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Correspondence
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Volume 361:1118 September 10, 2009 Number 11
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Age, Neuropathology, and Dementia

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 by Savva, G. M.
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To the Editor: Savva et al. (May 28 issue)1 reported on the assessment of the pathologic features of 456 brains donated from older old persons with or without dementia. Although their results challenge the current idea that neuritic plaques and tangles are a hallmark of Alzheimer's disease in a younger old cohort, the results should still merit reexamining the detailed mechanisms of how these pathologic factors induce neuronal loss or dementia. Furthermore, it is essential to incorporate neuronal and synaptic loss into a quantitative evaluation of pathologic changes in both younger and older cohorts of persons with dementia; pathologic changes . . . [Full Text of this Article]




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