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额颞叶痴呆及相关综合征中的跌倒

Falls in frontotemporal dementia and related syndromes.

作者信息

Burrell James R, Hodges John R

机构信息

Concord Clinical School, Sydney Medical School, University of Sydney, Sydney, Australia; Brain and Mind Centre, University of Sydney Medical School, Sydney, NSW, Australia.

Brain and Mind Centre, University of Sydney Medical School, Sydney, NSW, Australia.

出版信息

Handb Clin Neurol. 2018;159:195-203. doi: 10.1016/B978-0-444-63916-5.00012-4.

Abstract

Frontotemporal dementia (FTD) and related diseases are important causes of younger-onset dementia. Falls may be a source of morbidity and mortality in FTD, but remain underreported, and very few high-quality studies have been performed. In this chapter, we briefly review the clinical features of FTD and related syndromes such as motor neuron disease (MND) and atypical parkinsonian syndromes, such as progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS). Falls are frequently encountered in patients who present with FTD syndromes. Although cognitive impairment is associated with falls generally, motor symptoms and signs, as seen in FTD cases that overlap with atypical parkinsonian disorders such as PSP or CBS, or MND, appear to pose the greatest risk. At present, very few systematic studies have been performed to determine the precise frequency, timing, diagnostic implications, and complications of falls in FTD. Further studies are required to understand the scope of this problem, and to develop effective treatments and management strategies.

摘要

额颞叶痴呆(FTD)及相关疾病是早发性痴呆的重要病因。跌倒可能是FTD发病和死亡的一个原因,但仍未得到充分报告,且很少有高质量的研究。在本章中,我们简要回顾FTD及相关综合征的临床特征,如运动神经元病(MND)以及非典型帕金森综合征,如进行性核上性麻痹(PSP)和皮质基底节综合征(CBS)。FTD综合征患者经常会跌倒。虽然认知障碍通常与跌倒有关,但在与PSP或CBS等非典型帕金森疾病或MND重叠的FTD病例中出现的运动症状和体征似乎构成了最大风险。目前,很少有系统研究来确定FTD患者跌倒的确切频率、时间、诊断意义及并发症。需要进一步研究以了解该问题的范围,并制定有效的治疗和管理策略。

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