Table 1.
Author | Study Design | Number of Patients | Settings | FTD | Driving | Notes | FTD |
---|---|---|---|---|---|---|---|
de Simone, 2007 | Case control | 15 patients with FTD (10 male, 5 female), 15 controls | Cognitive Neuroscience Section, NIH, Bethesda, MD | Disease duration 4.2 years | 67% cases still driving Driving simulation: 60% of cases had collisions, 47% off-road accidents, and 33% ran stop signs (P = .003); speeding tickets | Speed variability and number of billboards recalled after simulation correctly classified 90% of patients | Behavioral changes (aggressive, agitated) lead to inappropriate driving |
Zuin et al, 2002 | Case control | 56 with dementia (17 male, 39 female)—2 patients with FTD 31 controls—(19 male and 12 female) | Neuropsych. Research Program, Pittsburgh, PA | Neurological examination, psychiatric evaluation | Interview regarding motor vehicle crashes and abnormal driving behaviors 20% with dementia exhibited abnormal driving behaviors, 11% reported motor vehicle crashes, 6% reported multiple motor vehicle crashes | Results did not differentiate between patients with FTD and AD | N/A |
Miller et al, 1997 | Case study—patients with AD and FTD | 22 patients with FTD (11 male and 11 female), 22 people with AD (14 female, 8 male) | Harbor-UCLA Medical Center Torrance, CA | MMSE, previous neuropsych. tests, neuroimaging with MRI and SPECT | Of the 22 patients with FTD, 10 presented history of socially disrupted behavior Of the 22 patients with AD, 1 presented this history | Hit and run accidents were problematic with FTD not AD | Antisocial |
Frisoni et al, 1995 | Case control | 19 with FTD, 11 patients with FTD having complete data, 16 with AD, 7 Controls | Alzheimer’s Disease Unit, University of Padua, Italy | CT scan, SPET scan, neuropsych. testing | Proxy (family) report of cases indicated impulsivity when driving occurred in FTD | FTD drivers have poor impulse control, causing minor accidents and distracted driving | Impulse control |
Abbreviations: AD, Alzheimer’s disease; FTD, frontotemporal dementia.