Building a new paradigm for the early recognition of behavioral variant frontotemporal dementia: Late Onset Frontal Lobe Syndrome study

Welmoed A Krudop, Cora J Kerssens, Annemieke Dols, Niels D Prins, Christiane Möller, Sigfried Schouws, Frederik Barkhof, Bart N M van Berckel, Charlotte E Teunissen, Wiesje M van der Flier, Philip Scheltens, Max L Stek, Yolande A L Pijnenburg

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To describe the aims and design of the ongoing Late Onset Frontal Lobe Syndrome study (LOF study), a study on the spectrum of neurodegenerative and psychiatric etiologies causing behavioral changes in later life, and on the role of magnetic resonance imaging (MRI), [(18)F]-fluorodeoxyglucose-positron emission tomography (FDG-PET), and cerebrospinal fluid (CSF) biomarkers in predicting and identifying the different underlying pathologies with a special focus on the behavioral variant of frontotemporal dementia.

METHODS: The LOF study is an observational cross-sectional and prospective follow-up study. Patients aged 45-75 years with a frontal behavioral change consisting of apathy, disinhibition, or compulsive/stereotypical behavior were included (April 2011-2013). Patients underwent a multidisciplinary assessment by a neurologist and psychiatrist and MRI, CSF, and PET measurements at inclusion and after 2 years of follow-up.

RESULTS: The diagnostic added value of MRI, PET, and CSF results and their predictive value will be measured after 2 years of follow-up.

CONCLUSION: This is the first large-scale prospective follow-up study of patients with late-onset behavioral disorders.

Original languageEnglish
Pages (from-to)735-40
Number of pages6
JournalThe American Journal of Geriatric Psychiatry
Volume22
Issue number7
DOIs
Publication statusPublished - Jul 2014

Keywords

  • Age of Onset
  • Aged
  • Amyloid beta-Peptides/cerebrospinal fluid
  • Biomarkers/cerebrospinal fluid
  • Clinical Protocols
  • Cross-Sectional Studies
  • Diagnosis, Differential
  • Early Diagnosis
  • Female
  • Fluorodeoxyglucose F18
  • Follow-Up Studies
  • Frontotemporal Dementia/cerebrospinal fluid
  • Functional Neuroimaging
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Positron-Emission Tomography
  • Predictive Value of Tests
  • Prospective Studies
  • tau Proteins/cerebrospinal fluid

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