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. 2011 May 10;11:50. doi: 10.1186/1471-2377-11-50

Table 1.

Summary of clinical presentations

Case 1 Case 2 Case 3
Age of onset 72 49 64
Duration (months) 18 25 29
Clinical appearance (syndrome) MND/PSP/FTLD FTLD FTLD/PSP

Central motoneuron dysfunction Hyperreflexia Generalized spasticity Right-sided spasticity
Periferal motoneuron dysfunction Yes, EMG proven Interosseal amyotrophy No
Dysarthria/dysphagia Yes, prominent Yes, later Yes-early/prominent
Early falls Yes Yes Yes
Eyelid opening apraxia Early Late Present
Oculomotoricity, conjugate ocular pursuit movements Abnormal/Voluntar movements reduced both horisontally and vertically Initially normal, reduced mainly vertically, but after one year Reduced mainly vertically
Saccades Slow, hypometric Slow, hypometric Slow, hypometric
Bradykinesia Axial predominance Axial and limbs Axial predominance
Rigidity Axial predominance Axial and limbs Axial predominance
Tremor No No No
Dystonia No Facial movements, neck anteflexion and lateroflexion Late - retrocollis
Response to L-dopa Poor Poor Non
Executive dysfunction Prominent Prominent Prominent
Insight Lacking Present at the beginning Lacking
Frontal release signs Grasping/spastic laughter/disinhibited behavior Behavioral changes, dysexecutive syndrome Behavioral changes
Memory problems Minimal Minimal, effect of cueing Impaired
Visuospatial dysfunction Impaired Impaired Impaired
Gait apraxia Early feature Present early Early
Autonomic function N/A Not present Not present
Case 1 Case 2 Case 3

MRI Frontotemporal atrophy with left predominance Generalized atrophy with mild predominance periventriculary and frontal Frontotemporal and brainstem atrophy
Cerebrospinal fluid Normal Not done Normal
EMG Probable ALS according to El Escorial criteria, normal conduction Not done Normal conduction, no denervation

Pathological diagnosis FTLD-TDP/MND FTLD-TDP/MND FTLD-TDP/MND