Corticobasal degeneration

Int Rev Neurobiol. 2019:149:87-136. doi: 10.1016/bs.irn.2019.10.014. Epub 2019 Nov 21.

Abstract

Corticobasal degeneration (CBD) is a rare neurodegenerative disease characterized by the predominance of pathological 4 repeat tau deposition in various cell types and anatomical regions. Corticobasal syndrome (CBS) is one of the clinical phenotypes associated with CBD pathology, manifesting as a progressive asymmetric akinetic-rigid, poorly levodopa-responsive parkinsonism, with cerebral cortical dysfunction. CBD can manifest as several clinical phenotypes, and similarly, CBS can also have a pathologic diagnosis other than CBD. This chapter discusses the clinical manifestations of pathologically confirmed CBD cases, the current diagnostic criteria, as well as the pathologic and neuroimaging findings of CBD/CBS. At present, therapeutic options for CBD remain symptomatic. Further research is needed to improve the clinical diagnosis of CBD, as well as studies on disease-modifying therapies for this relentlessly progressive neurodegenerative disorder.

Keywords: 4R-tauopathy; Atypical parkinsonism; Corticobasal degeneration; Corticobasal syndrome; Tauopathy.

Publication types

  • Review

MeSH terms

  • Animals
  • Basal Ganglia Diseases* / diagnostic imaging
  • Basal Ganglia Diseases* / pathology
  • Basal Ganglia Diseases* / physiopathology
  • Basal Ganglia Diseases* / therapy
  • Cerebral Cortex* / diagnostic imaging
  • Cerebral Cortex* / pathology
  • Cerebral Cortex* / physiopathology
  • Humans
  • Neurodegenerative Diseases* / diagnostic imaging
  • Neurodegenerative Diseases* / pathology
  • Neurodegenerative Diseases* / physiopathology
  • Neurodegenerative Diseases* / therapy
  • Parkinsonian Disorders* / diagnostic imaging
  • Parkinsonian Disorders* / pathology
  • Parkinsonian Disorders* / physiopathology
  • Parkinsonian Disorders* / therapy