June 12, 2023
It is a degenerative disease where there is accelerated aging of brain neurons, mainly in the frontal lobe (social skills, movement, and verbal expression) and the temporal lobe (short, medium, and long-term memory, olfaction, hearing, and speech and the area of language comprehension). Generally, its onset is early and accelerated, since a progressive process of deterioration occurs in people over 60 years of age. On this occasion, Dr. Manuel Moquillaza Valle, endovascular neurologist and coordinator of the neurology service at the Clinica Ricardo Palma, gives us more information on the subject.
The causes are not determined because as it is a degenerative disease there is a genetic predisposition.
The risk factors are:
Types of Frontotemporal Dementia
There are two large groups:
Signs and symptoms
The most common are:
On the other hand, there is the possibility that 15% to 20% of patients with behavioral variant develop a motor neuron disease, specifically, amyotrophic lateral sclerosis.
Frontotemporal dementia presents changes in behavior in the first stage and later in memory. However, it should be noted that there are stages according to the degree:
In short, the diagnosis is complex, since not only a neurological evaluation and some laboratory tests must be carried out, but also brain imaging tests, such as spectroscopy, as well as hippocampal volumetry.
Frontotemporal dementia is a disease that still has no cure, although it is addressed with a pharmacological treatment based on brain stimulants that have shown a certain degree of efficacy. Additionally, psychological treatment is provided, since a person with dementia requires emotional support, as well as psychiatric support; especially if there are behavioral changes. On the other hand, it is essential to provide them with assistance, since this group of patients requires care to maintain their safety, hygiene, and nutrition, in other words, quality of life.
Dr. Manuel Moquillaza Valle
Endovascular neurologist and coordinator of the neurology service at the Clinica Ricardo Palma