Frontotemporal dementia (FTD) is the most frequently occurring dementia in the presenile population. Despite epidemiologic data showing that patients with FTD may have experienced previous psychiatric disorders and that patients with psychotic disorders may develop dementia more often than expected in the nonaffected population, the overlap between these two conditions has been underestimated. Nevertheless, the identification in recent years of several genetic causes of FTD associated with heterogeneous and atypical presentations, including pure psychiatric symptoms, has shifted scientific interest back to obtaining a better understanding of common mechanisms between FTD and psychotic disorders. We review the current knowledge of the FTD spectrum and common features shared by FTD and some psychiatric diseases, starting from Picks clinical description of the disease, moving toward pathogenic aspects of the disease and genetic causes and associated phenotypes, and finishing with analysis of crossing borders between FTD and psychiatric disorders (mainly represented by schizophrenia and bipolar spectrum disorders) in clinical practice in terms of overlapping symptoms, differential diagnosis, comorbidity, and treatment issues.

Psychiatric Symptoms in Frontotemporal Dementia : Epidemiology, Phenotypes, and Differential Diagnosis / D. Galimberti, B. Dell'Osso, A.C. Altamura, E. Scarpini. - In: BIOLOGICAL PSYCHIATRY. - ISSN 0006-3223. - 78:10(2015 Nov 15), pp. 684-692. [10.1016/j.biopsych.2015.03.028]

Psychiatric Symptoms in Frontotemporal Dementia : Epidemiology, Phenotypes, and Differential Diagnosis

D. Galimberti
;
B. Dell'Osso
Secondo
;
A.C. Altamura
Penultimo
;
E. Scarpini
Ultimo
2015

Abstract

Frontotemporal dementia (FTD) is the most frequently occurring dementia in the presenile population. Despite epidemiologic data showing that patients with FTD may have experienced previous psychiatric disorders and that patients with psychotic disorders may develop dementia more often than expected in the nonaffected population, the overlap between these two conditions has been underestimated. Nevertheless, the identification in recent years of several genetic causes of FTD associated with heterogeneous and atypical presentations, including pure psychiatric symptoms, has shifted scientific interest back to obtaining a better understanding of common mechanisms between FTD and psychotic disorders. We review the current knowledge of the FTD spectrum and common features shared by FTD and some psychiatric diseases, starting from Picks clinical description of the disease, moving toward pathogenic aspects of the disease and genetic causes and associated phenotypes, and finishing with analysis of crossing borders between FTD and psychiatric disorders (mainly represented by schizophrenia and bipolar spectrum disorders) in clinical practice in terms of overlapping symptoms, differential diagnosis, comorbidity, and treatment issues.
Bipolar disorder (BD); Frontotemporal dementia (FTD); Frontotemporal lobar degeneration (FTLD); Pick dementia; Psychosis; Schizophrenia (SZ); Biological Psychiatry
Settore MED/26 - Neurologia
Settore BIO/13 - Biologia Applicata
15-nov-2015
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/341199
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