Hippocampal volume and shape in pure subcortical vascular dementia

  • Geon Ha Kim
  • , Jae Hong Lee
  • , Sang Won Seo
  • , Jeong Hun Kim
  • , Joon Kyung Seong
  • , Byoung Seok Ye
  • , Hanna Cho
  • , Young Noh
  • , Hee Jin Kim
  • , Cindy W. Yoon
  • , Seung Jun Oh
  • , Jae Seung Kim
  • , Yearn Seong Choe
  • , Kyung Han Lee
  • , Sung Tae Kim
  • , Jung Won Hwang
  • , Jee Hyang Jeong
  • , Duk L. Na

Research output: Contribution to journalArticlepeer-review

39 Scopus citations

Abstract

The purposes of the present study were to explore whether hippocampal atrophy exists in pure subcortical vascular dementia (SVaD) as defined by negative 11C-Pittsburg compound-B (PiB-) positron emission tomography and to compare hippocampal volume and shape between PiB- SVaD and PiB positive (PiB+) Alzheimer's disease (AD) dementia. Hippocampal volume and shape were compared among 40 patients with PiB- SVaD, 34 with PiB+ AD, and 21 elderly with normal cognitive function (NC). The normalized hippocampal volume of PiB- SVaD was significantly smaller than NC but larger than that of PiB+ AD (NC > PiB- SVaD > PiB+ AD). Both PiB- SVaD and PiB+ AD patients had deflated shape changes in the cornus ammonis (CA) 1 and subiculum compared with NC. However, direct comparison between PiB- SVaD and PiB+ AD demonstrated more inward deformity in the subiculum of the left hippocampus in PiB+ AD. PiB- SVaD patients did have smaller hippocampal volumes and inward shape change on CA 1 and subiculum compared with NC, suggesting that cumulative ischemia without amyloid pathology could lead to hippocampal atrophy and shape changes.

Original languageEnglish
Pages (from-to)485-491
Number of pages7
JournalNeurobiology of Aging
Volume36
Issue number1
DOIs
StatePublished - 1 Jan 2015

Keywords

  • Alzheimer's disease
  • Hippocampus
  • PiB-PET
  • Vascular dementia

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