Frontal lobe degeneration of non-Alzheimer type. II. Clinical picture and differential diagnosis
- PMID: 3689054
- DOI: 10.1016/0167-4943(87)90022-7
Frontal lobe degeneration of non-Alzheimer type. II. Clinical picture and differential diagnosis
Abstract
In a longitudinal prospective study of dementia, 158 patients were investigated post mortem. Sixteen patients were classified as frontal lobe dementia (FLD) of non-Alzheimer type and four cases as Pick's disease. Positive heredity for dementia was reported in 50% of these cases compared to 30% in a reference group of patients with Alzheimer's disease (AD). The typical clinical picture in FLD and Pick's disease was that of a slowly progressive dementia, at an early stage dominated by personality change, lack of insight, disinhibition, and later on stereotypy and increased apathy. There was also a progressive dynamic aphasia ending in mutism and amimia. Memory and spatial functions were comparatively spared. Disinhibition, oral/dietary hyperactivity, and echolalia were more consistently found in Pick's disease compared to FLD. The differential diagnosis against AD, cerebrovascular dementia, and other degenerative dementias and against affective disorders and psychotic reactions are discussed.
Similar articles
-
Frontal lobe degeneration of non-Alzheimer type.Baillieres Clin Neurol. 1992 Nov;1(3):559-82. Baillieres Clin Neurol. 1992. PMID: 1344203 Review.
-
Clinical picture of frontal lobe degeneration of non-Alzheimer type.Dementia. 1993 May-Aug;4(3-4):143-8. doi: 10.1159/000107313. Dementia. 1993. PMID: 8401782
-
Frontal lobe degeneration of non-Alzheimer type. I. Neuropathology.Arch Gerontol Geriatr. 1987 Sep;6(3):193-208. doi: 10.1016/0167-4943(87)90021-5. Arch Gerontol Geriatr. 1987. PMID: 3689053
-
Non-Alzheimer fronto-temporal degenerative dementia. A neurobehavioral and pathologic study.Clin Neuropathol. 1994 May-Jun;13(3):109-16. Clin Neuropathol. 1994. PMID: 8088029
-
Frontal lobe degeneration of non-Alzheimer type. Structural characteristics, diagnostic criteria and relation to other frontotemporal dementias.Acta Neurol Scand Suppl. 1996;168:28-30. Acta Neurol Scand Suppl. 1996. PMID: 8997416 Review.
Cited by
-
Progressive loss of speech output and orofacial dyspraxia associated with frontal lobe hypometabolism.J Neurol Neurosurg Psychiatry. 1991 Apr;54(4):351-7. doi: 10.1136/jnnp.54.4.351. J Neurol Neurosurg Psychiatry. 1991. PMID: 2056322 Free PMC article.
-
Neuropsychological differences between frontotemporal dementia and Alzheimer's disease: a review.Neuropsychol Rev. 2005 Sep;15(3):131-45. doi: 10.1007/s11065-005-7093-4. Neuropsychol Rev. 2005. PMID: 16328732 Review.
-
Slowly progressive aphasia with striatal involvement.Am J Alzheimers Dis Other Demen. 2002 Jan-Feb;17(1):18-22. doi: 10.1177/153331750201700107. Am J Alzheimers Dis Other Demen. 2002. PMID: 11831416 Free PMC article.
-
Psychiatry and neuropathology: the maturing of a relationship.J Neurol Neurosurg Psychiatry. 1995 Mar;58(3):284-92. doi: 10.1136/jnnp.58.3.284. J Neurol Neurosurg Psychiatry. 1995. PMID: 7897407 Free PMC article. No abstract available.
-
Evaluation of the NINCDS-ADRDA criteria in the differentiation of Alzheimer's disease and frontotemporal dementia.J Neurol Neurosurg Psychiatry. 1999 Feb;66(2):184-8. doi: 10.1136/jnnp.66.2.184. J Neurol Neurosurg Psychiatry. 1999. PMID: 10071097 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Molecular Biology Databases