Clinical Significance |
Alzheimer disease (AD) is the leading form of neurodegenerative disorder, accounting for 70-75% of all dementia, and is pathologically characterized by severe neuronal loss, aggregation of amyloid-ß protein in extracellular senile plaques, and formation of neurofibrillary knots within the nerves composed of hyperphosphorylated tau protein. Clinically, there is a continuum of disease from asymptomatic, focally limited pathologic changes in the brain (years before noticeable symptoms appear) to subtle cognitive changes, mild cognitive impairment, and dementia, with cognitive and functional impairment progressing to progressive loss of independence and symptoms of dementia. Biochemical changes in the cerebrospinal fluid reflect these stage differences. In Alzheimer disease, amyloid beta and tau proteins accumulate in brain tissue, and the concentration of these proteins in the cerebrospinal fluid changes accordingly, and these characteristic changes in concentration can be used to identify the cause of Alzheimer disease. |