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)