Autopsy proven sporadic frontotemporal dementia due to microvacuolar-type histology, with onset at 21 years of age

被引:16
作者
Snowden, JS [1 ]
Neary, D [1 ]
Mann, DMA [1 ]
机构
[1] Univ Manchester, Hope Hosp, Greater Manchester Neurosci Ctr, Neurosci Res Grp, Salford M6 8HD, Lancs, England
关键词
D O I
10.1136/jnnp.2003.028498
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe the clinical, neuropsychological, and neuropathological features of a 21 year old woman with frontotemporal dementia (FTD). The early presentation was of florid behavioural change involving hyperactivity and disinhibition. Magnetic resonance imaging and single photon emission computed tomography of the brain revealed atrophy and severe functional abnormalities of the frontal and temporal lobes, respectively. Electroencephalogram was normal. At autopsy, there was gross frontotemporal brain atrophy and the underlying histology was of a microvacuolar-type degeneration; no tau or ubiquitin immunoreactive, intraneuronal inclusions were seen. There was no family history of dementia and no mutation in the tau gene. We believe this patient represents the youngest ( so far) recorded case of FTD associated with this particular histological form of the disorder.
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收藏
页码:1337 / 1339
页数:3
相关论文
共 12 条
[1]   Autopsy-proven, sporadic pick disease with onset at age 25 years [J].
Coleman, LW ;
Digre, KB ;
Stephenson, GM ;
Townsend, JJ .
ARCHIVES OF NEUROLOGY, 2002, 59 (05) :856-859
[2]   Association of missense and 5′-splice-site mutations in tau with the inherited dementia FTDP-17 [J].
Hutton, M ;
Lendon, CL ;
Rizzu, P ;
Baker, M ;
Froelich, S ;
Houlden, H ;
Pickering-Brown, S ;
Chakraverty, S ;
Isaacs, A ;
Grover, A ;
Hackett, J ;
Adamson, J ;
Lincoln, S ;
Dickson, D ;
Davies, P ;
Petersen, RC ;
Stevens, M ;
de Graaff, E ;
Wauters, E ;
van Baren, J ;
Hillebrand, M ;
Joosse, M ;
Kwon, JM ;
Nowotny, P ;
Che, LK ;
Norton, J ;
Morris, JC ;
Reed, LA ;
Trojanowski, J ;
Basun, H ;
Lannfelt, L ;
Neystat, M ;
Fahn, S ;
Dark, F ;
Tannenberg, T ;
Dodd, PR ;
Hayward, N ;
Kwok, JBJ ;
Schofield, PR ;
Andreadis, A ;
Snowden, J ;
Craufurd, D ;
Neary, D ;
Owen, F ;
Oostra, BA ;
Hardy, J ;
Goate, A ;
van Swieten, J ;
Mann, D ;
Lynch, T .
NATURE, 1998, 393 (6686) :702-705
[3]   A case of sporadic Pick disease with onset at 27 years [J].
Jacob, J ;
Revesz, T ;
Thom, M ;
Rossor, MN .
ARCHIVES OF NEUROLOGY, 1999, 56 (10) :1289-1291
[4]  
Löwenberg K, 1939, ARCH NEURO PSYCHIATR, V41, P1004
[5]   Genealogic and clinicopathologic study of Pick's disease [J].
Malamud, N ;
Waggoner, RW .
ARCHIVES OF NEUROLOGY AND PSYCHIATRY, 1943, 50 (03) :288-303
[6]   Frontotemporal lobar degeneration - A consensus on clinical diagnostic criteria [J].
Neary, D ;
Snowden, JS ;
Gustafson, L ;
Passant, U ;
Stuss, D ;
Black, S ;
Freedman, M ;
Kertesz, A ;
Robert, PH ;
Albert, M ;
Boone, K ;
Miller, BL ;
Cummings, J ;
Benson, DF .
NEUROLOGY, 1998, 51 (06) :1546-1554
[7]  
Snowden J. S., 1996, FRONTO TEMPORAL LOBA
[8]  
STEWART JT, 1992, J CLIN PSYCHIAT, V53, P380
[9]   The neuropathology of frontotemporal lobar degeneration with respect to the cytological and biochemical characteristics of tau protein [J].
Taniguchi, S ;
McDonagh, AM ;
Pickering-Brown, SM ;
Umeda, Y ;
Iwatsubo, T ;
Hasegawa, M ;
Mann, DMA .
NEUROPATHOLOGY AND APPLIED NEUROBIOLOGY, 2004, 30 (01) :1-18
[10]   Selective reduction of soluble Tau proteins in sporadic and familial frontotemporal dementias: an international follow-up study [J].
Zhukareva, V ;
Sundarraj, S ;
Mann, D ;
Sjogren, M ;
Blenow, K ;
Clark, CM ;
McKeel, DW ;
Goate, A ;
Lippa, CF ;
Vonsattel, JP ;
Growdon, JH ;
Trojanowski, JQ ;
Lee, VMY .
ACTA NEUROPATHOLOGICA, 2003, 105 (05) :469-476