: a contribution to understanding the relationship between Pick's and Alzheimer's disease. Clin Neuropathol 1989; 8(1): 16.Google Scholar
20.Ulrich, J, Haugh, M, Anderton, BH, Probst, A, Lautenschlagcr, C, His, B. Alzheimer dementia and Pick's disease: neurofibrillary tangles and Pick bodies are associated with identical phosphorylated neurofilament epitopes. Acta Neuropathol (B) 1987; 73: 240–6.CrossRefGoogle ScholarPubMed
21.Love, S, Burrola, P, Terry, RD, Wiley, CA. Immunoelectron microscopy of Alzheimer and Pick brain tissue labelled with the monoclonal antibody Alz 50. Neuropathol Appl Neurobiol 1989; 15(3): 223–31.CrossRefGoogle ScholarPubMed
22.Brion, S, Plas, J, Jeanneau, A. Pick's disease: anatomo-clinical point of view. Rev Neurol (Paris) 1991; 147(11): 693704.Google ScholarPubMed
23.Sparks, DL, Woeltz, VM, Markesbery, WR. Alterations in brain monoamine oxidase activity in aging, Alzheimer's disease and Pick's disease. Arch Neurol 1991; 48(7): 718–21.CrossRefGoogle ScholarPubMed
24.Van Mansvelt, J. Pick's disease: a syndrome of lobar cerebral atrophy [Thesis]. Enschede: Utrecht University, 1954.Google Scholar