TABLE 1.
Clinical Details and Neuroanatomic Findings in Patients With Frontemporal Dementia (FTD) and C9ORF72 Expanded Repeats
Patient # and Sex |
Age at Onset |
Mode of Onset | Nature of Psychosis | Other bvFTD-Related Symptoms | Aphasia | Motor Neuron Disease |
Neuroimaging Findings | Family History | FBI Score* |
Age at Death, Autopsy Findings |
---|---|---|---|---|---|---|---|---|---|---|
1 Man |
57 | Behavior change |
Visual hallucinations, psychotic delusions |
Food, poor hygiene, impulsiveness, indifference |
Anomia | No | Left parietal, bifrontal, and temporal atrophy |
Brother (Patient 2) had FTLD-U; mother and maternal uncle had early-onset dementia, probably FTD; maternal aunt had ALS |
45 | |
2 Man |
52 | Behavior change |
Food, poor hygiene, indifference, compulsions |
Echolalia | No | No testing | Brother (Patient 1) had FTD; same family history as Patient 1 |
43 | 59, FTLD-U + TDP-43 type B |
|
3 Man |
43 | Behavior change |
Food, poor hygiene, irritability, indifference |
Anomia, conduction |
Possible bulbar |
Left > right frontal and temporal atrophy |
Maternal uncle had Pick disease | 42 | 46, declined | |
4 Man |
56 | Behavior change |
Auditory hallucinations |
Food, irritability, indifference, compulsions |
Mild anomia |
Yes | Bifrontal and left temporal atrophy |
No family history | 32 | 60, declined |
5 Woman |
53 | Depression | Bizarre delusions |
Food, poor hygiene, indifference, inappropriate behaviors |
Echolalia | No | Medial frontal and anterior temporal atrophy |
Sister had ALS and cognitive deficits; mother had early-onset dementia |
39 | |
6 Man |
67 | Aphasia | Paranoid delusions |
Food, compulsions, irritability, disinhibition, impulsiveness |
Semantic paraphasias |
No | Mild bifrontal, temporal, and parietal atrophy |
Sister had FTD/ALS: FTLD-U TDP-43 type b |
32 | |
7 Man |
52 | Behavior change |
Visual and auditory hallucinations |
Food, poor hygiene, inappropriate behaviors, indifference, obsessions |
Dysarthria | Yes | Right temporal and inferior frontal atrophy |
Sister (Patient 8) had bvFTD; mother had ALS and suspected behavioral changes; 2 maternal uncles and 1 cousin had ALS; another maternal uncle had dementia |
46 | |
8 Woman |
47 | Behavior change |
Visual and auditory hallucinations |
Food, inappropriate behavior, compulsions |
Decreased speech output |
Yes | Bifrontal and right > left temporal atrophy |
Brother (Patient 7) had bvFTD; same family history as Patient 7 |
46 | 64, FTLD-U +TDP-43 type B |
A Frontal Behavioral Inventory score of 27 or higher is considered sensitive and specific for a diagnosis of bvFTD (Kertesz et al, 1997).
FBI = Frontal Behavioral Inventory. FTLD-U = frontotemporal lobar degeneration with ubiquitin-positive inclusions. ALS = amyotrophic lateral sclerosis. bvFTD = behavioral variant frontotemporal dementia. TDP-43 = transactive response DNA-binding protein 43 kDa (kiloDalton).