Lipofuscin, the age pigment, is of interest in Alzheimer's disease bec
ause of its property to accumulate in neurons and because of the hypot
hesis that Alzheimer's dementia is a kind of premature ageing. The amo
unt of intraneuronal lipofuscin in the inferior olivary nucleus of 20
brains from patients with histologically confirmed Alzheimer's disease
according to the CERAD protocol and of 20 controls has been measured
microfluorometrically. Patients and controls were matched for age. The
amount of lipofuscin in the neurons of the inferior olivary nucleus d
id not differ significantly between the cases of Alzheimer's disease a
nd the controls. The result is discussed taking the findings of previo
us authors into account. We conclude that there is no evidence that li
pofuscin plays an important role in the pathogenesis of Alzheimer's di
sease.