White matter changes in the perforant path area in patients with amyotrophic lateral sclerosis.
Jeroen MollinkM HiemstraK L MillerI N HuszarM JenkinsonJ RaaphorstM WiesmannO AnsorgeM Pallebage-GamarallageA M van Cappellen van WalsumPublished in: Neuropathology and applied neurobiology (2019)
We conclude that degeneration of the perforant path occurs in ALS patients and that this may occur before, or independent of, pTDP-43 aggregation in the dentate gyrus of the hippocampus. Future research should focus on correlating the degree of cognitive decline to the amount of white matter atrophy in the perforant path.