Table 1

Clinical and neuropsychological features of the primary progressive aphasia variants (adapted from Woollacott et al, 2016)46

Semantic variant PPANonfluent variant PPALogopenic variant PPA
Spontaneous speech (fluency, errors, grammar, prosody)Fluent, garrulous and circumlocutory, semantic errors, intact grammar and prosodySlow and hesitant, Effortful +/-apraxic, phonetic errors, may be agrammatic, aprosodicHesitant, not effortful or apraxic, frequent word-finding pauses and loss of train of sentence, intact grammar and prosody
NamingSevere anomia with semantic paraphasiasModerate anomia with phonetic errors and phonemic paraphasiasMild-to-moderate anomia with occasional phonemic paraphasias
Single word comprehensionPoorIntact early on, but affected later in the diseaseIntact early on, but affected later in the disease
Sentence comprehensionInitially preserved, later on becomes affected as word comprehension is impairedImpaired if grammatically complexImpaired, especially if long
Single word repetitionRelatively intactMild-to-moderately impaired if polysyllabicRelatively intact (compared with sentence repetition)
Sentence repetitionRelatively intactCan be effortful, impaired if grammatically complexImpaired, with length effect
ReadingSurface dyslexiaPhonological dyslexia +/-phonetic errors on reading aloudPhonological dyslexia
WritingSurface dysgraphiaPhonological dysgraphiaPhonological dysgraphia
  • PPA, primary progressive aphasia.