The logopenic variant of
primary progressive aphasia (lvPPA) has been associated with
Alzheimer disease, although this relationship is still subject to debate. The purpose of this study is to determine the frequency of
amyloid biomarkers in patients with lvPPA, and record any potential clinical or topographic differences between patients with and without
amyloid deposits. We conducted cognitive examination and positron-emission tomography studies with fluorodeoxyglucose ((18)F) and
florbetapir ((18)F) in a cohort of 16 patients diagnosed with lvPPA. We evaluated the prevalence of
amyloid deposits as well as any clinical and metabolic differences between the groups with and without significant presence of
amyloid deposits. Eleven patients (69 %) were considered
amyloid-positive. The
amyloid-positive group displayed less metabolic activity in the left temporoparietal region than the control group, while the
amyloid-negative group showed lower metabolism in the left temporoparietal region extending to the anterior temporal and basal frontal regions. The percentage of change in patients with clinical and FDG-PET follow-up did not differ between the
amyloid-positive and
amyloid-negative subgroups. The frequency of
amyloid-positive cases confirms that lvPPA is frequently associated with
Alzheimer disease.
Amyloid-negative patients show a different cerebral metabolic pattern. These findings show the relevance of using
amyloid PET to study lvPPA, and also suggest that the logopenic variant may not be specific to
Alzheimer disease in certain cases.