Frontal asymmetry in behavioral variant frontotemporal dementia: Clinicoimaging and pathogenetic correlates

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32 Citations (Scopus)

Abstract

We aimed to assess associations between clinical, imaging, pathologic, and genetic features and frontal lobe asymmetry in behavioral variant frontotemporal dementia (bvFTD). Volumes of the left and right dorsolateral, medial, and orbital frontal lobes were measured in 80 bvFTD subjects and subjects were classified into 3 groups according to the degree of asymmetry (asymmetric left, asymmetric right, symmetric) using cluster analysis. The majority of subjects were symmetric (65%), with 20% asymmetric left and 15% asymmetric right. There were no clinical differences across groups, although there was a trend for greater behavioral dyscontrol in right asymmetric compared with left asymmetric subjects. More widespread atrophy involving the parietal lobe was observed in the symmetric group. Genetic features differed across groups with symmetric frontal lobes associated with C9ORF72 and tau mutations, while asymmetric frontal lobes were associated with progranulin mutations. These findings therefore suggest that neuroanatomical patterns of frontal lobe atrophy in bvFTD are influenced by specific gene mutations.

Original languageEnglish (US)
Pages (from-to)636-639
Number of pages4
JournalNeurobiology of Aging
Volume34
Issue number2
DOIs
StatePublished - Feb 2013

Fingerprint

Frontotemporal Dementia
Frontal Lobe
Mutation
Atrophy
Parietal Lobe
Cluster Analysis
Genes

Keywords

  • Asymmetry
  • C9ORF72
  • Frontal lobes
  • Frontotemporal dementia
  • Microtubule associated protein tau
  • MRI
  • Pathology
  • Progranulin

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)
  • Aging
  • Developmental Biology
  • Geriatrics and Gerontology

Cite this

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title = "Frontal asymmetry in behavioral variant frontotemporal dementia: Clinicoimaging and pathogenetic correlates",
abstract = "We aimed to assess associations between clinical, imaging, pathologic, and genetic features and frontal lobe asymmetry in behavioral variant frontotemporal dementia (bvFTD). Volumes of the left and right dorsolateral, medial, and orbital frontal lobes were measured in 80 bvFTD subjects and subjects were classified into 3 groups according to the degree of asymmetry (asymmetric left, asymmetric right, symmetric) using cluster analysis. The majority of subjects were symmetric (65{\%}), with 20{\%} asymmetric left and 15{\%} asymmetric right. There were no clinical differences across groups, although there was a trend for greater behavioral dyscontrol in right asymmetric compared with left asymmetric subjects. More widespread atrophy involving the parietal lobe was observed in the symmetric group. Genetic features differed across groups with symmetric frontal lobes associated with C9ORF72 and tau mutations, while asymmetric frontal lobes were associated with progranulin mutations. These findings therefore suggest that neuroanatomical patterns of frontal lobe atrophy in bvFTD are influenced by specific gene mutations.",
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author = "Whitwell, {Jennifer Lynn} and Jia Xu and Jayawant Mandrekar and Boeve, {Bradley F} and Knopman, {David S} and Parisi, {Joseph E} and Senjem, {Matthew L.} and Dickson, {Dennis W} and Petersen, {Ronald Carl} and Rademakers, {Rosa V} and Jack, {Clifford R Jr.} and Josephs, {Keith Anthony}",
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AU - Knopman, David S

AU - Parisi, Joseph E

AU - Senjem, Matthew L.

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AU - Josephs, Keith Anthony

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