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.