Early Onset Behavioral Variant Frontotemporal Dementia due to the C9ORF72 Hexanucleotide Repeat Expansion: Psychiatric Clinical Presentations

被引:49
作者
Arighi, Andrea [1 ]
Fumagalli, Giorgio G. [1 ]
Jacini, Francesca [1 ]
Fenoglio, Chiara [1 ]
Ghezzi, Laura [1 ]
Pietroboni, Anna M. [1 ]
De Riz, Milena [1 ]
Serpente, Maria [1 ]
Ridolfi, Elisa [1 ]
Bonsi, Rossana [1 ]
Bresolin, Nereo [1 ]
Scarpini, Elio [1 ]
Galimberti, Daniela [1 ]
机构
[1] Univ Milan, IRCCS Osped Policlin, Fdn Ca Granda, Dept Neurol Sci,Dino Ferrari Ctr, Milan, Italy
关键词
C9ORF72 hexanucleotide repeat expansion; delirium; dementia; frontotemporal lobar degeneration; psychosis; AMYOTROPHIC-LATERAL-SCLEROSIS; PROGRANULIN MUTATIONS; CEREBROSPINAL-FLUID; LOBAR DEGENERATION; ALZHEIMERS-DISEASE; FEATURES; COHORT; FTD; ALS;
D O I
10.3233/JAD-2012-120523
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
A hexanucleotide repeat expansion in the first intron of C9ORF72 has been shown to be responsible for a high number of familial cases of amyotrophic lateral sclerosis or frontotemporal lobar degeneration with or without concomitant motor neuron disease phenotype and TDP-43 based pathology. Here, we report on three cases carrying the hexanucleotide repeat expansion with an atypical presentation consisting in the development of psychiatric symptoms. Patient #1, a 53 year old man with positive family history for dementia, presented with mood deflection, characterized by apathy, social withdraw, and irritability in the last two years. He was diagnosed with "mild cognitive impairment due to depressive syndrome" six months later and subsequently with Alzheimer's disease. Patient #2, a woman with positive family history for dementia, developed behavioral disturbances, aggressiveness, and swearing at 57 years of age. Patient #3 presented, in the absence of brain atrophy, with mystical delirium with auditory hallucinations at 44 years of age, and did not present neurological symptoms over a 7-year follow up. The description of these cases underlines that the hexanucleotide repeat expansion in chromosome 9 could be associated with early onset psychiatric presentations.
引用
收藏
页码:447 / 452
页数:6
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