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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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Manifestaciones Clínicas

Celine N Sakran1,2, Juan-Camilo Vargas-González3,4, Nico Paulo Dimal3,4

  • 1Tanz Centre for Research in Neurodegenerative Disease, University of Toronto, Toronto, ON, Canada.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

La agitación se presenta de manera diferente en hombres y mujeres con síndromes de Degeneración Frontotemporal Lobar (DFTL). Los hombres, particularmente aquellos con Parálisis Supranuclear Progresiva (PSP), experimentan una gama más amplia de síntomas neuropsiquiátricos junto con la agitación.

Palabras clave:
diferencias sexualesagitaciónsíntomas neuropsiquiátricosDegeneración Frontotemporal LobarbvFTDPPACBSPSP

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Área de la Ciencia:

  • Neurociencia
  • Neurología
  • Gerontología

Sus antecedentes:

  • La agitación es un síntoma significativo de los síntomas conductuales y psicológicos de la demencia (SCPD).
  • La comprensión de la agitación en los síndromes de Degeneración Frontotemporal Lobar (DFTL) es crucial.
  • Las diferencias sexuales en la agitación y los síntomas neuropsiquiátricos (SNP) asociados en la DFTL son poco comprendidas.

Objetivo del estudio:

  • Investigar las diferencias sexuales en la agitación en síndromes relacionados con DFTL.
  • Examinar la relación entre la agitación y varios SNP en hombres y mujeres con DFTL.
  • Identificar comorbilidades específicas de SNP asociadas con la agitación en diferentes subtipos de DFTL.

Principales métodos:

  • Análisis de 1.654 participantes de los estudios NACC y ALLFTD con síndromes de DFTL.
  • Evaluación de síntomas utilizando el Inventario Neuropsiquiátrico (NPI).
  • Cálculo de prevalencia y odds ratios, y Análisis de Componentes Principales (PCA) para identificar variaciones basadas en el sexo en los SNP asociados con la agitación.

Principales resultados:

  • Los hombres con agitación mostraron una mayor probabilidad de ansiedad, apatía, depresión, desinhibición y síntomas motores en todos los subtipos de DFTL.
  • Las mujeres con variante semántica de Afasia Progresiva Primaria (svPPA) tuvieron una mayor probabilidad de desinhibición cuando estaban agitadas.
  • La agitación se asoció con un espectro más amplio de SNP en hombres en comparación con las mujeres, especialmente en la Parálisis Supranuclear Progresiva (PSP).

Conclusiones:

  • Existen diferencias sexuales significativas en los SNP asociados con la agitación en síndromes de DFTL.
  • Los hombres, particularmente aquellos con PSP, presentan una gama más amplia de SNP cuando están agitados.
  • Se necesita más investigación para comprender los mecanismos neurobiológicos que impulsan estas diferencias sexuales y mejorar el manejo clínico.