The spatial pattern of discrete β-amyloid (Aβ) deposits was studied in the superficial laminae of cortical fields of different types and in the hippocampus in 6 cases of Alzheimer''s disease (AD). In 41/42 tissues examined, discrete Aβ deposits were aggregated into clusters and in 34/41 tissues (25/34 of the cortical tissues), there was evidence for a regular periodicity of the Aβ deposit clusters parallel to the tissue boundary. The dimensions of the clusters varied from 400 to > 12,800 µm in different tissues. Although the Aβ deposit clusters were larger than predicted, the regular periodicity suggests that they develop in relation to groups of cells associated with specific projections. This would be consistent with the hypothesis that the distribution of discrete Aβ deposits in AD could reflect progressive synaptic disconnection along interconnected neuronal pathways. This implies that amyloid deposition could be a response to, rather than a cause of, synaptic disconnection in AD.