An atypical presentation of autopsy confirmed rapidly progressive early onset Alzheimer's disease with borderline CSF biomarkers: A case study

This case illustrates an atypical, rapidly progressive clinical presentation of autopsy-confirmed AD with CSF biomarkers for AD in the "borderline" range relatively close to death. In clinical practice, cases where biomarkers are "borderline" are not uncommon and pose challenges to differentiating between dementias due to different underlying neurodegenerative diseases. Learning from atypical presentations such as this one may augment diagnostic accuracy and clinical disease management. Further research is needed to establish correspondence of "borderline" or "indeterminate" CSF biomarkers to neuropathological findings seen at autopsy.

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Publication Details

Journal
Alzheimer s & Dementia
Published
2025-12-01
DOI
https://doi.org/10.1002/alz70856_107697
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
0.00
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article

An atypical presentation of autopsy confirmed rapidly progressive early onset Alzheimer's disease with borderline CSF biomarkers: A case study

S. Weintraub, Tamar Gefen, Robert J. Vassar, Rudolph J Castellani et al.
Alzheimer s & Dementia
Dementia and Cognitive Impairment Research
article

An atypical presentation of autopsy confirmed rapidly progressive early onset Alzheimer's disease with borderline CSF biomarkers: A case study

S. Weintraub, Tamar Gefen, Robert J. Vassar, Rudolph J Castellani, Marsel Mesulam, Allison Lapins, Kailey Zajicek, Molly A Mather
article en

Abstract

This case illustrates an atypical, rapidly progressive clinical presentation of autopsy-confirmed AD with CSF biomarkers for AD in the "borderline" range relatively close to death. In clinical practice, cases where biomarkers are "borderline" are not uncommon and pose challenges to differentiating between dementias due to different underlying neurodegenerative diseases. Learning from atypical presentations such as this one may augment diagnostic accuracy and clinical disease management. Further research is needed to establish correspondence of "borderline" or "indeterminate" CSF biomarkers to neuropathological findings seen at autopsy.

Alzheimer s & DementiaVol. 21(S2)
Northwestern University (US), Alzheimer’s Disease Neuroimaging Initiative (US)
Quality Education
Openalex Percentile: Top 28%
Dementia and Cognitive Impairment Research
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