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@ARTICLE{Vglein:162760,
author = {Vöglein, Jonathan and Kostova, Irena and Arzberger, Thomas
and Noachtar, Soheyl and Dieterich, Marianne and Herms,
Jochen and Schmitz, Peer and Ruf, Viktoria and Windl, Otto
and Roeber, Sigrun and Simons, Mikael and Höglinger,
Günter and Danek, Adrian and Giese, Armin and Levin,
Johannes},
title = {{S}eizure prevalence in neurodegenerative diseases-a study
of autopsy proven cases.},
journal = {European journal of neurology},
volume = {29},
number = {1},
issn = {1351-5101},
address = {Oxford},
publisher = {Blackwell Science},
reportid = {DZNE-2021-01416},
pages = {12-18},
year = {2022},
note = {ISSN 1468-1331 not unique: **2 hits**. (CC BY-NC)},
abstract = {Knowledge about the seizure prevalence in the whole
symptomatic course, from disease onset to death, in
neurodegenerative diseases (ND) is lacking. Therefore, the
aim was to investigate seizure prevalence and associated
clinical implications in neuropathologically diagnosed
ND.Clinical records of cases from the Neurobiobank Munich,
Germany, were analyzed. Neuropathological diagnoses of the
assessed cases included Alzheimer disease (AD), corticobasal
degeneration (CBD), frontotemporal lobar degeneration
(FTLD), Lewy body disease (LBD), multiple system atrophy
(MSA) and progressive supranuclear palsy (PSP). Seizure
prevalence during the whole symptomatic disease phase was
assessed and compared amongst ND. Associations between first
clinical symptom and seizure prevalence and between seizures
and disease duration were examined.In all, 454 patients with
neuropathologically diagnosed ND and with available and
meaningful clinical records were investigated (AD,
n = 144; LBD, n = 103; PSP, n = 93; FTLD, n = 53;
MSA, n = 36; CBD, n = 25). Seizure prevalence was
$31.3\%$ for AD, $20.0\%$ for CBD, $12.6\%$ for LBD,
$11.3\%$ for FTLD, $8.3\%$ for MSA and $7.5\%$ for PSP.
Seizure prevalence was significantly higher in AD compared
to FTLD (p = 0.005), LBD (p = 0.001), MSA (p = 0.005)
and PSP (p < 0.001). No other significant differences
regarding seizure prevalence were found between the studied
ND. Cognitive first symptoms in ND were associated with an
increased seizure prevalence $(21.1\%$ vs. $11.0\%$ in
patients without cognitive first symptoms) and motor first
symptoms with a decreased seizure prevalence $(10.3\%$ vs.
$20.5\%$ in patients without motor first symptoms). Seizures
were associated with a longer disease duration in MSA (12.3
vs. 7.0 years in patients without seizures;
p = 0.017).Seizures are a clinically relevant comorbidity
in ND, particularly in AD. Knowledge of the first clinical
symptom in ND may allow for estimation of seizure risk.},
keywords = {Autopsy / Humans / Multiple System Atrophy: epidemiology /
Multiple System Atrophy: pathology / Prevalence / Seizures:
epidemiology / Supranuclear Palsy, Progressive: diagnosis /
Supranuclear Palsy, Progressive: epidemiology / Alzheimer
disease (Other) / epilepsy (Other) / neurodegenerative
diseases (Other) / seizure prevalence (Other) / seizures
(Other)},
cin = {Clinical Dementia Research München / AG Höglinger 1 /
Neuropathology / Brainbank / AG Höglinger 2 / AG Herms / AG
Neumann / AG Simons},
ddc = {610},
cid = {I:(DE-2719)1111016 / I:(DE-2719)1110002 /
I:(DE-2719)1140013 / I:(DE-2719)1111015 / I:(DE-2719)1110001
/ I:(DE-2719)1210003 / I:(DE-2719)1110008},
pnm = {353 - Clinical and Health Care Research (POF4-353) / 352 -
Disease Mechanisms (POF4-352) / 351 - Brain Function
(POF4-351)},
pid = {G:(DE-HGF)POF4-353 / G:(DE-HGF)POF4-352 /
G:(DE-HGF)POF4-351},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:34472165},
doi = {10.1111/ene.15089},
url = {https://pub.dzne.de/record/162760},
}