From large cross-sectional studies of autopsy material, it seems
as if a time course of Alzheimer's Disease, at least on average,
can be mapped out: a pattern of hierarchical vulnerability for
neuronal loss and neurofibrillary tangles beginning in medial
temporal lobe structures proceeding through association areas.
Plaques follow their own temporal course, with widespread cortical
deposits occurring even early in a disease process. The whole
process may well take twenty years, the first half of which may be
without overt symptoms.
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