Source:http://linkedlifedata.com/resource/pubmed/id/15349867
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2004-9-6
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pubmed:abstractText |
The term frontotemporal dementia (FTD) encompasses a range of clinical syndromes that are believed not to map reliably onto the spectrum of recognized pathologies. This study reexamines the relationships between clinical and pathological subtypes of FTD in a large series from two centers (n = 61). Clinical subtypes defined were behavioral variant FTD (n = 26), language variants (semantic dementia, n = 9; and progressive nonfluent aphasia, n = 8), and motor variants (corticobasal degeneration, n = 9; and motor neuron disease, n = 9), although most cases presented with a combination of behavioral and language problems. Unexpectedly, some behavioral cases (n = 5) had marked amnesia at presentation. The pathological subtypes were those with tau-immunopositive inclusions (with Pick bodies, n = 20; or without, n = 11), those with ubiquitin immunopositive inclusions (n = 16), and those lacking distinctive histology (n = 14). Behavioral symptoms and semantic dementia were associated with a range of pathologies. In contrast, other clinical phenotypes had relatively uniform underlying pathologies: motor neuron disease predicted ubiquitinated inclusions, parkinsonism and apraxia predicted corticobasal pathology, and nonfluent aphasia predicted Pick bodies. Therefore, the pathological substrate can be predicted in a significant proportion of FTD patients, which has important implications for studies targeting mechanistic treatments.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0364-5134
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
56
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
399-406
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15349867-Aged,
pubmed-meshheading:15349867-Aged, 80 and over,
pubmed-meshheading:15349867-Brain,
pubmed-meshheading:15349867-Dementia,
pubmed-meshheading:15349867-Diagnosis, Differential,
pubmed-meshheading:15349867-Female,
pubmed-meshheading:15349867-Humans,
pubmed-meshheading:15349867-Male,
pubmed-meshheading:15349867-Middle Aged,
pubmed-meshheading:15349867-Reproducibility of Results,
pubmed-meshheading:15349867-Retrospective Studies,
pubmed-meshheading:15349867-tau Proteins
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pubmed:year |
2004
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pubmed:articleTitle |
Clinicopathological correlates in frontotemporal dementia.
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pubmed:affiliation |
Prince of Wales Medical Research Institute, the University of New South Wales, Randwick, New South Wales, Australia. john.hodges@mrc-cbu.cam.ac.uk
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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