Frontotemporal dementia
Frontotemporal dementia
Purpose of review: the syndromes of frontotemporal lobar degeneration are increasingly recognized as an important cause of early-onset dementia. Diagnostic consensus criteria have now been established for almost a decade, and form the framework for its clinical classification. While these criteria remain useful, a growing body of evidence suggests that revisions may be necessary to improve their validity and applicability.
Recent findings: in each individual syndrome, the core features are not uniformly present, and criteria that are currently used to exclude a condition, such as impaired episodic memory, are often present. Imaging, however, may warrant increased diagnostic prominence, particularly for diagnosis in semantic dementia and prognosis in behavioural syndromes. There is clinical and pathological overlap between the syndromes, but the clinical distinction between progressive nonfluent aphasia and semantic dementia is strengthening. Several series have refined our understanding of the correspondence between clinical syndromes and histopathological subtype: strong for tau-negative, ubiquitin-positive forms and more variable for tau-positive forms, yet prospective studies are still rare. The influence of genetic factors varies substantially across the syndromes.
Summary : further research should aim to integrate detailed clinical, radiological, pathological and genetic information.
565-571
Knibb, Jonathan A.
da52853c-945e-4a9d-a2e4-27e88b5fc7bb
Kipps, Christopher M.
e43be016-2dc2-45e6-9a02-ab2a0e0208d5
Hodges, John R.
c17af0a9-82e7-4f5a-8a97-d50ec06bbb0a
December 2006
Knibb, Jonathan A.
da52853c-945e-4a9d-a2e4-27e88b5fc7bb
Kipps, Christopher M.
e43be016-2dc2-45e6-9a02-ab2a0e0208d5
Hodges, John R.
c17af0a9-82e7-4f5a-8a97-d50ec06bbb0a
Abstract
Purpose of review: the syndromes of frontotemporal lobar degeneration are increasingly recognized as an important cause of early-onset dementia. Diagnostic consensus criteria have now been established for almost a decade, and form the framework for its clinical classification. While these criteria remain useful, a growing body of evidence suggests that revisions may be necessary to improve their validity and applicability.
Recent findings: in each individual syndrome, the core features are not uniformly present, and criteria that are currently used to exclude a condition, such as impaired episodic memory, are often present. Imaging, however, may warrant increased diagnostic prominence, particularly for diagnosis in semantic dementia and prognosis in behavioural syndromes. There is clinical and pathological overlap between the syndromes, but the clinical distinction between progressive nonfluent aphasia and semantic dementia is strengthening. Several series have refined our understanding of the correspondence between clinical syndromes and histopathological subtype: strong for tau-negative, ubiquitin-positive forms and more variable for tau-positive forms, yet prospective studies are still rare. The influence of genetic factors varies substantially across the syndromes.
Summary : further research should aim to integrate detailed clinical, radiological, pathological and genetic information.
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Published date: December 2006
Identifiers
Local EPrints ID: 489374
URI: http://eprints.soton.ac.uk/id/eprint/489374
ISSN: 1350-7540
PURE UUID: aa73181f-8b42-47b2-b6fb-f747bfb3b215
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Date deposited: 23 Apr 2024 16:31
Last modified: 24 Apr 2024 01:56
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Author:
Jonathan A. Knibb
Author:
Christopher M. Kipps
Author:
John R. Hodges
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