Frontotemporal Dementia (5%) = Pick Bodies Flashcards

1
Q

Pathophysiology

A

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.

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2
Q

Clinical features

A

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

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3
Q

Treatment

A

AChE inhibitors and memantine are not recommended
Supportive measures as discussed above is recommended
The drug rivastigmine may help to improve symptoms.

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4
Q

Risk factors

A

Family history = Autosomal dominant change in Tau protein (chromosome 17)
Family history of MND (TDP-43)
Age

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