TABLE 1.
Feature | Posterior cortical atrophy | Corticobasal syndrome |
---|---|---|
Cognitive and motor features | Visual-perceptual: space perception deficit, simultanagnosia, object perception deficit, environmental agnosia, alexia, apperceptive prosopagnosia, and homonymous visual field defect | Motor: limb rigidity or akinesia, limb dystonia, and limb myoclonus |
Visual-motor: constructional dyspraxia, oculomotor apraxia, optic ataxia, and dressing apraxia | ||
Other: left/right disorientation, acalculia, limb apraxia, agraphia, and finger agnosia | Higher cortical features: limb or orobuccal apraxia, cortical sensory deficit, and alien limb phenomena | |
Imaging features (MRI, FDG-PET, SPECT) | Predominant occipito-parietal or occipito-temporal atrophy, and hypometabolism or hypoperfusion | Asymmetric perirolandic, posterior frontal, parietal atrophy, and hypometabolism or hypoperfusion |
Neuropathological associations | AD>CBD, LBD, TDP, JCD | CBD>PSP, AD, TDP |
Consensus diagnostic criteria for posterior cortical atrophy per Crutch et al. (7) require at least three cognitive features and relative sparing of anterograde memory, speech-nonvisual language functions, executive functions, behavior, and personality. Diagnostic criteria for probable corticobasal syndrome per Armstrong et al. (8) require asymmetric presentation of at least two motor features and at least two higher cortical features. AD=Alzheimer’s disease; CBD=corticobasal degeneration; FDG-PET=[18]F-fluorodexoxyglucose positron emission tomography; JCD=Jakob-Creutzfeldt disease; LBD=Lewy body disease; PSP=progressive supranuclear palsy; SPECT=single-photon emission computed tomography; TDP=TDP–43 proteinopathy.