Skip to main content

Advertisement

Log in

Clinical Aspects of Familial Forms of Frontotemporal Dementia Associated with Parkinsonism

  • Published:
Journal of Molecular Neuroscience Aims and scope Submit manuscript

Abstract

Frontotemporal dementia is the second most common dementia among people under the age of 65. Fifty percent of affected patients have an associated family history. Several pathogenic genes have been identified for frontotemporal dementia associated with parkinsonism, including microtubule-associated protein tau, progranulin, and chromatin modifying protein 2B, and fused in sarcoma. It has also been reported that frontotemporal dementia associated with parkinsonism can be linked to chromosome 9p. In addition, there are families with frontotemporal dementia associated with a parkinsonian phenotype but unknown genetic status. Some of these kindreds have been diagnosed clinically as familial progressive supranuclear palsy, hereditary diffuse leukoencephalopathy with axonal spheroids, “overlap” syndrome, and others. Clinical presentation of frontotemporal dementia associated with parkinsonism is variable at age of symptomatic disease onset, disease duration, symptoms, and their occurrence during the disease course. Clinically, it is often difficult to sort out the different genetic forms of frontotemporal dementia associated with parkinsonism. However, with available clinical genetic testing for known genes, the precise diagnosis can be accomplished in some cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • AD&FTD Mutation Database 2011. Available from: http://www.molgen.ua.ac.be/FTDMutations. 03 Mar 2011

  • Alter M, Schaumann B (1976) A family with amyotrophic lateral sclerosis and Parkinsonism. J Neurol 212(3):281–284

    Article  PubMed  CAS  Google Scholar 

  • Ashworth A, Lloyd S, Brown J et al (1999) Molecular genetic characterisation of frontotemporal dementia on chromosome 3. Dement Geriatr Cogn Disord 10(Suppl 1):93–101

    Article  PubMed  CAS  Google Scholar 

  • Axelsson R, Roytta M, Sourander P, Akesson HO, Andersen O (1984) Hereditary diffuse leucoencephalopathy with spheroids. Acta Psychiatr Scand 314:1–65

    CAS  Google Scholar 

  • Baba Y, Ghetti B, Baker MC et al (2006) Hereditary diffuse leukoencephalopathy with spheroids: clinical, pathologic and genetic studies of a new kindred. Acta Neuropathol 111(4):300–311

    Article  PubMed  Google Scholar 

  • Baker M, Mackenzie IR, Pickering-Brown SM et al (2006) Mutations in progranulin cause tau-negative frontotemporal dementia linked to chromosome 17. Nature 442(7105):916–919

    Article  PubMed  CAS  Google Scholar 

  • Boxer AL, Mackenzie IR, Boeve BF et al (2011) Clinical, neuroimaging and neuropathological features of a new chromosome 9p-linked FTD-ALS family. J Neurol Neurosurg Psychiatry 82(2):196–203

    Article  PubMed  Google Scholar 

  • Brown J (1998) Chromosome 3-linked frontotemporal dementia. Cell Mol Life Sci 54(9):925–927

    Article  PubMed  CAS  Google Scholar 

  • Brown J, Lantos P, Stratton M, Roques P, Rossor M (1993) Familial progressive supranuclear palsy. J Neurol Neurosurg Psychiatry 56(5):473–476

    Article  PubMed  CAS  Google Scholar 

  • Brown J, Gydesen S, Johannsen P et al (2004) Frontotemporal dementia linked to chromosome 3. Dement Geriatr Cogn Disord 17(4):274–276

    Article  PubMed  Google Scholar 

  • Chow TW, Miller BL, Hayashi VN, Geschwind DH (1999) Inheritance of frontotemporal dementia. Arch Neurol 56(7):817–822

    Article  PubMed  CAS  Google Scholar 

  • Cruts M, Gijselinck I, van der Zee J et al (2006) Null mutations in progranulin cause ubiquitin-positive frontotemporal dementia linked to chromosome 17q21. Nature 442(7105):920–924

    Article  PubMed  CAS  Google Scholar 

  • David NJ, Mackey EA, Smith JL (1968) Further observations in progressive supranuclear palsy. Neurology 18(4):349–356

    PubMed  CAS  Google Scholar 

  • Davis PH, Golbe LI, Duvoisin RC, Schoenberg BS (1988) Risk factors for progressive supranuclear palsy. Neurology 38(10):1546–1552

    PubMed  CAS  Google Scholar 

  • de Yebenes JG, Sarasa JL, Daniel SE, Lees AJ (1995) Familial progressive supranuclear palsy. Description of a pedigree and review of the literature. Brain 118(Pt 5):1095–1103

    Article  PubMed  Google Scholar 

  • Desai J, Swash M (1999) Extrapyramidal involvement in amyotrophic lateral sclerosis: backward falls and retropulsion. J Neurol Neurosurg Psychiatry 67(2):214–216

    Article  PubMed  CAS  Google Scholar 

  • Donker Kaat L, Boon AJ, Azmani A et al (2009) Familial aggregation of parkinsonism in progressive supranuclear palsy. Neurology 73(2):98–105

    Article  PubMed  CAS  Google Scholar 

  • Eisen A, Calne D (1992) Amyotrophic lateral sclerosis, Parkinson's disease and Alzheimer's disease: phylogenetic disorders of the human neocortex sharing many characteristics. Can J Neurol Sci 19(1 Suppl):117–123

    PubMed  CAS  Google Scholar 

  • Gazeley S, Maguire JA (1996) Familial progressive supranuclear palsy. Clin Neuropathol 15(4):215–220

    PubMed  CAS  Google Scholar 

  • Ghanim M, Guillot-Noel L, Pasquier F et al (2010) CHMP2B mutations are rare in French families with frontotemporal lobar degeneration. J Neurol 257(12):2032–2036

    Article  PubMed  Google Scholar 

  • Gilbert JJ, Kish SJ, Chang LJ, Morito C, Shannak K, Hornykiewicz O (1988) Dementia, parkinsonism, and motor neuron disease: neurochemical and neuropathological correlates. Ann Neurol 24(5):688–691

    Article  PubMed  CAS  Google Scholar 

  • Gilbert RM, Fahn S, Mitsumoto H, Rowland LP (2010) Parkinsonism and motor neuron diseases: twenty-seven patients with diverse overlap syndromes. Mov Disord 25(12):1868–1875

    Article  PubMed  Google Scholar 

  • Gydesen S, Hagen S, Klinken L, Abelskov J, Sorensen SA (1987) Neuropsychiatric studies in a family with presenile dementia different from Alzheimer and Pick disease. Acta Psychiatr Scand 76(3):276–284

    Article  PubMed  CAS  Google Scholar 

  • Gydesen S, Brown JM, Brun A et al (2002) Chromosome 3 linked frontotemporal dementia (FTD-3). Neurology 59(10):1585–1594

    PubMed  CAS  Google Scholar 

  • Hancock N, Poon M, Taylor B, McLean C (2003) Hereditary diffuse leucoencephalopathy with spheroids. J Neurol Neurosurg Psychiatry 74(9):1345–1347

    Article  PubMed  CAS  Google Scholar 

  • Hirano A, Malamud N, Elizan TS, Kurland LT (1966) Amyotrophic lateral sclerosis and Parkinsonism-dementia complex on Guam. Further pathologic studies. Arch Neurol 15(1):35–51

    PubMed  CAS  Google Scholar 

  • Holm IE, Englund E, Mackenzie IR, Johannsen P, Isaacs AM (2007) A reassessment of the neuropathology of frontotemporal dementia linked to chromosome 3. J Neuropathol Exp Neurol 66(10):884–891

    Article  PubMed  Google Scholar 

  • Hutton M, Lendon CL, Rizzu P et al (1998) Association of missense and 5'-splice-site mutations in tau with the inherited dementia FTDP-17. Nature 393(6686):702–705

    Article  PubMed  CAS  Google Scholar 

  • Imamura A, Wszolek Z, Uitti R (2007) Neurodegenerative overlap syndrome: Parkinsonism and motor neuron disorder. Mov Disord 22(1):151–152

    Article  PubMed  Google Scholar 

  • Itoh K, Shiga K, Shimizu K, Muranishi M, Nakagawa M, Fushiki S (2006) Autosomal dominant leukodystrophy with axonal spheroids and pigmented glia: clinical and neuropathological characteristics. Acta Neuropathol 111(1):39–45

    Article  PubMed  Google Scholar 

  • Konagaya M, Kato T, Sakai M et al (2003) A clinical and pathological study of a Japanese case of amyotrophic lateral sclerosis/Parkinsonism-dementia complex with family history. J Neurol 250(2):164–170

    Article  PubMed  Google Scholar 

  • Kovacs GG, Murrell JR, Horvath S et al (2009) TARDBP variation associated with frontotemporal dementia, supranuclear gaze palsy, and chorea. Mov Disord 24(12):1843–1847

    Article  PubMed  Google Scholar 

  • Kuzuhara S, Kokubo Y (2005) Atypical parkinsonism of Japan: amyotrophic lateral sclerosis-parkinsonism-dementia complex of the Kii peninsula of Japan (Muro disease): an update. Mov Disord 20(Suppl 12):S108–S113

    Article  PubMed  Google Scholar 

  • Kwiatkowski TJ Jr, Bosco DA, Leclerc AL et al (2009) Mutations in the FUS/TLS gene on chromosome 16 cause familial amyotrophic lateral sclerosis. Science 323(5918):1205–1208

    Article  PubMed  CAS  Google Scholar 

  • Le Ber I, Camuzat A, Berger E et al (2009) Chromosome 9p-linked families with frontotemporal dementia associated with motor neuron disease. Neurology 72(19):1669–1676

    Article  PubMed  Google Scholar 

  • Luty AA, Kwok JB, Thompson EM et al (2008) Pedigree with frontotemporal lobar degeneration—motor neuron disease and Tar DNA binding protein-43 positive neuropathology: genetic linkage to chromosome 9. BMC Neurol 8:32

    Article  PubMed  Google Scholar 

  • Marotti JD, Tobias S, Fratkin JD, Powers JM, Rhodes CH (2004) Adult onset leukodystrophy with neuroaxonal spheroids and pigmented glia: report of a family, historical perspective, and review of the literature. Acta Neuropathol 107(6):481–488

    Article  PubMed  Google Scholar 

  • Mata M, Dorovini-Zis K, Wilson M, Young AB (1983) New form of familial Parkinson-dementia syndrome: clinical and pathologic findings. Neurology 33(11):1439–1443

    PubMed  CAS  Google Scholar 

  • Mayer B, Oelschlaeger C, Keyvani K, Niederstadt T (2007) Two cases of LENAS: diagnosis by MRI and biopsy. J Neurol 254:1453–1454

    Article  PubMed  CAS  Google Scholar 

  • McCluskey LF, Elman LB, Martinez-Lage M et al (2009) Amyotrophic lateral sclerosis-plus syndrome with TAR DNA-binding protein-43 pathology. Arch Neurol 66(1):121–124

    Article  PubMed  Google Scholar 

  • Mendes A, Pinto M, Vieira S, Castro L, Carpenter S (2010) Adult-onset leukodystrophy with axonal spheroids. J Neurol Sci 297(1-2):40–45

    Article  PubMed  Google Scholar 

  • Mochizuki A, Komatsuzaki Y, Iwamoto H, Shoji S (2004) Frontotemporal dementia with ubiquitinated neuronal inclusions presenting with primary lateral sclerosis and parkinsonism: clinicopathological report of an autopsy case. Acta Neuropathol 107(4):377–380

    Article  PubMed  Google Scholar 

  • Momeni P, Schymick J, Jain S et al (2006) Analysis of IFT74 as a candidate gene for chromosome 9p-linked ALS-FTD. BMC Neurol 6:44

    Article  PubMed  Google Scholar 

  • Morimoto S, Kuzuhara S, Kokubo Y (2009) Increased oxidative stress in patients with amyotrophic lateral sclerosis/Parkinsonism-dementia complex in the Kii peninsula, Japan. Mov Disord 24(1):123–126

    Article  PubMed  Google Scholar 

  • Morita M, Al-Chalabi A, Andersen PM et al (2006) A locus on chromosome 9p confers susceptibility to ALS and frontotemporal dementia. Neurology 66(6):839–844

    Article  PubMed  CAS  Google Scholar 

  • Ohara S, Kondo K, Morita H, Maruyama K, Ikeda S, Yanagisawa N (1992) Progressive supranuclear palsy-like syndrome in two siblings of a consanguineous marriage. Neurology 42(5):1009–1014

    PubMed  CAS  Google Scholar 

  • Pearson JP, Williams NM, Majounie E et al (2011) Familial frontotemporal dementia with amyotrophic lateral sclerosis and a shared haplotype on chromosome 9p. J Neurol 258(4):647–655

    Article  PubMed  Google Scholar 

  • Poorkaj P, Bird TD, Wijsman E et al (1998) Tau is a candidate gene for chromosome 17 frontotemporal dementia. Ann Neurol 43(6):815–825

    Article  PubMed  CAS  Google Scholar 

  • Portera-Cailliau C, Russ C, Brown RH Jr et al (2007) A familial form of pallidoluysionigral degeneration and amyotrophic lateral sclerosis with divergent clinical presentations. J Neuropathol Exp Neurol 66(7):650–659

    Article  PubMed  Google Scholar 

  • Qureshi AI, Wilmot G, Dihenia B, Schneider JA, Krendel DA (1996) Motor neuron disease with parkinsonism. Arch Neurol 53(10):987–991

    PubMed  CAS  Google Scholar 

  • Schweitzer KJ, Boylan KB, Christian WW (2009) Parkinsonism (P), motor neuron disease (M), and dementia (D): clinical and pathological studies. Ann Neurol 66(Suppl 13):S51–S52

    Google Scholar 

  • Sercle M, Kovarik J (1963) On the familial incident of amyotrophic lateral sclerosis. Acta Neurol Scand 39:169–176

    Article  Google Scholar 

  • Spillantini MG, Murrell JR, Goedert M, Farlow MR, Klug A, Ghetti B (1998) Mutation in the tau gene in familial multiple system tauopathy with presenile dementia. Proc Natl Acad Sci U S A 95(13):7737–7741

    Article  PubMed  CAS  Google Scholar 

  • Terada S, Ishizu H, Yokota O et al (2004) An autopsy case of hereditary diffuse leukoencephalopathy with spheroids, clinically suspected of Alzheimer's disease. Acta Neuropathol 108(6):538–545

    Article  PubMed  Google Scholar 

  • Tetrud JW, Golbe LI, Forno LS, Farmer PM (1996) Autopsy-proven progressive supranuclear palsy in two siblings. Neurology 46(4):931–934

    PubMed  CAS  Google Scholar 

  • Uitti RJ, Berry K, Yasuhara O et al (1995) Neurodegenerative 'overlap' syndrome: clinical and pathological features of Parkinson's disease, motor neuron disease, and Alzheimer's disease. Parkinsonism Relat Disord 1(1):21–34

    Article  PubMed  CAS  Google Scholar 

  • Valdmanis PN, Dupre N, Bouchard JP et al (2007) Three families with amyotrophic lateral sclerosis and frontotemporal dementia with evidence of linkage to chromosome 9p. Arch Neurol 64(2):240–245

    Article  PubMed  Google Scholar 

  • van der Knaap MS, Naidu S, Kleinschmidt-Demasters BK, Kamphorst W, Weinstein HC (2000) Autosomal dominant diffuse leukoencephalopathy with neuroaxonal spheroids. Neurology 54(2):463–468

    PubMed  Google Scholar 

  • Van Gerpen JA, Wider C, Broderick DF, Dickson DW, Brown LA, Wszolek ZK (2008) Insights into the dynamics of hereditary diffuse leukoencephalopathy with axonal spheroids. Neurology 71(12):925–929

    Article  PubMed  Google Scholar 

  • Van Langenhove T, van der Zee J, Sleegers K et al (2010) Genetic contribution of FUS to frontotemporal lobar degeneration. Neurology 74(5):366–371

    Article  PubMed  Google Scholar 

  • Vance C, Al-Chalabi A, Ruddy D et al (2006) Familial amyotrophic lateral sclerosis with frontotemporal dementia is linked to a locus on chromosome 9p13.2-21.3. Brain 129(Pt 4):868–876

    Article  PubMed  Google Scholar 

  • Vance C, Rogelj B, Hortobagyi T et al (2009) Mutations in FUS, an RNA processing protein, cause familial amyotrophic lateral sclerosis type 6. Science 323(5918):1208–1211

    Article  PubMed  CAS  Google Scholar 

  • Wider C, Van Gerpen JA, DeArmond S, Shuster EA, Dickson DW, Wszolek ZK (2009) Leukoencephalopathy with spheroids (HDLS) and pigmentary leukodystrophy (POLD): a single entity? Neurology 72(22):1953–1959

    Article  PubMed  CAS  Google Scholar 

  • Yan J, Deng HX, Siddique N et al (2010) Frameshift and novel mutations in FUS in familial amyotrophic lateral sclerosis and ALS/dementia. Neurology 75(9):807–814

    Article  PubMed  CAS  Google Scholar 

  • Yazawa I, Nakano I, Yamada H, Oda M (1997) Long tract degeneration in familial sudanophilic leukodystrophy with prominent spheroids. J Neurol Sci 147(2):185–191

    Article  PubMed  CAS  Google Scholar 

  • Yvonneau M, Vital C, Belly C, Coquet M (1971) Familial syndrome of amyotrophic lateral sclerosis with dementia. Encephale 60(6):449–462

    PubMed  CAS  Google Scholar 

  • Zoccolella S, Palagano G, Fraddosio A et al (2002) ALS-plus: 5 cases of concomitant amyotrophic lateral sclerosis and parkinsonism. Neurol Sci 23(Suppl 2):S123–S124

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

SF is partially funded by Mayo Clinic Florida (MCF) Research Committee CR program (MCF no. 90052018). ZKW is partially supported by the NIH/NINDS 1RC2NS070276, NS057567, P50NS072187, Mayo Clinic Florida (MCF) Research Committee CR programs (MCF no. 90052018 and MCF no. 90052030), and the gift from Carl Edward Bolch, Jr., and Susan Bass Bolch (MCF no. 90052031/PAU no. 90052).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zbigniew K. Wszolek.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fujioka, S., Wszolek, Z.K. Clinical Aspects of Familial Forms of Frontotemporal Dementia Associated with Parkinsonism. J Mol Neurosci 45, 359–365 (2011). https://doi.org/10.1007/s12031-011-9568-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12031-011-9568-5

Keywords

Navigation