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Differential diagnosis of behavioral variant of fronto-temporal dementia (bvFTD).

Pąchalska M, Bidzan L, Łukowicz M, Bidzan M, Markiewicz K, Jastrzębowska G, Talar J - Med. Sci. Monit. (2011)

Bottom Line: It was found that FTD patients scored the highest, while the VAD patients scored somewhat lower in the FBInv.In the process of the neurotherapy of FTD patients we found a reduction of the behavioral disturbances, despite the progression of the illness.The results obtained in the present study confirmed the diagnostic value of FBInv in the differential diagnosis of various types of FTD and in the evaluation of neurotherapy efficacy.

View Article: PubMed Central - PubMed

Affiliation: Andrzej Frycz-Modrzewski Cracow University, Cracow, Poland. neuropsychologia23@o2.pl

ABSTRACT

Background: The aim of the paper is the differential diagnosis of various types of Fronto-Temporal Dementia (FTD), with the focus on its behavioural variant (bvFTD).

Material/method: Screening was done in order to assess the depth of dementia with the short version of MMSE, while evaluation of various variants of FTD was performed with the use of such neuropsychological tests as Newcomb and Chicago Fluency Tests, Wechsler Memory Scale-III (WMS-III), Western Aphasia Battery (WAB-R), and the Boston Naming Test (BNT). Behaviour was evaluated with a Polish version of the Frontal Behavioral Inventory (FBInv). The inventory consists of 24 questions which enable an evaluation of social behaviour disorders. The study included 112 patients--68 men and 46 women treated in the Reintegrative-Training Centre of the Foundation for Persons with Brain Dysfunctions in Kraków and in the Clinic for Developmental Psychiatry, Psychotic Disorders and Old Age Psychiatry, of the Medical University at Gdańsk, who were suffering from various types of dementia.

Results: It was found that FTD patients scored the highest, while the VAD patients scored somewhat lower in the FBInv. At the same time the scores obtained by PPA patients were higher in comparison to the control groups, but not as high as in the case of patients with FTD. In the process of the neurotherapy of FTD patients we found a reduction of the behavioral disturbances, despite the progression of the illness.

Conclusions: The results obtained in the present study confirmed the diagnostic value of FBInv in the differential diagnosis of various types of FTD and in the evaluation of neurotherapy efficacy.

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Mean scores of bvFTD patients (the first 12 traits of the Inventory in I and II examination.
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f1A-medscimonit-17-6-cr311: Mean scores of bvFTD patients (the first 12 traits of the Inventory in I and II examination.

Mentions: In our study bvFTD patients were given a half-a-year neuropsychotherapy aimed at a reduction of frontal symptoms in accordance with a program elaborated by Pąchalska [36]. The patients behaviour was then evaluated with FBInv. The results of the study are shown in Table 5, and in Figure 1A, B. It may be observed that rehabilitation resulted in an improvement of some deviant behaviours. Thus, a significant decrease of indifference and emotional flatness as well as of apathy was observed. Yet, some disorders, mainly the behaviours connected with disinhibition did increase along with the progression of the illness despite neurotherapy. Those behaviours such as impulsivity, restlessness, aggressiveness, and excessive jocularity. Behaviours resulting from difficulties in passing from an idea to action as well as apathy also increased. Those were apraxia of speech, concreteness, disorganization, and inattention. As might have been expected alien hand symptoms as well as incontinence also increased.


Differential diagnosis of behavioral variant of fronto-temporal dementia (bvFTD).

Pąchalska M, Bidzan L, Łukowicz M, Bidzan M, Markiewicz K, Jastrzębowska G, Talar J - Med. Sci. Monit. (2011)

Mean scores of bvFTD patients (the first 12 traits of the Inventory in I and II examination.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3539546&req=5

f1A-medscimonit-17-6-cr311: Mean scores of bvFTD patients (the first 12 traits of the Inventory in I and II examination.
Mentions: In our study bvFTD patients were given a half-a-year neuropsychotherapy aimed at a reduction of frontal symptoms in accordance with a program elaborated by Pąchalska [36]. The patients behaviour was then evaluated with FBInv. The results of the study are shown in Table 5, and in Figure 1A, B. It may be observed that rehabilitation resulted in an improvement of some deviant behaviours. Thus, a significant decrease of indifference and emotional flatness as well as of apathy was observed. Yet, some disorders, mainly the behaviours connected with disinhibition did increase along with the progression of the illness despite neurotherapy. Those behaviours such as impulsivity, restlessness, aggressiveness, and excessive jocularity. Behaviours resulting from difficulties in passing from an idea to action as well as apathy also increased. Those were apraxia of speech, concreteness, disorganization, and inattention. As might have been expected alien hand symptoms as well as incontinence also increased.

Bottom Line: It was found that FTD patients scored the highest, while the VAD patients scored somewhat lower in the FBInv.In the process of the neurotherapy of FTD patients we found a reduction of the behavioral disturbances, despite the progression of the illness.The results obtained in the present study confirmed the diagnostic value of FBInv in the differential diagnosis of various types of FTD and in the evaluation of neurotherapy efficacy.

View Article: PubMed Central - PubMed

Affiliation: Andrzej Frycz-Modrzewski Cracow University, Cracow, Poland. neuropsychologia23@o2.pl

ABSTRACT

Background: The aim of the paper is the differential diagnosis of various types of Fronto-Temporal Dementia (FTD), with the focus on its behavioural variant (bvFTD).

Material/method: Screening was done in order to assess the depth of dementia with the short version of MMSE, while evaluation of various variants of FTD was performed with the use of such neuropsychological tests as Newcomb and Chicago Fluency Tests, Wechsler Memory Scale-III (WMS-III), Western Aphasia Battery (WAB-R), and the Boston Naming Test (BNT). Behaviour was evaluated with a Polish version of the Frontal Behavioral Inventory (FBInv). The inventory consists of 24 questions which enable an evaluation of social behaviour disorders. The study included 112 patients--68 men and 46 women treated in the Reintegrative-Training Centre of the Foundation for Persons with Brain Dysfunctions in Kraków and in the Clinic for Developmental Psychiatry, Psychotic Disorders and Old Age Psychiatry, of the Medical University at Gdańsk, who were suffering from various types of dementia.

Results: It was found that FTD patients scored the highest, while the VAD patients scored somewhat lower in the FBInv. At the same time the scores obtained by PPA patients were higher in comparison to the control groups, but not as high as in the case of patients with FTD. In the process of the neurotherapy of FTD patients we found a reduction of the behavioral disturbances, despite the progression of the illness.

Conclusions: The results obtained in the present study confirmed the diagnostic value of FBInv in the differential diagnosis of various types of FTD and in the evaluation of neurotherapy efficacy.

Show MeSH
Related in: MedlinePlus