Review Article

Brain Aging in the Oldest-Old

Table 2

Alzheimer’s disease pathology in the oldest-old with versus without cognitive impairment.

Cognitively intact oldest-old subjectsCognitively impaired oldest-old subjects

Senile plaquesSimilar lesion loadSimilar lesion load
Overall, poor correlation with clinical status

No or little invasion of anterior CA1 fieldInvasion of anterior CA1 field
Similar density in posterior CA1fieldSimilar density in posterior CA1 field
Neurofibrillary tanglesSimilar, mild invasion of ECSimilar, mild invasion of EC (controversial)
Possibly less neuritic dystrophyPossibly more neuritic dystrophy
Overall, poor correlation with clinical status

NeuronesSimilar neurone countsSimilar neurone counts
Overall, poor correlation with clinical status

CA: Cornu Ammonis; EC: entorhinal cortex.