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Published on: November 6, 2017
Falls in frontotemporal dementia and related syndromes
James R Burrell1, John R Hodges2
1Concord Clinical School, Sydney Medical School, University of Sydney, Sydney, Australia; Brain and Mind Centre, University of Sydney Medical School, Sydney, NSW, Australia.
Abstract:
Frontotemporal dementia (FTD) and related diseases are important causes of younger-onset dementia. Falls may be a source of morbidity and mortality in FTD, but remain underreported, and very few high-quality studies have been performed. In this chapter, we briefly review the clinical features of FTD and related syndromes such as motor neuron disease (MND) and atypical parkinsonian syndromes, such as progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS). Falls are frequently encountered in patients who present with FTD syndromes. Although cognitive impairment is associated with falls generally, motor symptoms and signs, as seen in FTD cases that overlap with atypical parkinsonian disorders such as PSP or CBS, or MND, appear to pose the greatest risk. At present, very few systematic studies have been performed to determine the precise frequency, timing, diagnostic implications, and complications of falls in FTD. Further studies are required to understand the scope of this problem, and to develop effective treatments and management strategies.
Insights
Falls are common in frontotemporal dementia (FTD) and related disorders, particularly those with motor symptoms. More research is needed to understand fall risks and develop management strategies for this younger-onset dementia.
Area of Science:
- Neurology
- Gerontology
Background:
- Frontotemporal dementia (FTD) is a significant cause of early-onset dementia.
- Falls are a serious concern in FTD but are underreported and understudied.
- FTD often co-occurs with motor neuron disease (MND) and atypical parkinsonian syndromes like progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS).
Purpose of the Study:
- To review the clinical features of FTD and related syndromes.
- To highlight the frequent occurrence of falls in FTD patients.
- To emphasize the need for further research on falls in FTD.
Main Methods:
- Literature review of clinical features of FTD and related disorders.
- Analysis of the association between cognitive and motor symptoms and falls.
- Identification of knowledge gaps regarding falls in FTD.
Main Results:
- Falls are frequently observed in patients with FTD syndromes.
- Motor symptoms and signs, especially in FTD overlapping with PSP, CBS, or MND, present the highest fall risk.
- Cognitive impairment also contributes to falls, but motor deficits appear more critical.
Conclusions:
- Falls are a prevalent issue in frontotemporal dementia and related conditions.
- Motor impairments significantly increase fall risk in FTD.
- Systematic studies are crucial to determine fall frequency, timing, and complications to inform treatment strategies.
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