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• W2019451653 abstract "The clinical significance and characteristics of writing errors in bulbar-onset amyotrophic lateral sclerosis (ALS) are not clear. We retrospectively investigated writing samples in 19 patients with bulbar-onset ALS without preceding extra-motor symptoms. Co-development of dementia and/or aphasia was also explored and single photon emission computed tomography (SPECT) images of the brain were reviewed. As a result, a high prevalence of writing errors (15 of the 19 patients) was found. Of note were isolated writing errors with neither dementia nor aphasia verified in 2 patients whose dysarthria was mild enough to evaluate spoken language. The remaining 13 patients also showed agraphia, but either dysarthria was too severe to evaluate aphasia or frontotemporal dementia (FTD)-like features co-existed. Of these patients, one who initially lacked dementia subsequently developed FTD-like features. The frequent writing errors were omission or substitution of kana letters and syntactic errors. SPECT images showed bilateral or left-side dominant hypoperfusion in the frontotemporal lobes as a consistent feature. These results show that patients with bulbar-onset ALS frequently exhibit agraphic writing errors and that these are not merely consequences of dementia or aphasia. However, these writing errors may indicate the involvement of frontotemporal language-related areas beyond the primary motor cortex." @default.
• W2019451653 created "2016-06-24" @default.
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• W2019451653 date "2008-01-01" @default.
• W2019451653 modified "2023-09-23" @default.
• W2019451653 title "Agraphia in bulbar-onset amyotrophic lateral sclerosis: not merely a consequence of dementia or aphasia." @default.
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• W2019451653 doi "https://doi.org/10.3233/ben-2008-0219" @default.
• W2019451653 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5452436" @default.
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