Hippocampal atrophy on MRI in frontotemporal lobar degeneration and Alzheimer's disease

L A van de Pol1, A Hensel, W M van der Flier

  • 1VUMC, Department of Neurology, PO Box 7057, 1007 MB Amsterdam, The Netherlands. L.vandepol@vumc.nl

Abstract

Insights

Hippocampal atrophy, a sign of Alzheimer's disease, also appears in frontotemporal lobar degeneration (FTLD). Different FTLD subtypes exhibit distinct patterns of this brain change.

Area of Science:

  • Neuroimaging
  • Neurology
  • Dementia Research

Background:

  • Hippocampal atrophy on MRI is an early marker for Alzheimer's disease (AD).
  • This atrophy can also be present in other neurodegenerative conditions like frontotemporal lobar degeneration (FTLD).

Purpose of the Study:

  • To compare hippocampal atrophy in FTLD subtypes and Alzheimer's disease using MRI volumetry and visual rating scales.
  • To investigate the specific patterns of hippocampal atrophy across different FTLD clinical presentations.

Main Methods:

  • Included 42 FTLD patients (3 subtypes), 103 Alzheimer's disease patients, and 73 controls.
  • Assessed hippocampal atrophy using MRI volumetry and the medial temporal lobe atrophy (MTA) visual rating scale.

Main Results:

  • Both FTLD and Alzheimer's disease showed significant hippocampal atrophy compared to controls.
  • Frontotemporal dementia and semantic dementia subtypes displayed bilateral hippocampal atrophy; semantic dementia showed a smaller left hippocampus than AD.
  • Progressive non-fluent aphasia did not exhibit significant hippocampal atrophy.

Conclusions:

  • Hippocampal atrophy is a characteristic of both Alzheimer's disease and frontotemporal lobar degeneration.
  • The three clinical subtypes of FTLD demonstrate varying patterns of hippocampal atrophy.

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