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Psychiatry Organic Mental Disorders 2290add3

False regarding Alzheimer's disease (AD) is:

A
Number of senile neural plaques correlates (increases) with age
B
Presence of tau protein suggest neurodegeneration
C
Number of neurofibrillary tangles is associated with the severity of dementia
D
Extracellular inclusion (lesion) can occur in the absence of intracellular inclusions to make pathological diagnosis of AD
High-Yield Explanation
Please remember that the neuropathological diagnosis of Alzheimer's disease requires extensive presence of both senile plaques (extra cellular deposits) and neurofibrillary tangles (intracellular inclusion) Alzheimer's disease: Pathophysiological Findings: Diffuse atrophy, Flattened Coical Sulci & Dilated Cerebral ventricles * Primarily involve Parietal and temporal Lobes * Atrophy stas In Medical Temporal Lobe (Entorhinal/Perirhinal Coex & Hippocampus) and spreads to Lateral & Medial parietal Lobes, Lateral Temporal Lobes & Lateral Frontal Coex Microscopic Findings: 1) Senile plaques or Neuritic plaques or Amyloid plaques Extracellular in location Ab protein 2) Neurofibrillary Tangles: Intracellular Deposits Tau proteins Neuropathological Diagnosis of AD : Extensive presence of both Senile plaques & NFT 3) Granulovacuolar Degeneration & Hirano bodies (Eosinophilic Inclusions) - Abnormalities In Cytoplasm of Hippocampal Neurons Can be present in Elderly without dementia's

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