Degenerative jargon aphasia: Unusual progression of logopenic/phonological progressive aphasia?

Paolo Caffarra, Simona Gardini, Stefano Cappa, Francesca Dieci, Letizia Concari, Federica Barocco, Caterina Ghetti, Livia Ruffini, Guido Dalla Rosa Prati

Research output: Contribution to journalArticle

Abstract

Primary progressive aphasia (PPA) corresponds to the gradual degeneration of language which can occur as nonfluent/agrammatic PPA, semantic variant PPA or logopenic variant PPA. We describe the clinical evolution of a patient with PPA presenting jargon aphasia as a late feature. At the onset of the disease (ten years ago) the patient showed anomia and executive deficits, followed later on by phonemic paraphasias and neologisms, deficits in verbal short-term memory, naming, verbal and semantic fluency. At recent follow-up the patient developed an unintelligible jargon with both semantic and neologistic errors, as well as with severe deficit of comprehension which precluded any further neuropsychological assessment. Compared to healthy controls, FDG-PET showed a hypometabolism in the left angular and middle temporal gyri, precuneus, caudate, posterior cingulate, middle frontal gyrus, and bilaterally in the superior temporal and inferior frontal gyri. The clinical and neuroimaging profile seems to support the hypothesis that the patient developed a late feature of logopenic variant PPA characterized by jargonaphasia and associated with superior temporal and parietal dysfunction.

Original languageEnglish
Pages (from-to)89-93
Number of pages5
JournalBehavioural Neurology
Volume26
Issue number1-2
DOIs
Publication statusPublished - 2013

Keywords

  • jargon
  • language
  • logopenic aphasia
  • Primary progressive aphasia

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Clinical Neurology
  • Neurology

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  • Cite this

    Caffarra, P., Gardini, S., Cappa, S., Dieci, F., Concari, L., Barocco, F., Ghetti, C., Ruffini, L., & Prati, G. D. R. (2013). Degenerative jargon aphasia: Unusual progression of logopenic/phonological progressive aphasia? Behavioural Neurology, 26(1-2), 89-93. https://doi.org/10.3233/BEN-2012-110218