Rosness Tor Atle, Engedal Knut, Chemali Zeina
Lovisenberg Diaconal University College, Oslo, Norway
Norwegian National Advisory Unit on Ageing and Health, Tønsberg, Norway.
J Geriatr Psychiatry Neurol. 2016 Sep;29(5):271-80. doi: 10.1177/0891988716654986.
Today, frontotemporal dementia (FTD) remains one of the most common forms of early-onset dementia, that is, before the age of 65, thus posing several diagnostic challenges to clinicians since symptoms are often mistaken for psychiatric or neurological diseases causing a delay in correct diagnosis, and the majority of patients with FTD present with symptoms at ages between 50 and 60. Genetic components are established risk factors for FTD, but the influence of lifestyle, comorbidity, and environmental factors on the risk of FTD is still unclear. Approximately 40% of individuals with FTD have a family history of dementia but less than 10% have a clear autosomal dominant pattern of inheritance. Lack of insight is often an early clue to FTD. A tailored treatment option at an early phase can mitigate suffering and improve patients' and caregivers' quality of life.
如今,额颞叶痴呆(FTD)仍是早发性痴呆最常见的形式之一,即发病年龄在65岁之前,这给临床医生带来了诸多诊断挑战,因为症状常被误诊为精神疾病或神经疾病,导致诊断延误,且大多数FTD患者在50至60岁之间出现症状。遗传因素是FTD的确立危险因素,但生活方式、合并症和环境因素对FTD风险的影响仍不明确。约40%的FTD患者有痴呆家族史,但不到10%有明确的常染色体显性遗传模式。缺乏洞察力往往是FTD的早期线索。早期的个性化治疗方案可以减轻痛苦,提高患者及护理人员的生活质量。