“…Resolution of this question of whether or not Al is a component of neurofibrillary tangles is important in establishing a link between Al and Alzheimer's disease. Additional studies have unequivocally demonstrated the presence of much higher focal concentrations of Al in neurofibrillary tangle-bearing neurons of patients with the parkinsonism demential/amyotrophic lateral sclerosis (ALS) complex of Guam (Garruto et al, 1984(Garruto et al, , 1985(Garruto et al, , 1986Perl et al, 1982Perl et al, , 1986Perl et al, , 1990. These neurodegenerative diseases are characterized by intraneuronal paired helical filaments such as are seen in Alzheimer's disease, although the localization of affected neurons and the clinical manifestations are different.…”