Frontotemporal Dementia (5%) = Pick Bodies Flashcards
Pathophysiology
Progressive degeneration of the frontal and/or temporal lobes associated with Pick bodies, with a number of subtypes such as Pick’s disease
In this condition there is atrophy of the fronto-temporal region, without the histology seen in Alzheimer’s.
Clinical features
Speech and language affected mostly
E.g e.g. reduced fluency or comprehension = TEMPORAL more so affected
Thinking and memory affected mostly = FRONTAL
Behavioural and personality changes, e.g. impulsivity
Memory impairment
Treatment
AChE inhibitors and memantine are not recommended
Supportive measures as discussed above is recommended
The drug rivastigmine may help to improve symptoms.
Risk factors
Family history = Autosomal dominant change in Tau protein (chromosome 17)
Family history of MND (TDP-43)
Age