The distribution of neurofibrillary tangles and senile plaques was sur
veyed in the striatum of Alzheimer's disease cases. Neurofibrillary ta
ngles were present throughout the striatum, but displayed significantl
y higher densities in the nucleus accumbens, olfactory tubercle and ta
il of the caudate nucleus. Senile plaques with dense amyloid cores sho
wed a similar pattern of distribution. By contrast, non-cored senile p
laques were homogeneously distributed in all striatal territories. No
tangles and few plaques were observed in the striatum of control cases
. These findings suggest that the 'limbic' striatum is preferentially
vulnerable to pathology in Alzheimer's disease.