The cerebellum is a relatively neglected area of the Alzheimer's disea
se (AD) brain, probably because it was formerly thought to be spared b
y the disease. However, a number of pathological changes have now been
revealed in the AD cerebellum, principally by immunocytochemical stud
ies, including widespread deposits of diffuse amyloid, ubiquitin-immun
oreactive dystrophic neurites, and increased microglia, but tau-immuno
reactive neurofibrillary tangles have not been seen. Although the obse
rved changes may be merely epiphenomenal to the pathological processes
occurring in the AD neocortex and hippocampus, the morphological and
immunocytochemical differences between AD cerebral cortex and cerebell
ar cortex may nonetheless give insights into the molecular factors inv
olved in the development of the neuropathological lesions of AD brain.