Neurology 2002;58:198-208
© 2002 American Academy of Neurology
Patterns of brain atrophy in frontotemporal dementia and semantic dementia
H. J. Rosen, MD,
M. L. GornoTempini, MD,
W. P. Goldman, PhD,
R. J. Perry, MD,
N. Schuff, PhD,
M. Weiner, MD,
R. Feiwell, MD,
J. H. Kramer, PsyD and
B. L. Miller, MD
From the University of California at San Francisco Department of Neurology (Drs. Rosen, GornoTempini, Goldman, Perry, Weiner, Kramer, and Miller), UCSF Memory and Aging Center (Drs. Rosen, GornoTempini, Goldman, Perry, Kramer, and Miller), San Francisco Veterans Affairs Hospital Magnetic Resonance Spectroscopy Unit (Drs. Schuff and Weiner), University of California at San Francisco Department of Radiology (Drs. Schuff, Weiner, and Feiwell), CA.
Address correspondence and reprint requests to Dr. Howard Rosen, UCSF Department of Neurology, Memory and Aging Center, 350 Parnassus Ave., Suite 800, Box 1207, San Francisco, CA 94143-1207; e-mail: Howie{at}itsa.ucsf.edu
Objective: To identify and compare the patterns of cerebral atrophy associated with two clinical variants of frontotemporal lobar degeneration (FTLD): frontotemporal dementia (FTD) and semantic dementia (SemD).
Methods: Twenty patients with FTLD were classified as having FTD (N = 8) or SemD (N = 12) based on current clinical criteria. Both groups showed a similar spectrum of behavioral abnormalities, as indicated by the neuropsychiatric inventory. T1-weighted MRI was obtained for each patient and 20 control subjects. The regions of focal gray matter tissue loss associated with both FTD and SemD, as well as those differing between the two groups were examined using voxel-based morphometry.
Results: Regions of significant atrophy seen in both groups were located in the ventromedial frontal cortex, the posterior orbital frontal regions bilaterally, the insula bilaterally, and the left anterior cingulate cortex. The FTD, but not the SemD, group showed atrophy in the right dorsolateral frontal cortex and the left premotor cortex. The SemD, but not the FTD, group showed tissue loss in the anterior temporal cortex and the amygdala/anterior hippocampal region bilaterally.
Conclusions: Although FTD and SemD are associated with different overall patterns of brain atrophy, regions of gray matter tissue loss in the orbital frontal, insular, and anterior cingulate regions are present in both groups. The authors suggest that pathology in the areas of atrophy associated with both FTD and SemD may underlie some the behavioral symptoms seen in the two disorders.
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Cerebral atrophy in Parkinson's disease with and without dementia: a comparison with Alzheimer's disease, dementia with Lewy bodies and controls
Brain,
April 1, 2004;
127(4):
791 - 800.
[Abstract]
[Full Text]
[PDF]
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W. Liu, B. L. Miller, J. H. Kramer, K. Rankin, C. Wyss-Coray, R. Gearhart, L. Phengrasamy, M. Weiner, and H. J. Rosen
Behavioral disorders in the frontal and temporal variants of frontotemporal dementia
Neurology,
March 9, 2004;
62(5):
742 - 748.
[Abstract]
[Full Text]
[PDF]
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M. Grossman, C. McMillan, P. Moore, L. Ding, G. Glosser, M. Work, and J. Gee
What's in a name: voxel-based morphometric analyses of MRI and naming difficulty in Alzheimer's disease, frontotemporal dementia and corticobasal degeneration
Brain,
March 1, 2004;
127(3):
628 - 649.
[Abstract]
[Full Text]
[PDF]
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A. L. Boxer, J. H. Kramer, A. -T. Du, N. Schuff, M. W. Weiner, B. L. Miller, and H. J. Rosen
Focal right inferotemporal atrophy in AD with disproportionate visual constructive impairment
Neurology,
December 9, 2003;
61(11):
1485 - 1491.
[Abstract]
[Full Text]
[PDF]
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S. A. Thompson, K. Patterson, and J. R. Hodges
Left/right asymmetry of atrophy in semantic dementia: Behavioral-cognitive implications
Neurology,
November 11, 2003;
61(9):
1196 - 1203.
[Abstract]
[Full Text]
[PDF]
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M. S. Bagary, M. R. Symms, G. J. Barker, S. H. Mutsatsa, E. M. Joyce, and M. A. Ron
Gray and White Matter Brain Abnormalities in First-Episode Schizophrenia Inferred From Magnetization Transfer Imaging
Arch Gen Psychiatry,
August 1, 2003;
60(8):
779 - 788.
[Abstract]
[Full Text]
[PDF]
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A. L. Boxer, K. P. Rankin, B. L. Miller, N. Schuff, M. Weiner, M.-L. Gorno-Tempini, and H. J. Rosen
Cinguloparietal Atrophy Distinguishes Alzheimer Disease From Semantic Dementia
Arch Neurol,
July 1, 2003;
60(7):
949 - 956.
[Abstract]
[Full Text]
[PDF]
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S. A.R.B. Rombouts, J. C. van Swieten, Y. A.L. Pijnenburg, R. Goekoop, F. Barkhof, and P. Scheltens
Loss of frontal fMRI activation in early frontotemporal dementia compared to early AD
Neurology,
June 24, 2003;
60(12):
1904 - 1908.
[Abstract]
[Full Text]
[PDF]
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M. Broe, J.R. Hodges, E. Schofield, C.E. Shepherd, J.J. Kril, and G.M. Halliday
Staging disease severity in pathologically confirmed cases of frontotemporal dementia
Neurology,
March 25, 2003;
60(6):
1005 - 1011.
[Abstract]
[Full Text]
[PDF]
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K. P. Rankin, J. H. Kramer, P. Mychack, and B. L. Miller
Double dissociation of social functioning in frontotemporal dementia
Neurology,
January 28, 2003;
60(2):
266 - 271.
[Abstract]
[Full Text]
[PDF]
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H. J. Rosen, R. J. Perry, J. Murphy, J. H. Kramer, P. Mychack, N. Schuff, M. Weiner, R. W. Levenson, and B. L. Miller
Emotion comprehension in the temporal variant of frontotemporal dementia
Brain,
October 1, 2002;
125(10):
2286 - 2295.
[Abstract]
[Full Text]
[PDF]
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H. J. Rosen, K. M. Hartikainen, W. Jagust, J. H. Kramer, B. R. Reed, J. L. Cummings, K. Boone, W. Ellis, C. Miller, and B. L. Miller
Utility of clinical criteria in differentiating frontotemporal lobar degeneration (FTLD) from AD
Neurology,
June 11, 2002;
58(11):
1608 - 1615.
[Abstract]
[Full Text]
[PDF]
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