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Updated: Feb 10, 2026

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Olfactory Behavioral Testing in the Adult Mouse
Published on: January 28, 2009
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Olfactory Testing in Frontotemporal Dementia: A Literature Review
Alessandro Tonacci1, Lucia Billeci1
11 Clinical Physiology Institute, National Research Council of Italy (IFC-CNR), Pisa, Italy.
Summary
Olfactory testing may aid in diagnosing frontotemporal dementia (FTD) and frontotemporal lobar degeneration (FTLD). Impaired odor identification, not discrimination, suggests higher-order cognitive deficits, enhancing diagnostic value.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- Frontotemporal dementia (FTD) is a neurodegenerative disorder characterized by language, personality, and executive function deficits.
- FTD and frontotemporal lobar degeneration (FTLD) are frequently linked to olfactory impairment, an early biomarker for neurodegeneration.
- Low-cost olfactory tests are commonly employed for assessing olfactory function.
Purpose of the Study:
- To review literature on the utility of olfactory testing in diagnosing FTD/FTLD.
- To evaluate the diagnostic value of olfactory assessment in differentiating FTD/FTLD from other conditions.
Main Methods:
- Systematic literature review of studies published between January 1, 2007, and June 12, 2017.
- Focus on research investigating olfactory testing's usefulness in FTD/FTLD.
Main Results:
- Most studies reported a general decrease in olfactory identification ability in FTD/FTLD patients.
- Preserved odor discrimination alongside impaired identification suggests higher-order cognitive or language impairments, not primary olfactory system deficits.
- Olfactory testing shows potential as an add-on diagnostic tool, particularly for challenging differential diagnoses.
Conclusions:
- Olfactory testing, specifically identification deficits, can contribute to the diagnosis of FTD/FTLD.
- Findings support olfactory assessment as a valuable component in the diagnostic workup for FTD/FTLD.
- This approach may improve diagnostic accuracy in complex clinical cases.
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