FTD Management

Question 1

Symptoms of FTD_behavioural type

Answer 1

• Disinhibition (socially inappropriate behaviour, loss of manners, impulsivity)
• Apathy/inertia
• Loss of sympathy/empathy
  -Perseverative, stereotyped and compulsive behaviour
• hyperorality/dietry changes
• executive dysfunctions

Question 2

Other symptoms not included in bvFTD:

Answer 2

• loss of insight
• impaired social cognition
• altered sensitivity to pain and/or temperature
• Delusions and /or hallucinations (usually visual)

Question 3

What are management options not able to do in FTD?

Answer 3

Alter evolution of any of the FTD diseases

Question 4

What is the aim in FTD management atm?

Answer 4

Controlling symptoms and helping patient and their caregivers cope with impact of their illness

Question 5

Non-pharmalogical Management of FTD options:

Answer 5

• Simple interventions help govern troublesome behaviours and contribute to stable routine (puzzles, music, controlled access to food/drink)

-Speech and language therapy + assessment of swallowing and advice on dietary modification
- Programmed respite, counselling and psychological support for caregivers
- Genetic counselling of at-risk family members

Question 6

Pharmacological Management of FTD

Answer 6

• Careful: Cholinesterase inhibitors and memantine may aggravate behavioural disturbance
• Small, double blind, controlled trials provided evidence for modest improvement with behavioural symptoms using SSRIs