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.

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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