A systematic review of behavioural changes in motor neuron disease

Joost Raaphorst1, Emma Beeldman, Marianne De Visser

  • 1Department of Neurology, Academic Medical Centre, University of Amsterdam, The Netherlands. j.raaphorst@amc.uva.nl

Insights

Motor neuron disease (MND) and behavioral variant frontotemporal dementia (bvFTD) share a spectrum. Approximately 8% of MND patients exhibit bvFTD, often with memory issues and bulbar onset.

Area of Science:

  • Neurology
  • Neuroscience
  • Clinical Medicine

Background:

  • Motor neuron disease (MND) and behavioral variant frontotemporal dementia (bvFTD) are increasingly recognized as part of a shared disease spectrum.
  • Uncertainty exists regarding the prevalence and specific characteristics of behavioral changes in MND patients, as well as the association between bvFTD and MND onset location.

Purpose of the Study:

  • To systematically review existing literature on behavioral changes in MND.
  • To determine the prevalence of bvFTD and mild behavioral changes in MND cohorts.
  • To analyze the characteristics, pooled prevalences, and demographic variables of MND-bvFTD patients, including onset site and survival.

Main Methods:

  • Systematic literature search for articles detailing behavioral changes in MND patients.
  • Review of cohort studies to summarize the prevalence of bvFTD and mild behavioral changes.
  • Analysis of individual patient data (primarily from case reports) for MND-bvFTD patients to characterize symptoms and pooled prevalences.

Main Results:

  • In cohort studies, 8.1% of MND patients were diagnosed with bvFTD (95% CI 5.6 - 11.5%).
  • Among 170 individual MND-bvFTD patients, the most common behavioral changes were perseveration (40%), apathy (29%), and disinhibition (26%).
  • Memory disturbances were reported in 43% of MND-bvFTD patients, and bulbar onset was observed in 48%.

Conclusions:

  • Approximately 8% of individuals with MND meet criteria for bvFTD.
  • Perseveration is the most frequently observed behavioral change in MND-bvFTD.
  • MND-bvFTD is frequently associated with memory disturbances and a bulbar site of onset.

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