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行为变异额颞叶痴呆:该疾病诊断和认知的最新进展。

Behavioural Variant Frontotemporal Dementia: Recent Advances in the Diagnosis and Understanding of the Disorder.

机构信息

Memory and Cognition Clinic, Department of Clinical Neurosciences, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

Central Sydney Medical School and Brain & Mind Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

出版信息

Adv Exp Med Biol. 2021;1281:1-15. doi: 10.1007/978-3-030-51140-1_1.

Abstract

Frontotemporal dementia (FTD), particularly the behavioural variant (bvFTD) form, has fascinated researchers. Recent years have seen an increasing interest in aspects of bvFTD that extend beyond the initial focus on cognitive changes and frontal executive dysfunction. Changes have been identified in aspects including fundamental changes in physiology and metabolism, and cognitive domains such as episodic memory. Work on social cognition has emphasised the importance of a breakdown in interpreting and expressing emotions, while the overlap between psychiatric disorders and bvFTD has been brought into focus by the finding of high rates of psychotic features in carriers of the c9orf72 gene expansion. We review these aspects in the chapter " Behavioural variant frontotemporal dementia: Recent advances in diagnosis and understanding of the disorder" and also potential markers of disease progression and early diagnosis that may aid in the development of treatment options, which have thus far eluded us.

摘要

额颞叶痴呆(FTD),尤其是行为变异型(bvFTD),一直令研究人员着迷。近年来,人们对 bvFTD 的兴趣越来越大,研究范围已经超出了最初对认知变化和额前执行功能障碍的关注。生理和代谢方面的变化,以及情景记忆等认知领域,都已经被确定。社会认知方面的研究强调了理解和表达情绪能力下降的重要性,而精神病障碍与 bvFTD 之间的重叠,也因 c9orf72 基因扩增携带者中出现高比例的精神病特征而受到关注。我们在“行为变异型额颞叶痴呆:该疾病诊断和认知理解方面的最新进展”这一章中回顾了这些方面,同时还探讨了疾病进展和早期诊断的潜在标志物,这些标志物可能有助于我们开发迄今仍未成功的治疗方法。

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