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Cited by 501

The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.

Frontotemporal Lobar Degeneration: Epidemiology, Pathophysiology, Diagnosis and Management

Open access
Rabinovici, Gil D., Miller, Bruce L.·2010·CNS Drugs

Abstract

Frontotemporal lobar degeneration (FTLD) is a clinically and pathologically heterogeneous syndrome, characterized by progressive decline in behaviour or language associated with degeneration of the frontal and anterior temporal lobes. While the seminal cases were described at the turn of the 20th century, FTLD has only recently been appreciated as a leading cause of dementia, particularly in patients presenting before the age of 65 years. Three distinct clinical variants of FTLD have been described: (i) behavioural-variant frontotemporal dementia, characterized by changes in behaviour and personality in association with frontal-predominant cortical degeneration; (ii) semantic dementia, a syndrome of progressive loss of knowledge about words and objects associated with anterior temporal neuronal loss; and (iii) progressive nonfluent aphasia, characterized by effortful language output, loss of grammar and motor speech deficits in the setting of left perisylvian cortical atrophy.The majority of pathologies associated with FTLD clinical syndromes include either tau-positive (FTLD-TAU) or TAR DNA-binding protein 43 (TDP-43)-positive (FTLD-TDP) inclusion bodies. FTLD overlaps clinically and pathologically with the atypical parkinsonian disorders corticobasal degeneration and progressive supranuclear palsy, and with amyotrophic lateral sclerosis. The majority of familial FTLD cases are caused by mutations in the genes encoding microtubule-associated protein tau (leading to FTLD-TAU) or progranulin (leading to FTLD-TDP).The clinical and pathological heterogeneity of FTLD poses a significant diagnostic challenge, and in vivo prediction of underlying histopathology can be significantly improved by supplementing the clinical evaluation with genetic tests and emerging biological markers.Current pharmacotherapy for FTLD focuses on manipulating serotonergic or dopaminergic neurotransmitter systems to ameliorate behavioural or motor symptoms. However, recent advances in FTLD genetics and molecular pathology make the prospect of biologically driven, diseasespecific therapies for FTLD seem closer than ever.

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Metadata

Authors
Rabinovici, G. D., & Miller, B. L.
Venue
CNS Drugs
Published
2010-05
Volume
24
Issue
5
Pages
375-398
ISSN
1172-7047 (ISSN-L)
OpenAlex
W1983209442
Cited by
501
References
39
FWCI
24.13
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Frontotemporal Lobar Degeneration: Epidemiology, Pathophysiology, Diagnosis and Management. https://app.cochat.ai/papers/10.2165/11533100-000000000-00000
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Rabinovici, G. D., & Miller, B. L. (2010). Frontotemporal Lobar Degeneration: Epidemiology, Pathophysiology, Diagnosis and Management. CNS Drugs. https://doi.org/10.2165/11533100-000000000-00000

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