Table 1.
Summary of TDP-43 and Tau Pathologic Findings
| Case 1 | Case 2 | |
| pTDP-43 distribution | MND: Primary motor cortex is most involved; sparse pathology in spinal cord; no pathology in brainstem FTLD: Temporal >> frontal cortex; layer 2 predominance; minimal white matter pathology; minimal neostriatum pathology |
MND: Primary motor cortex, brainstem, and spinal are all moderately involved FTLD: Temporal > frontal cortex; all cortical layers; prominent white matter pathology; moderate brainstem pathology; variable neostriatum pathology (globus pallidus > caudate > putamen) |
| pTDP-43 morphology | Dense perinuclear donut-like morphology encompassing the majority of the cytoplasm with centrally placed nuclei Scattered short neurites No intranuclear inclusions Skein-like inclusions in motor neurons Rare glial inclusions |
Granular cytoplasmic neuronal staining Granular parenchymal staining but minimal neurites Dense Lewy-body like inclusions in pigmented nigral neurons No intranuclear inclusions Numerous glial inclusions |
| FTLD-type | FTLD-TDP-43 Type A/B | FTLD-TDP-43 Type B or Type E |
| ADNC | Low (Thal 2, Braak precluded, CERAD absent) | Low (Thal 2, Braak IV, CERAD absent) |
| Lewy body pathology | Not identified | Not identified |
| Tau pathology | Features of argyrophilic grain disease - Oligodendroglial coiled bodies - Grains - Perinuclear ptau accentuation in CA2 hippocampal neurons |
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Abbreviations: ADNC = Alzheimer disease neuropathologic change; FTLD = frontotemporal lobar degeneration; MND = motor neuron disease.