The Amygdala
Volume Is Decreased in Patients with Alzheimer’s Disease
Hořínek D.1,2, Hort J.3, Brabec J.1, Bojar M.3, Krásenský J.4, Seidl Z.4, Petrovický P.1
1Anatomický ústav 1. LF UK Praha, 2Ústav patologické fyziologie 2. LF UK Praha, 3Neurologická klinika 2. LF UK Praha, 4Radiologická klinika 1. LF UK Praha |
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Summary:
A volumetric examination using magnetic resonance imaging (MRI) makes possible to evaluate
morphological changes in the brain of patients with Alzheimer’s disease. The aim of the study presented was
to compare the amygdala volume in patients suffering from this disease with anatomical norm and to
determine relationship between the amygdala volume and severity of clinical affection. Method: MR
volumetric measurements of the amygdala were carried out in 16 patients with Alzheimer’s disease and in
11 healthy volunteers. The inter- and intra-individual variability of measuring was determined. The
anatomical volumetric values (norm) were obtained by measuring histological preparations from 16 donors
not affected with the disease shortly after death. Cognitive deficiency was assessed by Mini-Mental State
Examination (MMSE). Results: In a set of patients with Alzheimer’s disease the amygdala volume was
statistically significantly lower (p<0.01) if compared with controls measured by means of MRI. This
difference was much more striking in comparison with controls obtained by the measurements on
histological sections (p<0.001). Statistically significant correlation was revealed between the amygdala
volume and cognitive deficiency expressed by the score reached in the Mini-Mental StateExamination
(p<0.0005, r = 0.77). Conclusion: MR volumetry can differentiate reliably patients with neuropathological
changes at Alzheimer’s disease from normal population. The results of MRI volumetry correlate with the
severity of clinical affection. With sufficient anatomical accuracy of measurements, MRI volumetry is
a useful method for evaluating neuropathological changes in vivo in the diagnosing and monitoring the
therapy for Alzheimer’s disease.
Key words:
amygdala, Alzheimer’s disease, magnetic resonance, volumetry, anatomical sections
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