Frontotemporal Dementia
What Are The Causes & Risk Factors?
Frontotemporal dementia refers to a group of brain disorders where damage and shrinkage occur to the frontal and temporal regions of the brain. The three main types of frontotemporal dementia include a decline in:
- Behavior/personality
- Language abilities
- Motor abilities
Researchers don’t know what causes frontotemporal dementia. The only known risk factors are a similar disorder or family history of dementia, as it is inherited in about 1/3 of all cases. However, most people with the disease have no family history or other dementia.
What Are The Symptoms?
Language
- Difficulty speaking or hesitant speech
- Difficulty using and understanding language, written or spoken, like trouble word finding
Personality & Behavior
- Frequent mood changes, like increased agitation
- Trouble reading social signals
- Lack of empathy
- Impulsive, repetitive, or inappropriate behavior
- Low motivation
- Emotional withdrawal
- Decreased interest in activities
- Change in eating habits or eating inedible objects
Judgment & Decision Making
- Poor insight
- Impaired judgment
Task Performance
- Trouble initiating and planning tasks
- Attention problems
Physical
- Tremors
- Muscle spasms, weakness, or rigidity
- Mobility changes, like slow movement, shuffling, trouble walking, poor coordination, and balance issues
- Trouble swallowing
Important Note
People may not experience every symptom. These symptoms may not mean a person has frontotemporal dementia. It’s important to rule out other causes by talking to a doctor.
What Can You Expect?
- Frontotemporal dementia progresses over time. The time it takes varies from person to person. People may require a higher level of care in later stages, like full-time nursing care or living at a care facility.
- Symptoms vary depending on the area of the brain affected.
- This disease may begin earlier than other types of dementia, often with symptoms starting between age 40 and 65 (though it can occur earlier or later).
- Mobility issues from this disease may require a person to need a wheelchair or stay in bed.
- Frontotemporal dementia may make a person more susceptible to other illnesses like infections, pneumonia, and fall-related injuries.
What Treatments Are Available?
There is currently no cure for frontotemporal dementia or ways to slow its progression. Treatments target the symptoms of the disease, which may include:
- Medications. These may include medications to treat sleep issues or behavioral symptoms like anxiety and compulsive or irrational behaviors.
- Therapies. Physical therapy, speech therapy, and occupational therapy can help people with frontotemporal dementia cope with the physical symptoms of the disease and engage in important activities.
- Behavior modification. This may help manage challenging behavioral symptoms.