The cytoskeleton is the major intracellular determinant of neuronal morphol
ogy and is required for fundamental processes during the development and ma
intenance of a neuron. Thus, it is not surprising that many neurodegenerati
ve diseases including Alzheimer's disease and amyotrophic lateral sclerosis
(motor neuron disease) are characterized by typical abnormalities in the o
rganization of the cytoskeleton. However, the role of the cytoskeletal chan
ges during the development of the disease, e.g., whether they have a causat
ive role during neuronal degeneration or represent an epiphenomenon of neur
ons that degenerate by other means, is still disputed. In this review, rece
nt results on the development and the role of cytoskeletal abnormalities du
ring neurodegenerative diseases are discussed and a mechanistic framework f
or the involvement of cytoskeletal changes during neurodegenerative process
es is presented.