Table 2:

Diagnostic criteria for PPA variants

lvPPAsvPPAnfvPPA
Clinical diagnosis1. Impaired single-word retrieval in spontaneous speech and naming AND1. Impaired confrontation naming1. Agrammatism in language production AND/OR
2. Impaired repetition of sentences and phrases2. Impaired single-word comprehension AND2. Effortful, halting speech with inconsistent speech sound errors and distortions (apraxia of speech)
At least 3 of the following:At least 3 of the following:At least 2 of the following:
1. Speech (phonologic) errors in spontaneous speech and naming1. Impaired object knowledge, particularly for low-frequency or low-familiarity items1. Impaired comprehension of syntactically complex sentences
2. Spared single-word comprehension and object knowledge2. Surface dyslexia or dysgraphia2. Spared single-word comprehension
3. Spared motor speech3. Spared repetition3. Spared object knowledge
4. Absence of frank agrammatism4. Spared speech production (grammar and motor speech)
Imaging-supported diagnosisPredominant left-posterior periSylvian or temporoparietal atrophy and/or hypoperfusion or hypometabolismPredominant anterior temporal lobe atrophy and/or hypoperfusion or hypometabolismPredominant left posterior frontoinsular atrophy and/or hypoperfusion or hypometabolism
Pathology-supported diagnosis (or presence of known pathogenic mutation)ADaTDP-43a4R-τa
  • a Histopathologic evidence of a specific neurodegenerative pathology (eg, FTLD-τ, FTLD-TDP, AD, other), particularly if most characteristic pathology.