Skip to main content

Frontotemporal Dementia

  • Chapter
Dementias
  • 115 Accesses

Abstract

The principles for classification of organic dementia are based on our present knowledge of its etiology, clinical picture, and pathological characteristics such as the type and predominant location of the brain damage. This paper concerns the clinical and pathological findings in dementia cases with primary degenerative changes within the frontal and temporal lobes and the possibility to differentiate this frontotemporal dementia (FTD) from Alzheimer’s disease (AD) and other dementias. The importance of localized cortical atrophy within the frontal and temporal lobes in dementia was pointed out by Arnold Pick more than 100 years ago [1]. The neuropathological characteristics of this condition were given by Alzheimer [2], who described the ballooned cells and argentophilic inclusion bodies. The clinicopathological entity of this “Pick’s disease” or “lobar atrophy” was delineated by Onari and Spatz [3] and Schneider [4], and further elaborated in a series of important contributions [59].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Pick A (1892) Über die Beziehungen der senilen Hirnatrophie zur Aphasie. Prag Med Wochenschr 17: 165–167

    Google Scholar 

  2. Alzheimer A (1911) Über eigenartige Krankheitsfälle des späteren Alters. Z Ges Neurol Psychiatry 4: 356–385

    Article  Google Scholar 

  3. Onari K, Spatz H (1926) Anatomische Beiträge zur Lehre von der Pickschen umschriebene-Grosshirnrinden-Atrophie (Picksche Krankheit). Z Ges Neurol Psychiatry 101: 470–511

    Article  Google Scholar 

  4. Schneider C (1927) Über Picksche Krankheit. Monatsschr Psychiatry Neurol 65: 230–275

    Article  Google Scholar 

  5. Sjögren T, Sjögren H, Lindgren AGH (1952) Morbus Alzheimer and morbus Pick. A genetic, clinical and patho-anatomical study. Munksgaard, Copenhagen

    Google Scholar 

  6. Van Mansvelt (1954) Pick’s disease. A syndrome of lobar, cerebral atrophy; its clinicoanatomical and histopathological types. Thesis. Enschede, Utrecht

    Google Scholar 

  7. Delay J, Brion S (1962) Les démences tardives. Masson, Paris

    Google Scholar 

  8. Constantinidis J, Richard J, Tissot R (1974) Pick’s disease. Histological and clinical correlations. Eur Neurol 11: 208–217

    Article  PubMed  CAS  Google Scholar 

  9. Munoz-Garcia D, Ludwin SK (1984) Classic and generalized variants of Pick’s disease: a clinicopathological, ultrastructural and immunocy to chemical comparative study. Ann Neurol 16: 467–480

    Article  PubMed  CAS  Google Scholar 

  10. Brun A (1987) Frontal lobe degeneration of non-Alzheimer type. I. Neuropathology. Arch Gerontol Geriatr 6: 193–208

    Article  PubMed  CAS  Google Scholar 

  11. Gustafson L (1993) Clinical picture of frontal lobe degeneration of non-Alzheimer type. Dementia 4: 143–148

    PubMed  CAS  Google Scholar 

  12. Heston LL, Mastri AR (1982) Age at onset of Pick’s disease and Alzheimer’s dementia: implications for diagnosis and research. J Gerontol 37: 422–424

    Article  PubMed  CAS  Google Scholar 

  13. Constantinidis J, Richard J, Tissot R (1985) Pick dementia: anatomoclinical correlations and pathophysiological considerations. Interdisc Top Gerontol 19: 72–97

    Google Scholar 

  14. Sulkava R, Haltia M, Paetau A, Wikström J, Palo J (1983) Accuracy of clinical diagnosis in primary degenerative dementia: correlation with neuropathological findings. J Neurol Neurosurg Psychiatry 46: 9–13

    Article  PubMed  CAS  Google Scholar 

  15. Neary D, Snowden JS, Northen B, Goulding PJ (1988) Dementia of frontal lobe type. J Neurol Neurosurg Psychiatry 51: 353–361

    Article  PubMed  CAS  Google Scholar 

  16. Jagust WJ, Reed BR, Seab JP, Kramer JH, Budinger TF (1989) Clinical-physiologic correlations of Alzheimer’s disease and frontal lobe dementia. Am J Physiol Imaging 4: 89–96

    PubMed  CAS  Google Scholar 

  17. Knopman DS, Mastri AR, Frey WH, Sung JH, Rustan T (1990) Dementia lacking distinctive histologie features: a common non-Alzheimer degenerative dementia. Neurology 40: 251–256

    Article  PubMed  CAS  Google Scholar 

  18. Miller BL, Cummings JL, Villanueva-Meyer J, Boone K, Mehringer CM, Lesser IM, Mena I (1991) Frontal lobe degeneration: clinical, neuropsychological and SPECT characteristics. Neurology 42: 1374–1382

    Article  Google Scholar 

  19. Brun A (1993) Frontal lobe degeneration of non-Alzheimer type revisited. Dementia 4: 126–131

    PubMed  CAS  Google Scholar 

  20. Neary D, Snowden JS, Mann DMA (1993) The clinical pathological correlates of lobar atrophy. Dementia 4: 154–159

    PubMed  CAS  Google Scholar 

  21. Gustafson L (1987) Frontal lobe degeneration of non-Alzheimer type. II. Clinical picture and differential diagnosis. Arch Gerontol Geriatr 6: 209–233

    Article  PubMed  CAS  Google Scholar 

  22. Brun A, Englund B, Gustafson L, Passant U, Mann DMA, Neary D, Snowden JS (1994) Clinical and neuropathological criteria for frontotemporal dementia. J Neurol Neurosurg Psychiatry 57: 416–418

    Article  Google Scholar 

  23. Pasquier F, Lebert F, Amouyel P (1995) Épidémiologie. In: Pasquier F, Lebert F (eds) Les démences fronto-temporales, épidémiologie. Masson, Paris, pp 23–29

    Google Scholar 

  24. McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA work group under the auspices of the Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology 34: 939–944

    Article  PubMed  CAS  Google Scholar 

  25. Hudson AJ (1981) Amyotrophic lateral sclerosis and its association with dementia, Parkinsonism and other neurological disorder: a review. Brain 104: 217–247

    Article  PubMed  CAS  Google Scholar 

  26. Neary D, Snowden JS, Mann DMA (1990) Frontal lobe dementia and motoneuron disease. J Neurol Neurosurg Psychiatry 53: 23–32

    Article  PubMed  CAS  Google Scholar 

  27. Mitsuyama Y (1993) Presenile dementia with motoneuron disease. Dementia 4: 137–142

    PubMed  CAS  Google Scholar 

  28. Liu X, Brun A (1996) Regional and laminar synaptic pathology in frontal lobe degeneration of non-Alzheimer type. Int J Geriatr Psychiatry II: 47–55

    Article  Google Scholar 

  29. Englund E, Brun A (1987) Frontal lobe degeneration of non-Alzheimer type II. White matter changes. Arch Gerontol Geriatr 6: 235–243

    Article  PubMed  CAS  Google Scholar 

  30. Collinge J, Hardy J, Brown J, Brun A (1994) Familial Pick’s disease and dementia in frontal lobe degeneration of non-Alzheimer type are not variants of prion disease. J Neurol Neurosurg Psychiatry 57: 762

    Article  PubMed  CAS  Google Scholar 

  31. Snowden JS, Neary D, Mann DMA (1996) Fronto-temporal lobar degeneration: frontotemporal dementia, progressive aphasia, semantic dementia. Churchill Livingstone, New York

    Google Scholar 

  32. Verity A, Wechsler FV (1987) Progressive subcortical gliosis of Neumann: a clinicopathologic study of two cases with review. Arch Gerontol Geriatr 6: 189–195

    Article  Google Scholar 

  33. Baldwin B, Förstl H (1993) Pick’s disease — 101 years on still there but in need of reform. Br J Psychiatry 163: 100–104

    Article  PubMed  CAS  Google Scholar 

  34. Thomson PD, Marsden CD (1992) Corticobasal degeneration. In: Rossor MN (ed) Baillière’s clinical neurology. Unusual dementias. Baillière Tindall, London, pp 677–686

    Google Scholar 

  35. Wilhelmsen K, Lynch T, Pavlou G, Higgins M, Nygaard T (1994) Localization of disinhibition-dementia-parkinsonism-amyotrophy complex to chromosome 17 q21-22. Am J Hum Genet 55: 1159–1165

    PubMed  CAS  Google Scholar 

  36. Basun H, Almqvist O, Axelman K, Brun A, Campbell TA, Collinge J, Forsell C, Froelich S, Wahlund L-O, Wetterberg L, Lannfelt L (1997) Clinical characteristics of a chromosome 17-linked rapidly progressive familial frontotemporal dementia. Arch Neurol 54: 539–544

    Article  PubMed  CAS  Google Scholar 

  37. Brun A, Gustafson L (1991) Psychopathology and frontal lobe involvement in organic dementia. In: Iqbal K, McLachlan DRC, Winbald B, Wisnewski HM (eds) Alzheimer’s disease: basic mechanisms, diagnosis and therapeutic strategies. Wiley, London, pp 27–33

    Google Scholar 

  38. Brun A, Fredriksson K, Gustafson L (1992) Pure subcortical arteriosclerotic encephalopathy (Binswanger’s disease). A clinicopathologic study II. Pathological features. Cerebrovasc Dis 2: 87–92

    Google Scholar 

  39. Brun A, Englund E (1986) A white matter disorder in dementia of the Alzheimer type. A pathoanatomical study. Ann Neurol 19: 253–262

    Article  PubMed  CAS  Google Scholar 

  40. Brown V, Asworth A, Gydesen S, Soranden A, Rossor M, Hardy D, Colinge J (1995) Familial non-specific dementia maps to chromsome 3. Hum Mol Genet 4: 1625–1628

    Article  PubMed  CAS  Google Scholar 

  41. Heston LL (1978) The clinical genetics of Pick’s disease. Acta Psychiatr Scand 57: 202–206

    Article  PubMed  CAS  Google Scholar 

  42. Groen JJ, Endtz LJ (1982) Hereditary Pick’s disease: second re-examination of a large family and discussion of other hereditary cases, with particular references to electroencephalography and computerized tomography. Brain 105: 443–459

    Article  PubMed  Google Scholar 

  43. Knopman DS, Christensen KJ, Schut LJ, Harbaugh RE, Reeder T, Ngo T, Frey W (1989) The spectrum of imaging and neuropsychological findings in Pick’s disease. Neurology 39: 362–368.

    Article  PubMed  CAS  Google Scholar 

  44. Schmitt HP, Yang Y, Förstl H (1995) Frontal lobe degeneration of non-Alzheimer type in Pick’s atrophy: lumping or splitting? Eur Arch Psychiatry Clin Neurosci 245: 299–305

    Article  PubMed  CAS  Google Scholar 

  45. Lynch T, Sano M, Marder KS, Bell KL, Foster NI, Defendini RF, Sima AAF, Keohane C, Nygaard TG, Fahn S, Mayeux R, Rowland LP, Wilhelmsen KC (1994) Clinical characteristics of a family with chromosome 17-linked disinhibition-dementia-parkinsonism-amyotrophy-complex. Neurology 44: 1878–1884

    Article  PubMed  CAS  Google Scholar 

  46. Schenk VWD (1959) Re-examination of a family with Pick’s disease. Ann Hum Genet 23: 325–333

    Article  PubMed  CAS  Google Scholar 

  47. Passant U, Gustafson L, Brun A (1993) Spectrum of frontal lobe dementia in a Swedish family. Dementia 4: 160–162

    PubMed  CAS  Google Scholar 

  48. Frisoni GB, Calabresi L, Geroldi C, Bianchetti A, D’Acquarica AL, Govoni S, Sirtori CR, Trabucchi M, Franceschini G (1994) Apolipoprotein E 4 allele in Alzheimer’s disease and vascular dementia. Dementia 5: 240–242

    PubMed  CAS  Google Scholar 

  49. Farrer LA, Abraham CR, Volker L, Foley EJ, Kowall NW, McKee AC, Wells JM (1995) Allele epsilon 4 of apolipoprotein E shows a dose effect on age at onset of Pick disease. Exp Neurol 136: 162–170

    Article  PubMed  CAS  Google Scholar 

  50. Gustafson L, Abrahamsson M, Grubb A, Nilsson K, Fex G (1997) Apolipoprotein E genotyping in Alzheimer’s disease and frontotemporal dementia. Dementia Geriatr Cogn Disord 8: 240–243

    Article  CAS  Google Scholar 

  51. Pickering-Brown SM, Siddons M, Mann DMA, Owen E, Neary D, Snowden JS (1995) Apolipoprotein E allelic frequencies in patients with lobar atrophy. Neurosci Lett 188: 205–207

    Article  PubMed  CAS  Google Scholar 

  52. Foster NL, Wilhelmsen K, Sima AAF, Jones MZ, D’Amato C, Gildman S, and consensus participants (1998) Frontotemporal dementia and parkinsonism linked to chromosome 17: a consensus conference. Ann Neurol 41: 706–715

    Article  Google Scholar 

  53. Castellani R, Smith MA, Richey PL, Kalaria R, Gambetti P, Perry G (1995) Evidence for oxidative stress in Pick disease and corticobasal degeneration. Brain Res 696: 268–271

    Article  PubMed  CAS  Google Scholar 

  54. Lebert F, Pasquier F, Petit H (1995) Personality traits and frontal lobe dementia. Int J Geriatr Psychiatry 10: 1047–1049

    Article  Google Scholar 

  55. Luauté JP, Favel P, Rémy C, Sanabria E, Bidault E (1994) Troubles de l’humeur et démence de type frontal. Hypothèse d’un rapport pathologénique. Encéphale 20: 27–36

    PubMed  Google Scholar 

  56. Miller BL, Chang L, Mena I, Boone K, Lesser IM (1993) Progressive right frontotemporal degeneration: clinical, neuropsychological and SPECT characteristics. Dementia 4: 204–213

    PubMed  CAS  Google Scholar 

  57. Eiden H-F, Lechner H (1950) Über pscyhotische Zustandsbilder bei der Pickschen und Alzheimerschen Krankheit. Arch Psychiatr Ze Neurol 1984: 393–412

    Article  Google Scholar 

  58. Burns A, Jacoby R, Levy R (1990) Psychiatric phenomena in Alzheimer’s disease. I. Disorders of thought content. Br J Psychiatry 157: 72–76

    Article  PubMed  CAS  Google Scholar 

  59. Gustafson L, Risberg J (1992) Deceptions and delusions in Alzheimer’s disease and frontal lobe dementia. In: Katona C, Levy R (eds) Delusions and hallucinations in old age. Gaskell, London, pp 218–229

    Google Scholar 

  60. Lhermitte F, Pillon B, Serdaru M (1986) Human autonomy and the frontal lobes. I. Imitation and utilization behaviour: a neuropsychological study of 75 patients. Ann Neurol 19: 326–334

    Article  PubMed  CAS  Google Scholar 

  61. Cummings JL, Duchen LW (1981) Klüver-Bucy syndrome in Pick’s disease: clinical and pathological correlations. Neurology 31: 1415–1422

    Article  PubMed  CAS  Google Scholar 

  62. Delay J, Neveu P, Desclaux P (1944) Les dissolutions du langage dans la maladie de Pick. Rev Neurol 76: 37–38

    Google Scholar 

  63. Escourolle R (1958) La maladie de Pick. Étude critique d’ensamle et synthèse anatomoclinique. Foulon, Paris

    Google Scholar 

  64. Snowden JS, Neary D (1993) Progressive language dysfunction and lobar atrophy. Dementia 4: 226–231

    PubMed  CAS  Google Scholar 

  65. Mesulam MM (1982) Slowly progressive aphasia without generalized dementia. Ann Neurol 11: 592–598

    Article  PubMed  CAS  Google Scholar 

  66. Green J, Morris JC, Sandson J, McKeel DW, Miller JW (1990) Progressive aphasia: a precursor of global dementia? Neurology 40: 423–429

    Article  PubMed  CAS  Google Scholar 

  67. Snowden JS, Neary D, Mann DMA, Goulding PJ, Testa HJ (1992) Progressive language disorder due to lobar atrophy. Ann of Neurol 31: 174–183

    Article  CAS  Google Scholar 

  68. Esmonde T, Giles E, Xuereb J, Hodges J (1996) Progressive supranuclear palsy presenting with dynamic aphasia. J Neurol Neurosurg Psychiatry 60: 403–410

    Article  PubMed  CAS  Google Scholar 

  69. Wikström J, Paetau A, Palo J, Sulkava R, Haltia M (1982) Classic amyotrophic lateral sclerosis with dementia. Arch Neurol 39: 681–683

    Article  PubMed  Google Scholar 

  70. Mitsuyama Y, Kogoh H, Ata K (1985) Progressive dementia with motor neuron disease. An additional case report and neuropathological review of 20 cases in Japan. Eur Arch Psychiatr Neurol Sci 235: 1–8

    Article  CAS  Google Scholar 

  71. Talbot PR, Goulding PJ, Lloyd JJ, Snowden JS, Near D, Testa HJ (1995) The interrelationship between “classical” motor neurone disease and frontotemporal dementia: a neuropsychological and single photon emission tomographic study. J Neurol Neurosurg Psychiatry 58: 541–547

    Article  PubMed  CAS  Google Scholar 

  72. Passant U, Warkentin S Karlson S, Nilsson K, Edvinsson L, Gustafson L (1996) Orthostatic hypotension in organic dementia: relationship between blood pressure, cortical blood flow and symptoms. Clin Auton Res 6: 29–36

    Article  PubMed  CAS  Google Scholar 

  73. Andrew J, Nathan PW (1964) Lesions of the anterior frontal lobes and disturbances of micturition and defecation. Brain 87: 232–262

    Article  Google Scholar 

  74. Wilson DH, Chang AE (1974) Bilateral anterior cingulectomy for the relief of intractable pain (report of 28 patients). Confin Neurol 36: 61–68

    Article  PubMed  CAS  Google Scholar 

  75. Fäldt R, Passant U, Nilsson K, Wattmo C, Gustafson L (1996) Prevalence of thyroid hormone abnormalities in elderly patients with symptoms of organic brain disease. Aging Clin Exp Res 8: 347–353

    Google Scholar 

  76. Johannesson G, Brun A, Gustafson L, Ingvar DH (1977) EEG in presenile dementia related to cerebral blood flow and autopsy findings. Acta Neurol Scand 56: 89–103

    Article  PubMed  CAS  Google Scholar 

  77. Delay J, Brion S, Escourolle R (1957) L’opposition anatomo-clinique des maladies de Pick et d’Alzheimer. Étude de 38 cas. Presse Med 65: 1495–1497

    PubMed  CAS  Google Scholar 

  78. Blois R, Gaillard J-M, Richard J (1989) Clinical and sleep EEG findings. In: Hovaguimian T, Henderson S, Khachaturian Z, Orley J (eds) Classification and diagnosis of Alzheimer disease — an international perspective. Hogrefe and Huber, Toronto Lewinston New York Bern Stuttgart Göttingen, pp 145–151

    Google Scholar 

  79. Rosé;n I, Gustafson L, Risberg J (1993) Multichannel EEG frequency analysis and somatosensory-evoked potentials in patients with different types of organic dementia. Dementia 4: 43–49

    Google Scholar 

  80. Gustafson L, Brun A, Cronqvist S, Dalfelt G, Risberg J, Riesenfeld V, Rosén I (1989) Regional cerebral blood flow, MRI, and BEAM in Alzheimer’s disease. J Cerebr Blood Flow Metab 9[Suppl 7]: 513

    Google Scholar 

  81. Förstl H, Hentschel F, Besthorn C, Geiger-Kabisch C, Sattel H, Schreiter-Gasser U, Bayerl JR, Schmitz F, Schmitt HP (1994) Frontal und temporal beginnende Hirnatrophie. Nervenarzt 65: 611–618

    PubMed  Google Scholar 

  82. Frisoni GB, Beltramello A, Geroldi C, Weiss C, Bianchetti A, Trabucchi M (1996) Brain atrophy in frontotemporal dementia. J Neurol Neurosurg Psychiatry 61: 157–165

    Article  PubMed  CAS  Google Scholar 

  83. Mazziotta JC (1989) Huntington’s disease: studies with structural imaging techniques and positron emission tomography. Semin Neurol 9: 360–369

    Article  PubMed  CAS  Google Scholar 

  84. Gustafson L, Brun A, Holmkvist-Franck A, Risberg J (1985) Regional cerebral blood flow in degenerative frontal lobe dementia of non-Alzheimer type. J Cerebr Blood Flow Metabol 5: 141–142

    Google Scholar 

  85. Risberg J (1987) Frontal lobe degeneration of non-Alzheimer type. III. Regional cerebral blood flow. Arch Gerontol Geriatr 6: 225–233

    Article  PubMed  CAS  Google Scholar 

  86. Risberg J, Passant U, Warkentin S, Gustafson L (1993) Regional cerebral blood flow in frontal lobe dementia of non-Alzheimer type. Dementia 4: 186–187

    PubMed  CAS  Google Scholar 

  87. Kitamura S, Araki T, Sakamotot S, Ilio M, Terashi A (1990) Cerebral blood flow and cerebral oxygen metabolism in patients with dementia of frontal lobe type. Rinsho Shinkeigaku 30: 1171–1175

    PubMed  CAS  Google Scholar 

  88. Pasquier F, Lebert F, Lavenu I, Jacob B, Steinling M, Petit H (1997) The use of SPECT in a multidisciplinary memory clinic. Dementia Geriatr Cogn Disord 8: 85–91

    Article  CAS  Google Scholar 

  89. Miller BL, Itti L, Li J, Darby AI, Booth R, Chang L, Mena I (1995) Atrophy-corrected cerebral blood flow in fronto-temporal dementia. Facts Res in Gerontol [Suppl 1]: 93–103

    Google Scholar 

  90. Kamo H, McGeer PL, Harrop R, McGeer EG, Calne DB, Martin WR, Pate BD (1987) Positron emission tomography and histopathology in Pick’s disease. Neurology 37: 439–445

    Article  PubMed  CAS  Google Scholar 

  91. Salmon E, Franck G (1989) Positron emission tomographic study in Alzheimer’s disease and Pick’s disease. Arch Gerontol Geriatr Suppl 1: 241–247

    PubMed  CAS  Google Scholar 

  92. D’Antona R, Baron JC, Samson Y, Serdaru M, Viader F, Agid Y, Cambier J (1985) Subcortical dementia. Brain 108: 785–799

    Article  PubMed  Google Scholar 

  93. Ludolph AC, Langen KJ, Regard M, Herzog H, Kemper B, Kuwert T, Böttger IG, Feinendegen L (1993) Frontal lobe function in amyotrophic lateral sclerosis: a neuropsychologic and positron emission tomography study. Acta Neurol Scand 85: 81–89

    Article  Google Scholar 

  94. Johanson A, Hagberg B (1989) Psychometric characteristics in patients with frontal lobe degeneration of non-Alzheimer type. Arch Gerontol Geriatr 8: 129–137

    Article  PubMed  CAS  Google Scholar 

  95. Frisoni GB, Pizzolato G, Geroldi C, Rossato A, Bianchetti A, Trabucchi M (1995) Dementia of the frontal type: neuropsychological and (99Tc)-HMPAO SPET features. J Geriatr Psychiatry Neurol 8: 42–48

    PubMed  CAS  Google Scholar 

  96. Pasquier F, Lebert F, Grymonprez L, Petit H (1995) Verbal fluency in dementia of frontal lobe type and dementia of Alzheimer type. J Neurol Neurosurg Psychiatry 58: 81–84

    Article  PubMed  CAS  Google Scholar 

  97. Pachana NA, Brauer-Boone K, Miller BL, Cummings JL, Berman N (1996) Comparison of neuropsychological functioning in Alzheimer’s disease and frontotemporal dementia. J Int Neuropsychol Soc 2: 505–510

    Article  PubMed  CAS  Google Scholar 

  98. Folstein MF, Folstein SE, McHugh PR (1975) “Mini-Mental State.” A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12: 189–198

    Article  PubMed  CAS  Google Scholar 

  99. Elfgren C, Passan U, Risberg J (1993) Neuropsychological findings in frontal lobe dementia. Dementia 4: 214–219

    PubMed  CAS  Google Scholar 

  100. Elfgren C, Ryding E, Passant U (1996) Performance on neuropsychological tests related to single photon emission computerised tomography findings in frontotemporal dementia. Br J Psychiatry 169: 416–422

    Article  PubMed  CAS  Google Scholar 

  101. Hagberg B (1987) Behaviour correlates to frontal lobe dysfunction. Arch Gerontol Geriatr 6: 311–321

    Article  PubMed  CAS  Google Scholar 

  102. Johanson A, Gustafson L, Smith GJW, Risberg J, Hagberg B, Nilsson B (1990) Adaptation in different types of dementia and in normal elderly subjects. Dementia 1: 95–101

    Google Scholar 

  103. Tyrrell PJ, Warrington EK, Frackowiak RSJ, Rossor MN (1990) Heterogeneity in progressive aphasia due to focal cortical atrophy. A clinical and PET study. Brain 113: 1321–1336

    Article  PubMed  Google Scholar 

  104. Kanazawa I, Kwak S, Sasaki H, Muramoto O, Mizutani T, Hori A, Nukina N (1988) Studies on neurotransmitter markers of the basal ganglia in Pick’s disease, with special reference to dopamine reduction. J Neurol Sci 83: 63–74

    Article  PubMed  CAS  Google Scholar 

  105. Gilbert JJ, Kish SJ, Chan L-J, Morito C, Shammak K, Hornykiewicz O (1988) Dementia, parkinsonism and motor neuron disease: neurochemical and neuropathological correlates. Neurology 24: 688–691

    CAS  Google Scholar 

  106. Francis PT, Holmes C, Webster M-T, Stratmann GC, Procter AW, Bowen DM (1993) Preliminary neurochemical findings in non-Alzheimer dementia due to lobar atrophy. Dementia 4: 172–177

    PubMed  CAS  Google Scholar 

  107. Hansen LA, Deteresa R, Tobias H, Alford M, Terry RD (1988) Neocortical morphometry and cholinergic neurochemistry in Pick’s disease. Am J Pathol 131: 507–528

    PubMed  CAS  Google Scholar 

  108. Clark AW, White CL III, Manz JH, Parhad II, Curry B, Whitehouse PJ, Lehman L, Cole JT (1986) Primary degenerative dementia without Alzheimer pathology. Can J Neurol Sci 13: 462–470

    PubMed  CAS  Google Scholar 

  109. Minthon L, Edvinsson L, Ekman R, Gustafson L (1990) Neuropeptide levels in Alzheimer’s disease and dementia with frontotemporal degeneration. J Neurol Transm 30: 57–67

    CAS  Google Scholar 

  110. Edvinsson L, Minthon L, Ekman R, Gustafson L (1993) Neuropeptides in cerebrospinal fluid of patients with Alzheimer’s disease and dementia with frontotemporal lobe degeneration. Dementia 4: 167–171

    PubMed  CAS  Google Scholar 

  111. Blennow K, Wallin A, Ågren H, Spenger C, Sigfrid J, Vanmechelen E (1996) Tau protein in cerebrospinal fluid: a biochemical marker for axonal degeneration in Alzheimer’s disease? Mol Chem Neuropathol 26: 231–245

    Article  Google Scholar 

  112. American Psychiatric Association (APA) (1987) Diagnostic and statistical manual of mental disorders, (DSM-III-R), 3rd edition, revised. APA, Washington DC

    Google Scholar 

  113. American Psychiatric Association (APA) (1994) Diagnostic and statistical manual of mental disorders (DSM-IV). APA, Washington DC

    Google Scholar 

  114. World Health Organization (WHO) (1992) The ICD-10 classification of mental and behavioural disorders. Clinical descriptions and diagnostic guidelines. World Health Organization, Geneva

    Google Scholar 

  115. Ishii N, Nishihara Y, Imamura T (1986) Why do frontal lobe symptoms predominate in vascular dementia with lacunes? Neurology 36: 340–345

    Article  PubMed  CAS  Google Scholar 

  116. Brun A, Gustafson L (1988) Zerebrovaskuläre erkrankungen. In: Kisker KP, Lauter H, Meyer J-E, Muller C, Strömgren E (eds) Psychiatrie der Gegenwart. Band 6. Organische Psychosen. Springer-Verlag, Berlin Heidelberg New York, pp 253–295

    Chapter  Google Scholar 

  117. Englund E, Brun A, Gustafson L (1989) A white-matter disease in dementia of Alzheimer’s type — clinical and neuropathological correlates. Int J Geriatr Psychiatry 4: 87–102

    Article  Google Scholar 

  118. Fredriksson K, Brun A, Gustafson L (1992) Pure subcortical arterioslecortic encephalopathy (Binswanger’s disease): a clinicpathologic study. Part 1. Clinical features. Cerebrovasc Dis 2: 82–86

    Article  Google Scholar 

  119. Neumann MA (1949) Pick’s disease. J Neuropathol Exp Neurol 8: 255–282

    Article  PubMed  CAS  Google Scholar 

  120. Neumann MA, Cohn R (1967) Progressive subcortical gliosis: a rare form of presenile dementia. Brain 90: 405–418

    Article  PubMed  CAS  Google Scholar 

  121. Petersen RB, Tabaton M, Chen SG, Monari L, Richardson SL, Lynch T, Menetto V, Lanska D, Markesbery WR, et al (1995) Familial progressive subcortical gliosis. Presence of prions and linkage to chromosome 17. Neurology 45: 1062–1067

    Article  PubMed  CAS  Google Scholar 

  122. Gustafson L, Nilsson L (1982) Differential diagnosis of presenile dementia on clinical grounds. Acta Psychiatr Scand 65: 194–209

    Article  PubMed  CAS  Google Scholar 

  123. Brun A, Gustafson L (1993) I. The Lund longitudinal dementia study: a 25-year perspective on neuropathology, differential diagnosis and treatment. In: Corain B, Nicolini M, Winblad B, Wisniewski H, Zatta P (eds) Alzheimer’s disease. Advances in clinical and basic research. Wiley, London, pp 4–18

    Google Scholar 

  124. Hachinski VC, Iliff LD, Zilhka E, du Boulay GH, McAlliste V, Marhsall J, Ross Russel RW, Symon L (1975) Cerebral blood flow in dementia. Arch Neurol 32: 632–637

    Article  PubMed  CAS  Google Scholar 

  125. Risberg J, Gustafson L (1988)Regional cerebral blood flow in psychiatric disorders. In: Knezevic S, Maximilian VA, Mubrin Z, Prohovnik I, Wade J (eds) Handbook of regional cerebral blood flow. Erlbaum, Hillsdale, pp 219–240

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Italia

About this chapter

Cite this chapter

Gustafson, L., Brun, A. (1999). Frontotemporal Dementia. In: Govoni, S., Bolis, C.L., Trabucchi, M. (eds) Dementias. Springer, Milano. https://doi.org/10.1007/978-88-470-2149-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2149-5_7

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0048-3

  • Online ISBN: 978-88-470-2149-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics