Story of the ALS-FTD continuum retold

• Verfasst von: Lulé, Dorothée [VerfasserIn]
• Verfasst von: Aho-Özhan, Helena E. A. [VerfasserIn]
• Verfasst von: Vázquez, Cynthia [VerfasserIn]
• Verfasst von: Weiland, Ulrike [VerfasserIn]
• Verfasst von: Weishaupt, Jochen H. [VerfasserIn]
• Verfasst von: Otto, Markus [VerfasserIn]
• Verfasst von: Straub, Sarah [VerfasserIn]
• Verfasst von: Semler, Elisa [VerfasserIn]
• Verfasst von: Uttner, Ingo [VerfasserIn]
• Verfasst von: Ludolph, Albert C. [VerfasserIn]
• Titel: Story of the ALS-FTD continuum retold
• Titelzusatz: rather two distinct entities
• Verf.angabe: Dorothée E Lulé, Helena EA Aho-Özhan, Cynthia Vázquez, Ulrike Weiland, Jochen H Weishaupt, Markus Otto, Sarah Anderl-Straub, Elisa Semler, Ingo Uttner, Albert C Ludolph
• Jahr: 2019
• Umfang: 4 S.
• Teil: volume:90
• Teil: year:2019
• Teil: number:5
• Teil: pages:586-589
• Teil: extent:4
• Fussnoten: Zuerst online veröffentlicht: 26. September 2018 ; Gesehen am 08.07.2021
• Titel Quelle: Enthalten in: Journal of neurology, neurosurgery, and psychiatry
• Ort Quelle: London : BMJ Publishing Group, 1944
• Jahr Quelle: 2019
• Band/Heft Quelle: 90(2019), 5, Seite 586-589
• ISSN Quelle: 1468-330X
• DOI: doi:10.1136/jnnp-2018-318800
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1762527324

Abstract

<h3>Objective</h3> <p>To determine the evolution and profile of cognitive and behavioural deficits in amyotrophic lateral sclerosis (ALS) and behavioural variant frontotemporal dementia (bvFTD) to disentangle the development of FTD in ALS and vice versa.</p><h3>Methods</h3> <p>In a prospective design, cognitive and behavioural profiles of 762 patients with motor predominant ALS (flail arm/leg syndrome, primary lateral sclerosis, pseudobulbar palsy, ALS) and behavioural predominant FTD (bvFTD, ALS-FTD) were determined and caregivers of patients with ALS were asked on the evolution of behavioural symptoms. Data were compared with 49 healthy controls. Cognition was measured with the Edinburgh Cognitive and Behavioral ALS Screen.</p><h3>Results</h3> <p>Evolution and features of cognitive profile of patients with motor predominant ALS were distinctly different from patients with behavioural FTD with regard to number and degree of affected cognitive domains. Also, in ALS mostly minus symptoms evolved after physical symptom onset whereas in ALS-FTD plus and minus symptoms were reported with an onset before physical degradation.</p><h3>Conclusion</h3> <p>Evolution of cognitive and behavioural profile in patients with motor predominant ALS is distinctly different from those psychocognitive findings in patients with behavioural variant dementia. This may support the hypothesis that (possibly genetic) triggers decide in the preclinical phase on either motor or psychocognitive phenotypes.</p>