临床表现 临床表现
Sheila Castro-Suarez1,2, Jonathan Adrian Zegarra-Valdivia3,4, Erik Alberto Guevara-Silva2
1Atlantic Fellow for Equity in Brain Health at Global Brain Health Institute (GBHI), San Francisco, CA, Peru.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 26, 2025
概括
秘鲁的前性痴呆症 (FTD) 诊断显示了诸如执行功能障碍,抑制和冷漠等特征. 这些发现与全球FTD陈述一致,突显了拉丁美洲及时诊断的需要.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 前性痴呆 (FTD) 影响1.9%的65岁以上的人.
- 拉丁美洲面临着FTD的重大延迟和错误诊断率.
- 这项研究描述了秘鲁队列中的认知和神经精神病FTD特征.
研究的目的:
- 描述秘鲁FTD患者的认知和神经精神特征.
- 将FTD患者的特征与匹配的对照组进行比较.
- 评估拉丁美洲人口中FTD的诊断挑战和临床表现.
主要方法:
- 通过利马FTD网络招募了18个FTD案例和39个控制.
- 专家进行全面的神经心理,神经精神和功能评估.
- 使用了标准化的认知测试 (ACE,INECO正面查,Digit Forward) 和行为尺度 (NPI,CDR,GDS).
主要成果:
- FTD患者表现出显著的执行功能障碍 (100%),失禁 (88.9%),冷漠 (88.9%) 和坚持不的行为 (88.9%).
- 与对照组相比,FTD患者的认知分数明显低于FTD患者 (p < 0.000对于ACE,INECO,Digit Forward).
- 最常见的神经精神症状包括无抑制 (88.2%),冷漠 (82.4%) 和异常运动行为 (76.5%).
结论:
- 秘鲁队列中FTD的临床表现反映了国际发现.
- 秘鲁FTD患者的主要神经精神症状是无抑制,冷漠和坚持不的行为.
- 这些发现强调了在秘鲁早期FTD诊断中识别这些症状的重要性.
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