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. 2022 Sep;43(9):1230–1243. doi: 10.3174/ajnr.A7613

Table 2:

Diagnostic criteria for PPA variants

lvPPA svPPA nfvPPA
Clinical diagnosis 1. Impaired single-word retrieval in spontaneous speech and naming AND 1. Impaired confrontation naming 1. Agrammatism in language production AND/OR
2. Impaired repetition of sentences and phrases 2. Impaired single-word comprehension AND 2. Effortful, halting speech with inconsistent speech sound errors and distortions (apraxia of speech)
At least 3 of the following: At least 3 of the following: At least 2 of the following:
1. Speech (phonologic) errors in spontaneous speech and naming 1. Impaired object knowledge, particularly for low-frequency or low-familiarity items 1. Impaired comprehension of syntactically complex sentences
2. Spared single-word comprehension and object knowledge 2. Surface dyslexia or dysgraphia 2. Spared single-word comprehension
3. Spared motor speech 3. Spared repetition 3. Spared object knowledge
4. Absence of frank agrammatism 4. Spared speech production (grammar and motor speech)
Imaging-supported diagnosis Predominant left-posterior periSylvian or temporoparietal atrophy and/or hypoperfusion or hypometabolism Predominant anterior temporal lobe atrophy and/or hypoperfusion or hypometabolism Predominant left posterior frontoinsular atrophy and/or hypoperfusion or hypometabolism
Pathology-supported diagnosis (or presence of known pathogenic mutation) ADa TDP-43a 4R-τa
a

Histopathologic evidence of a specific neurodegenerative pathology (eg, FTLD-τ, FTLD-TDP, AD, other), particularly if most characteristic pathology.