Cognitive decline in the behavioral variant of frontotemporal dementia
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BACKGROUND: Only a small number of studies on the natural disease course in behavioral variant frontotemporal dementia (bvFTD) have been conducted. This is surprising because knowledge about the progression of symptoms is a precondition for the design of clinical drug trials. METHODS: The aim of the present study was to examine the cognitive decline of 20 patients with mild bvFTD over one year using the Consortium to Establish a Registry for Alzheimer's Disease - Neuropsychological Assessment Battery (CERAD-NAB). RESULTS: Within an average follow-up interval of 13 months, patient scores declined significantly in the Mini-mental-State-Examination (MMSE) and the CERAD-NAB subtests of naming, verbal and nonverbal memory. No significant changes were found in the CERAD-NAB subtests of category fluency, recognition, and visuoconstruction. The average annualized decline on the MMSE was 4.0 ± 4.9 points. Ceiling effects were detected in Figures Copy, Word List Recognition and Modified Boston Naming Test. Though the included patient group was rather homogeneous regarding severity of dementia, the cognitive changes were very heterogeneous. CONCLUSION: Given the heterogeneity of cognitive decline, the design of a test battery for clinical trials in FTD will be challenging. A cognitive battery should definitely include the MMSE, Word List Learning and Word List Delayed Recall.
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A minority of bvFTD (20%) may present with intact cognition at first visit, and thereafter cognitive decline is variable.
“A minority of bvFTD (20%) may present with intact cognition at first visit, and thereafter, cognitive decline is variable (Hornberger et al., 2008; Diehl-Schmid et al., 2011; Devenney et al., 2015).”
From The pursuit for markers of disease progression in behavioral variant frontotemporal dementia: a scoping review to optimize outcome measures for clinical trials (2024) · cites this paper as Diehl-Schmid et al., 2011
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- Authors
- Diehl-Schmid, J., Bornschein, S., Pohl, C., Förstl, H., Kurz, A., & Jahn, T.
- Affiliations
- Technical University of Munich (DE)
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 23
- Issue
- 2
- Pages
- 230-237
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W1998278788
- Cited by
- 13
- References
- 40
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2
- FWCI
- 0.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- behavioral variant frontotemporal dementia, cognitive decline, natural disease course, Mini-Mental State Examination, memory impairment, naming, word list learning, delayed recall, ceiling effect
- MeSH terms
- Cognition Disorders, Educational Status, Humans, Middle Aged, Neuropsychological Tests, Time Factors, Age of Onset, Disease Progression, Frontotemporal Dementia
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