Question 1356
{"accessible":true,"alternatives":[{"id":6763,"text":"A"},{"id":6764,"text":"B"},{"id":6765,"text":"C"},{"id":6766,"text":"D"}],"archived":false,"correctAlternativeId":6764,"explanation":"\u003cp\u003eBilateral symmetric disproportionate atrophy of the hippocampi is a typical finding in Alzheimer disease. That does not mean that atrophy elsewhere isn't present, but merely that the degree of hippocampal atrophy is more than expected given volume loss elsewhere.\u0026nbsp;\u003c/p\u003e\u003cp\u003ePay careful attention to the actual hippocampal size rather than relying on the size of the temporal horn.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003c/p\u003e","id":1356,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/50/FG_MCQ_my_copy__SQUARE_.001_big_gallery.jpeg","imageAttribution":{"kind":"external","attribution":"Case A: Normal pressure hydrocephalus (rID: 71059) contributed by Frank Gaillard. Case B: Alzheimer disease (rID: 22196) contributed by Frank Gaillard. Case C: Fronto-temporal lobar degeneration - semantic variant (rID: 22290) contributed by Brad Hayhow. Case D: Normal MRI brain (rID: 39310) contributed by Bruno Di Muzio."},"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1358","nextQuestionPath":"/articles/frontotemporal-lobar-degeneration-1/questions/1355","relatedArticles":[{"id":6306,"title":"Normal pressure hydrocephalus","link":"/articles/normal-pressure-hydrocephalus?lang=us"},{"id":13001,"title":"Neurodegenerative disease","link":"/articles/neurodegenerative-disease?lang=us"},{"id":28361,"title":"Neurodegenerative MRI brain (an approach)","link":"/articles/neurodegenerative-mri-brain-an-approach?lang=us"},{"id":13455,"title":"Alzheimer disease","link":"/articles/alzheimer-disease-1?lang=us"}],"alsoUsedIn":[{"id":497,"kind":"Course","title":"Neurodegenerative Learning Pathway - page 497","link":"https://radiopaedia.org/courses/neurodegenerative-learning-pathway/pages/497"},{"id":1059,"kind":"Course","title":"Neurodegenerative Learning Pathway - page 1059","link":"https://radiopaedia.org/courses/neurodegenerative-learning-pathway/pages/1059"}],"stem":"\u003cp\u003eWhich of the following images most likely represents a patient with Alzheimer disease?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1356"}],"attemptsPercentages":[{"alternativeId":"6763","percentage":3},{"alternativeId":"6764","percentage":81},{"alternativeId":"6766","percentage":1},{"alternativeId":"6765","percentage":15}],"promptToLogin":false,"questionManager":false,"articleId":"frontotemporal-lobar-degeneration"}