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CORRECTION article

Front. Neurol., 14 September 2022

Sec. Movement Disorders

Volume 13 - 2022 | https://doi.org/10.3389/fneur.2022.1015572

Corrigendum: Clinical spectrum of tauopathies

  • 1. Department of Neurology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

  • 2. UC San Diego Department of Neurosciences, Parkinson and Other Movement Disorder Center, San Diego, CA, United States

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In the published article, there was an error in Table 2 as published. Subheading rows of the table, indicating the name of each criteria set, were not shown in the proper format. Additionally, a subheading row showing the title of each clinical category, including nfaPPA, svPPA, and lvPPA, under “Gorno-Tempini PPA criteria” was missing. The corrected Table 2 and its caption appear below.

Table 2

Clinical syndrome
Criteria set RS CBS nfaPPA bvFTD PAGF Tauopathies with Parkinsonism
MDS-PSP criteria 1
Probable VSGP or SVS + Repeated falls or fall on pull test in first 3 years VSGP or SVS + ≥ 3 of the following:
• Apathy
• Bradyphrenia
• Dysexecutive syndrome
• Reduced phonemic verbal fluency
• Impulsivity, disinhibition, or perseveration
VSGP or SVS + Progressive gait freezing (Sudden, transient motor blocks/start hesitation, no/mild parkinsonism, levodopa resistant) in first 3 years VSGP or SVS + one of:
• Axial predominant, levodopa resistant bradykinesia and rigidity
• Parkinsonism that is asymmetrical/with tremor/levodopa responsive
Possible SVS + >2 steps backward on pull test in first 3 years VSGP or SVS + Limb rigidity or akinesia or myoclonus + ≥1 cortical sign:
• Orobuccal/limb apraxia
• Cortical sensory deficit
• Alien limb phenomena
VSGP or SVS + nfaPPA or PAOS Progressive gait freezing in first 3 years
Suggestive Frequent mSWJs + Fall or >2 steps backward on pull test in first 3 years Limb rigidity or akinesia or myoclonus + ≥1 cortical sign:
• Orobuccal/limb apraxia
• Cortical sensory deficit
• Alien limb phenomena
nfaPPA or Progressive AOS Frequent mSWJs or >2 steps backward on pull test in first 3 years + ≥3 of the following:
• Apathy
• Bradyphrenia
• Dysexecutive syndrome
• Reduced phonemic verbal fluency
• Impulsivity, disinhibition, or perseveration
Axial predominant, levodopa resistant bradykinesia and rigidity or Parkinsonism that is asymmetrical/with tremor/levodopa responsive + one of:
• Frequent mSWJs
• Fall or >2 steps backward on pull test in first 3 years
• s.o. PSP-SL
• s.o. PSP-F
• Levodopa resistant
• Hypokinetic, spastic dysarthria
• Dysphagia
• Photophobia
Armstrong CBD criteria
Probable ≥3 of:
• Axial or symmetric limb rigidity or akinesia
• Postural instability/falls
• Urinary incontinence
• Behavioral changes
• VSGP/SVS
Asymmetric presentation of ≥2 cortical + ≥2 movement signs:
Cortical signs:
• Orobuccal/limb apraxia
• Cortical sensory deficit
• Alien limb phenomena
Movement signs:
• Limb rigidity
• Limb akinesia
• Limb myoclonus
Exclusionary criteria:
• Positive CSF, PET, or genetic AD biomarkers2
• Evidence of: LBD3/MSA4/ALS5/svPPA or nfaPPA
• Structural lesion suggestive of focal cause
• Granulin mutation or reduced plasma progranulin levels
• TDP-43 mutations
• FUS mutations ≥1 movement sign + ≥1 cortical sign
Meeting no exclusionary criteria
Effortful, agrammatic speech + ≥1 of:
• Impaired grammar/sentence comprehension with relatively preserved single word comprehension
• Groping, distorted speech production (AOS)
≥2 of:
• Executive dysfunction
• Behavioral or personality changes
• Visuospatial deficits
Rascovsky bvFTD criteria 6
Possible Presence in the first 3 years of ≥3 of these symptoms:
• Behavioral disinhibition7
• Apathy or inertia8
• Loss of sympathy or empathy9
• Perseverative, stereotyped or compulsive/ritualistic behavior10
• Hyperorality and dietary changes11
• Neuropsychological profile12
Probable All of below:
• Meets criteria for possible bvFTD
• Significant functional decline
• Imaging results consistent with bvFTD, ≥ 1 of:
• Frontal and/or anterior temporal atrophy on MRI or CT
• Frontal and/or anterior temporal hypoperfusion or hypometabolism on PET or SPECT
Definite Meets criteria for possible or probable bvFTD +
• Histopathological evidence of FTLD on biopsy or at post-mortem OR
• Presence of a known pathogenic mutation
Gorno-Tempini PPA criteria 13
nfaPPA svPPA lvPPA
Clinical At least one core feature:
• Agrammatism
• Effortful, halting speech with inconsistent speech sound errors and distortions (apraxia of speech) + ≥2 of:
• Impaired comprehension of syntactically complex sentences
• Spared single-word comprehension
• Spared object knowledge
Both of the following core features:
• Impaired confrontation naming
• Impaired single-word comprehension
+ ≥3 of:
• Impaired object knowledge, particularly for low frequency or low-familiarity items
• Surface dyslexia or dysgraphia
• Spared repetition
• Spared speech production (grammar and motor)
Both of the following core features:
• Impaired single-word retrieval in spontaneous speech and naming
• Impaired repetition of sentences and phrases + ≥3 of:
• Speech (phonologic) errors in spontaneous speech and naming
• Spared single-word comprehension and object knowledge
• Spared motor speech
• Absence of frank agrammatism
nfaPPA svPPA lvPPA
Imaging supported • Clinical diagnosis of nfaPPA (as above) + ≥1 of:
• Predominant left posterior fronto-insular atrophy on MRI
• Predominant left posterior fronto-insular hypoperfusion or hypometabolism on SPECT or PET
• Clinical diagnosis of svPPA (as above) + ≥1 of:
• Predominant anterior temporal lobe atrophy
• Predominant anterior temporal hypoperfusion or hypometabolism on SPECT or PET
• Clinical diagnosis of lvPPA (as above) + ≥1 of:
• Predominant left posterior perisylvian or parietal atrophy on MRI
• Predominant left posterior perisylvian or parietal hypoperfusion or hypometabolism on SPECT or PET
nfaPPA svPPA lvPPA
Definite Clinical diagnosis of nfaPPA (as above) + ≥1 of:
• Histopathologic evidence of a specific neurodegenerative pathology (e.g., FTLD-tau, FTLD-TDP, AD, other)
• Presence of a known pathogenic mutation
Clinical diagnosis of svPPA (as above) + ≥1 of:
• Histopathologic evidence of a specific neurodegenerative pathology (e.g., FTLD-tau, FTLD-TDP, AD, other)
• Presence of a known pathogenic mutation
Clinical diagnosis of lvPPA (as above) + ≥1 of:
• Histopathologic evidence of a specific neurodegenerative pathology (AD, FTLD-tau, FTLD-TDP, other)
• Presence of a known pathogenic mutation

Standardized clinical diagnostic criteria of phenotypes related to primary tauopathies based on Movement Disorders Society Progressive Supranuclear Palsy (MDS-PSP) criteria, (91), Armstrong corticobasal degeneration (CBD) (24) criteria, Gorno-Tempini Primary Progressive Aphasia (PPA) criteria (92), and Rascovsky behavioral variant Frontotemporal Dementia (bvFTD) criteria (93).

AD, Alzheimer's disease; ALS, amyotrophic lateral sclerosis; AOS, apraxia of speech; bvFTD, behavioral variant frontotemporal dementia; CBD, corticobasal degeneration; CBS, corticobasal syndrome; CSF, cerebrospinal fluid; CT, computed tomography; FTLD, frontotemporal lobar degeneration; FUS, fused in sarcoma; LBD, Lewy body disease; lvPPA, logopenic variant primary progressive aphasia; MRI, magnetic resonance imaging; MSA, multiple system atrophy; mSWJs, macro-square wave jerks; nfaPPA, non-fluent agrammatic primary progressive aphasia; PAGF, progressive akinesia and gait freezing; PET, positron emission tomography; PSP, progressive supranuclear palsy; PSP-F, frontal variant of progressive supranuclear palsy; PSP-SL, speech-language variant of progressive supranuclear palsy; RS, Richardson syndrome; s.o., suggestive of; SPECT, single photon emission computed tomography; svPPA, semantic variant primary progressive aphasia; SVS, slow vertical saccades; TDP-43, transactive response DNA binding protein 43 kDa; VSGP, vertical supranuclear gaze palsy.

1

Exclusionary criteria for the MDS-PSP criteria include clinical, imaging, laboratory, and genetic markers of any PSP-mimics or differential diagnoses including AD, PD, other atypical parkinsonian disorders, motor neuron disease, vascular or other structural brain lesions, autoimmune encephalitis, metabolic encephalopathies, prion disease, sensory deficit, vestibular dysfunction, severe spasticity, lower motor neuron syndrome, leukoencephalopathy, normal pressure or obstructive hydrocephalus, Wilson's disease, Niemann-Pick disease type C, hypoparathyroidism, Neuroacanthocytosis, Neurosyphilis, Whipple's disease, MAPT, and other genetic mutations mimicking PSP clinically.

2

Laboratory findings strongly suggestive of AD such as low CSF Aβ42 to tau ratio or positive 11C–Pittsburgh compound B PET; or genetic mutation suggesting AD (e.g., presenilin, amyloid precursor protein).

3

Classic 4-Hz Parkinson disease resting tremor, excellent and sustained levodopa response, or hallucinations.

4

Dysautonomia or prominent cerebellar signs.

5

Presence of both upper and lower motor neuron signs.

6

Exclusion criteria: Pattern of deficits is better accounted for by other non-degenerative nervous system or medical disorders/Behavioral disturbance is better accounted for by a psychiatric diagnosis/Biomarkers strongly indicative of Alzheimer's disease or other neurodegenerative process.

8

At least one of: Socially inappropriate behavior/Loss of manners or decorum/Impulsive, rash, or careless actions.

8

At least one of: Apathy/Inertia.

9

At least one of: Diminished response to other people's needs and feelings/Diminished social interest, interrelatedness or personal warmth.

10

At least one of: Simple repetitive movements/Complex, compulsive or ritualistic behaviors/Stereotypy of speech.

11

At least one of: Altered food preferences/Binge eating, increased consumption of alcohol or cigarettes/Oral exploration or consumption of inedible objects.

12

All of: Deficits in executive tasks/Relative sparing of episodic memory/Relative sparing of visuospatial skills.

13

Inclusion criteria: most prominent clinical feature is difficulty with language; these deficits are the principal cause of impaired daily living activities; aphasia should be the most prominent deficit at symptom onset and for the initial phases of the disease. Exclusion criteria: none of these criteria apply: pattern of deficits is better accounted for by other non-degenerative nervous system or medical disorders; cognitive disturbance is better accounted for by a psychiatric diagnosis; prominent initial episodic memory, visual memory, and visuoperceptual impairments; prominent, initial behavioral disturbance.

The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.

Publisher's note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Summary

Keywords

tauopathy, movement, clinical, progressive supranuclear palsy, corticobasal, neurodegenerative, frontotemporal dementia, primary progressive aphasia

Citation

Olfati N, Shoeibi A and Litvan I (2022) Corrigendum: Clinical spectrum of tauopathies. Front. Neurol. 13:1015572. doi: 10.3389/fneur.2022.1015572

Received

09 August 2022

Accepted

10 August 2022

Published

14 September 2022

Approved by

Frontiers Editorial Office, Frontiers Media SA, Switzerland

Volume

13 - 2022

Updates

Copyright

*Correspondence: Irene Litvan

This article was submitted to Movement Disorders, a section of the journal Frontiers in Neurology

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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