Table 3.
FTDP-17T/MAPT | FTDP-17U/PGRN | |
---|---|---|
Age | Younger, 40s | Older, >50 years |
Predominant clinical phenotype | Parkinsonism and personality change are more common | Language abnormalities, parkinsonism less common (except for CBS)a |
Most common presenting deficits | Behavioral/personality changes, semantic impairment | Anomia, apathy (or disinhibition), apraxia |
Penetrance | Nearly 100% (false sporadic cases are rare) | Age dependent: 90% reached by 70 years |
Disease duration | Mean, 5 years | Mean, 7 years |
Range, 3–10 years | Range, 1–15 years | |
Common clinical presentations | bvFTD, CBS, PSP, AD | PNFA, CBS, AD, PDD/DLB |
Response to levodopa | Commonly present but rarely sustained | Rarely present |
Distribution of atrophy | Anteromedial temporal lobe and orbitofrontal region; caudate | Inferior frontal, temporal, and inferior parietal lobe |
Symmetry of atrophy | Symmetric | Asymmetric. Asymmetry becomes greater over time |
Although pathology of FTDP-17U/PGRN is always FTLD-TDP, MND is exceptionally rare among PGRN carriers
bvFTD behavioral variant of frontotemporal dementia, PNFA progressive nonfluent aphasia, PDD Parkinson’s disease dementia, DLB dementia with Lewy bodies