Cited by 110Dementia and Cognitive Impairment ResearchAmyotrophic Lateral Sclerosis ResearchHistorical and Modern Theater Studies

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Clinical diagnostic criteria and classification controversies in frontotemporal lobar degeneration

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Rascovsky, Katya, Grossman, Murray·2013·International Review of Psychiatry

DOI 10.3109/09540261.2013.763341PMC PMC3906583

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Abstract

Frontotemporal lobar degeneration (FTLD) can manifest as a spectrum of clinical syndromes, ranging from behavioural impairment to language or motor dysfunction. Recently, revised diagnostic criteria have been proposed for the behavioural and progressive aphasia syndromes associated with frontotemporal degeneration. The present review will summarize these diagnostic guidelines and highlight some lingering controversies in the classification of FTLD clinical syndromes. We will discuss common tools and methods used to identify the insidious changes of behavioural variant frontotemporal dementia (bvFTD), the value of new, patient-based tasks of orbitofrontal function, and the issue of a benign or 'phenocopy' variant of bvFTD. With regard to primary progressive aphasia (PPA), we will discuss the scope of the semantic disorder in semantic-variant PPA, the nature of the speech disorder in non-fluent, agrammatic PPA, and the preliminary utility of a logopenic PPA classification.

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Authors: Rascovsky, K., & Grossman, M.
Affiliations: University of Pennsylvania (US)
Corresponding author: Rascovsky, Katya
ORCID: Grossman, Murray
Venue: International Review of Psychiatry
Publisher: Informa UK Limited
Published: 2013-04
Volume: 25
Issue: 2
Pages: 145-158
ISSN: 0954-0261 (ISSN-L)
1369-1627
DOI: 10.3109/09540261.2013.763341
PMC: PMC3906583
OpenAlex: W2170424118
Cited by: 110
References: 152
Citations by year: 2026: 7 · 2025: 9 · 2024: 11 · 2023: 11 · 2022: 11 · 2021: 10 · 2020: 3 · 2019: 4 · 2018: 8 · 2017: 13 · 2016: 8 · 2015: 12 · 2014: 3
FWCI: 5.45
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: International Review of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (AG15116, AG-32953, R01AG015116, P01AG017586, AG17586, P01AG032953)
National Institute of Neurological Disorders and Stroke (NS53488, NS-44266, P50NS053488, R01NS044266)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Health Sciences › Medicine › Clinical Neurology › Amyotrophic Lateral Sclerosis Research
Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
Keywords: frontotemporal lobar degeneration, diagnostic criteria, clinical classification, behavioral variant frontotemporal dementia, primary progressive aphasia, semantic variant PPA, phenocopy, behavioural impairment, language disorders
MeSH terms: Decision Making, Humans, Neuropsychological Tests, Social Adjustment, Aphasia, Primary Progressive, Executive Function, Theory of Mind, Emotional Intelligence, Frontotemporal Lobar Degeneration

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Clinical diagnostic criteria and classification controversies in frontotemporal lobar degeneration

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