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. 2009 Jan;51(Suppl1):S65–S69.

Table 3.

Differentiating among FTLDs

FTD SD PFNA
Sex Male=female (M>F) Male>female Female>male
Age of onset Mid 50s Late 50s Early 60s
Genetics Strongly familial Rarely familial Intermediate
MND Common Unusual Unusual
Behavior Personality changes, apathy, disinhibition, loss of insight Similar to FTD in right sided cases; FTD-type behaviors emerge after a few years in left-sided cases Tends to remain normal; depression is common
Neurology Look for ALS, Parkinsonian features Setshifting, inhibition; good drawing, poor generation naming Look for ALS, often normal Poor naming, verbal memory; good working memory Overlap with PSP and CBDNonfluent, verbal apraxia; good comprehension
Neuropsychology Setshifting, inhibition; good drawing, poor generation naming Poor naming, verbal memory; good working memory Nonfluent, verbal apraxia; good comprehension
Neuroimaging B/ (R > L) frontal–ventral–insular and cingulated atrophy/ hypometabolism (L>R) anterior temporal, amygdala and insular atrophy/hypometabolism Bilateral Bilateral (left > right) fronto-insular atrophy/ hypometabolism
Neuropathology Most common: FTD ubiquitin inclusions; less common: no inclusions or tau inclusions Most common pathology is FTD-ubiquitin inclusions Most common pathology is FTD-tau; often overlaps with CBD or PSP

Differentiating among FTLDs (adapted from Wang P-N and Miller BL, 2007)