Cited by 179Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsAmyotrophic Lateral Sclerosis Research

Demographic, neurological and behavioural characteristics and brain perfusion SPECT in frontal variant of frontotemporal dementia

Ber, I. L., Guedj, E., Gabelle, A., Verpillat, P., Volteau, M., Thomas-Anterion, C., Decousus, M., Hannequin, D. +19 more·2006·Brain

Abstract

We conducted a French multicentric cross-sectional study to describe in detail the demographic, neurological and behavioural characteristics of the frontal variant of frontotemporal dementia (fvFTD) and to characterize the pattern of brain perfusion SPECT in comparison to a healthy control group. A total of 68 fvFTD patients had technetium-99m-ECD brain perfusion SPECT at inclusion, 61 of which also underwent an in-depth evaluation including 70 items assessing behaviour, language and affect/emotion at onset and at inclusion. The mean age-at-onset was 60.4 +/- 7.8 years (35-75). Twenty-six per cent of the patients were older than 65 at onset. A positive familial history consistent with an autosomal dominant inheritance was found in 18% of the patients. At onset, the behavioural profile was predominantly inert in 25% of the patients, disinhibited in 18% and mixed in others. The behavioural features progressed to predominantly mixed or inert forms. Although, inertia was associated with predominant medial frontal and cingulate hypoperfusion, and patients with disinhibition exhibited predominant ventromedial prefrontal and temporal hypoperfusion, there were no major clinical differences between disinhibited and inert patients. Forty-five per cent of the deceased patients survived 8 years (long survival). This shows that the final outcome of fvFTD is highly variable. No clinical factors predictive of short or long survival were identified. Unexpected, however, was the finding that…

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Crossref · 10.1093/brain/awl288

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Authors
Ber, I. L., Guedj, E., Gabelle, A., Verpillat, P., Volteau, M., Thomas-Anterion, C., Decousus, M., Hannequin, D., Vera, P., Lacomblez, L., Camuzat, A., Didic, M., Puel, M., Lotterie, J.-A., Golfier, V., Bernard, A.-M., Vercelletto, M., Magne, C., Sellal, F., Namer, I., Michel, B.-F., Pasquier, J., Salachas, F., Bochet, J., Brice, A., Habert, M.-O., & Dubois, B.
Affiliations
  • Centre Hospitalier de Saint-Quentin (FR)
  • Hôpital de la Timone (FR)
  • Assistance Publique – Hôpitaux de Paris (FR)
  • Inserm (FR)
  • Hôpital Rangueil (FR)
  • Centre Hospitalier de Saint-Brieuc (FR)
  • Centre Eugène Marquis (FR)
  • Centre Hospitalier Universitaire de Nantes (FR)
  • Hôpital d'Hautepierre (FR)
Venue
Brain
Published
2006-09-29
Volume
129
Issue
11
Pages
3051-3065
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W2077311804
Cited by
179
References
108
Citations by year
2026: 2 · 2025: 2 · 2024: 10 · 2023: 5 · 2022: 12 · 2021: 19 · 2020: 14 · 2019: 6 · 2018: 5 · 2017: 11 · 2016: 10 · 2015: 8 · 2014: 7 · 2013: 14 · 2012: 7
FWCI
5.10
Type
journal article
Language
en
Open access
closed
Locations
  • Brain (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • Institut National de la Santé et de la Recherche Médicale
  • GIS-Institut des Maladies Rares
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
Keywords
brain perfusion SPECT, technetium-99m ECD, cerebral hypoperfusion, disinhibition, survival outcomes, prognostic factors, family history (medicine), autosomal dominant inheritance, ventromedial prefrontal cortex, cingulate cortex
MeSH terms
Adult, Aged, Brain, Brain Mapping, Brain Stem, Cerebrovascular Circulation, Cross-Sectional Studies, Dementia, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Prognosis, Social Behavior Disorders, Tomography, Emission-Computed, Single-Photon, Survival Analysis, Age of Onset, Disease Progression

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