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FEB 2008 WWW.ARCHNEUROL.COM 254
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American Medical Association. All rights reserved
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ORIGINAL CONTRIBUTION Frontal Paralimbic Network Atrophy in Very Mild Behavioral Variant Frontotemporal Dementia William W. Seeley, MD; Richard Crawford, BS; Katya Rascovsky, PhD; Joel H. Kramer, PsyD; Michael Weiner, MD; Bruce L. Miller, MD; Maria Luisa Gorno-Tempini, MD, PhD Background: Behavioral variant frontotemporal de- white matter atrophy at each disease stage compared mentia (bvFTD) strikes hardest at the frontal lobes, but with controls. the sites of earliest injury remain unclear. Results: Patients with a CDR score of 0.5 had gray mat- Objective: To determine atrophy patterns in distinct ter loss in frontal paralimbic cortices, but atrophy also clinical stages of bvFTD, testing the hypothesis that the involved a network of anterior cortical and subcortical mildest stage is restricted to frontal paralimbic cortex. regions. A CDR score of 1 showed more extensive fron- tal gray matter atrophy and white matter losses in cor- Design: A bvFTD cohort study. pus callosum and brainstem. A CDR score of 2 to 3 showed additional posterior insula, hippocampus, and parietal Setting: University hospital dementia clinic. involvement, with white matter atrophy in presumed fron- tal projection fibers. Participants: Patients with bvFTD with Clinical De- mentia Rating (CDR) scale scores of 0.5 (n = 15), 1
JAMA Neurology – American Medical Association
Published: Feb 1, 2008
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