Department of Mental Health, Department of Biomedical and Clinical Sciences Luigi Sacco, University of Milan, Milan, Italy.
Fondazione IRCCS Ca' Granda, Ospedale Policlinico, Milan, Italy.
J Alzheimers Dis. 2020;75(2):661-673. doi: 10.3233/JAD-191333.
Frontotemporal dementia (FTD) includes a group of neurocognitive syndromes, clinically characterized by altered behaviors, impairment of language proficiency, and altered executive functioning. FTD is one of the most frequently observed forms of dementia in the elderly population and the most common in presenile age. As for other subtypes of dementia, FTD incidence is constantly on the rise due to the steadily increasing age of the population, and its recognition is now becoming a determinant for clinicians. FTD and psychiatric disorders can overlap in terms of clinical presentations by sharing a common genetic predisposition and neuropathological mechanism in some cases. Nonetheless, this association is often unclear and underestimated. Since its first reports, research into FTD has constantly grown, with the identification of recent findings related to its neuropathology, genetic, clinical, and therapeutic issues. Literature is thriving on this topic, with numerous research articles published in recent years. In the present review, we aimed to provide an updated description of the clinical manifestations that link and potentially confound the diagnosis of FTD and psychiatric disorders in order to improve their differential diagnosis and early detection. In particular, we systematically reviewed the literature, considering articles specifically focused on the behavioral variant FTD, published after 2015 on the PubMed database.
额颞叶痴呆(FTD)包括一组神经认知综合征,临床上表现为行为改变、语言能力受损和执行功能障碍。FTD 是老年人群中最常见的痴呆症之一,也是早发性痴呆症中最常见的一种。与其他类型的痴呆症一样,由于人口年龄不断增长,FTD 的发病率持续上升,其认知现在已成为临床医生的决定因素。FTD 和精神障碍在临床表现上可能重叠,因为在某些情况下它们具有共同的遗传易感性和神经病理学机制。然而,这种关联往往不明确且被低估。自首次报道以来,对 FTD 的研究不断发展,确定了其神经病理学、遗传、临床和治疗问题的最新发现。该主题的文献大量涌现,近年来发表了许多研究文章。在本次综述中,我们旨在提供与 FTD 和精神障碍相关的临床表现的最新描述,这些表现可能会混淆和影响它们的诊断,以改善其鉴别诊断和早期发现。特别是,我们系统地回顾了文献,考虑了专门针对 2015 年后在 PubMed 数据库上发表的行为变异型 FTD 相关文章。