認知症診療ガイドライン2017_800_第8章.indd

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8CQ 8 frontotemporal lobar degeneration FTLD Pick Alzheimer FTLD Alzheimer FTLD frontotemporal dementia FTD FTLD FTLD FTLD behavioral variant frontotemporal dementia bvftd semantic dementia SD Sylvius progressive non fluent aphasia PNFA 3 1FTD bvftd SD PNFA CQ2 6 33 FTLD frontotemporal dementia and motor neuron disease FTD MND TAR DNA binding protein of 43kD TDP 43fused in sarcoma FUS 2 1 1 C 3 4 FTLD FTLD tau FTLD tau 3 Pick 4 TDP 43 FUS RNA FTLD TDP 43 FUS FTLD TDP FTLD FUS CQ1 8 16 263

3 2 bvftd FTLD TDP PNFA 70% FTLD tau PSP CBD Pick SD 80% FTLD TDP CQ8 1 266 MRI CT SPECT 30 50% 行動障害型前頭側頭型認知症 behavioral variant FTD bvftd 前頭側頭葉変性症 frontotemporal lobar degeneration FTLD 意味性認知症 semantic dementia SD 進行性非流暢性失語症 progressive non fluent aphasia PNFA 1FTLD 前頭側頭葉変性症 (FTLD) タウオパチー (FTLD tau) タウ陰性 FTLD 3R tau 4R tau 3R & 4R tau TDP 43 陽性 TDP 43 陰性 ピック病 CBD PSP AGD GGT FTDP 17 with 4R tau NFT dementia FTDP 17 with 3R & 4R tau FTLD TDP ユビキチン陽性 FTLD FUS (NIFID, BIBD, aftld U) FTLD UPS with CHMP2B mutation ユビキチン陰性 DLDH 2FTLD 3R 3 4R 4 CBD 変性症 PSP 進行性 性 AGD 性認知症 GGT FTDP 17 17 前頭側頭型認知症 NFT dementia 変 型 認知症 NIFID 性 BIBD 性 aftld U 非 型 FTLD CHMP2B mutation 2B CHMP2B 変 DLDH 認知症 Lashley T, Rohrer JD, Mead S, et al. Review An update on clinical, genetic and pathological aspects of frontotemporal lobar degenerations. Neuropathol Appl Neurobiol. 2015 41 7 858 881. 264 8

8CQ FTLD の臨床病型 FTLD の臨床病型に応じた病理学的所見の 0 違いに関するおよその比率 100 bvftd PNFA SD PSP CBD Pick 病 TDP 43 Type A TDP 43 Type B TDP 43 Type C 3 D Alton S, Lewis J. Therapeutic and diagnostic challenges for frontotemporal dementia. Front Aging Neurosci. 2014 6 204. TARDBP FUS C9orf 72 1 6 FTLD 1 Lashley T, Rohrer JD, Mead S, et al. Review An update on clinical, genetic and pathological aspects of frontotemporal lobar degenerations. Neuropathol Appl Neurobiol. 2015 41 7 858 881. 2 D Alton S, Lewis J. Therapeutic and diagnostic challenges for frontotemporal dementia. Front Aging Neurosci. 2014 6 204. 265

CQ 8 1 frontotemporal lobar degenera tion FTLD FTLD behavioral variant fron totemporal dementia bvftd 2011 International Behavioural Variant FTD Criteria Consortium FTDC semantic dementia SD2011 1998 B FTLD bvftd SD progressive non fluent aphasia PNFA264 1 bvftd SD 1. bvftd Rascovsky FTDC 1 1FTDC possible 93% probable 80%possible 90% 2 Harris possible 95% 82% probable 85% 95% 3 Alzheimer Lewy 2 FTDC FTDC κ possible 0.81 probable 0.82 κ 0.61 0.80 κ 0.41 0.6 4 CQ8 2 271 30 50% tau TARDBP FUS progranulin C9orf 72 1 6 2013 Diagnostic and Statistical Manual of Mental Disorders Fifth Edition DSM 5 Dementia Neurocognitive 266 8

8CQ 8 1 Disorder NCDFTLD major or mild Frontotemporal NCD Behavioral variant Language variant FTDC 2. SD Gorno Tempini 5 / CQ2 6 33 SD SD bvftd 2011 Gorno Tempine semantic variant Neary 6 2 1 bvftd 1 bvftd A Possible bvftd /A F 3 AA.1 A.3 1 A.1A.2 A.3 BB.1 B.2 1 B.1 B.2 CC.1 C.2 1 C.1 C.2 DD.1 D.3 1 D.1 D.2D.3 E E.1 E.3 1 E.1 E.2 E.3 F F.1 F.3 F.1 F.2F.3 Probable bvftd A C A possible bvftd B Clinical Dementia Rating CDR C bvftd C.1 C.2 1 C.1 MRI/CT C.2 PET/SPECT FTLD bvftd A B C A possible probable bvftd B FTLD C bvftd bvftd A B C possible bvftd probable bvftd A B C Alzheimer Rascovsky K, Hodges JR, Knopman D, et al. Sensitivity of revised diagnostic criteria for the behavioural variant of frontotem poral dementia. Brain. 2011 134 Pt 9 2456 2477. 267

2 1 a 2 A B 2 4 3 1 b / 2 c 3 4 370 4 MRI/CT 5 1 Alzheimer 2 Lewy 3 4 5 6 6 1 2 3 4 5 27 7 1 http://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000079293.html 2017.5.8. 1 2 a b c 3 / 3 1 2 3 4 1 2 3 4 1 1 2 2 1 2 3 2 1/ 2 1 a MRI b SPECT PET Gorno Tempini ML, Hillis AE, Weintraub S, et al. Classification of primary progressive aphasia and its variants. Neurology. 2011 76 11 1006 1014. 268 8

8CQ 8 1 SD 2 SD / SD Alzheimer SD 3. PNFA PNFA / Gorno Tempini 5 3 1 1 Rascovsky K, Hodges JR, Knopman D, et al. Sensitivity of revised diagnostic criteria for the behavioural variant of fronto temporal dementia. Brain. 2011 134 Pt 9 2456 2477. 2 Balasa M, Gelpi E, Martín I, et al. Diagnostic accuracy of behavioral variant frontotemporal dementia consortium criteria FTDC in a clinicopathological cohort. Neuropathol Appl Neurobiol. 2015 41 7 882 892. 3 Harris JM, Gall C, Thompson JC, et al. Sensitivity and specificity of FTDC criteria for behavioral variant frontotemporal dementia. Neurology. 2013 80 20 1881 1887. 4 Lamarre AK, Rascovsky K, Bostrom A, et al. Interrater reliability of the new criteria for behavioral variant frontotemporal dementia. Neurology. 2013 80 21 1973 1977. 5 Gorno Tempini ML, Hillis AE, Weintraub S, et al. Classification of primary progressive aphasia and its variants. Neurology. 2011 76 11 1006 1014. 6 Neary D, Snowden JS, Gustafson L, et al. Frontotemporal lobar degeneration a consensus on clinical diagnostic criteria. Neurology 1998 51 1546 1554. 269

PubMed 2015 7 10 #1 "Frontotemporal Lobar Degeneration/diagnosis" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TIAND Dementia/diagnosis Mesh OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD bvftd AND diagnosis OR diagnoses OR diagnostic 2015 7 10 #1 /TH OR /TI OR /TH OR /TI OR "Frontotemporal Lobar Degeneration"/TI OR "Frontotemporal Dementia"/TI OR FTD/TI OR FTLD/TI OR bvftd AND SH,,, X,, OR /TH OR /TI 270 8

8CQ 8 2 CQ 8 2 frontotemporal lobar degenera tion FTLD FTLD behavioral variant frontotemporal dementia bvftd MRI/CT SPECT/PET semantic dementia SD MRI/CT SPECT/PET progressive non fluent aphasia PNFA MRI/CT SPECT/PET FTLD 1B 1. MRI/CT SPECT/PET 1 bvftd MRI/CT SPECT/PET SD MRI/CT SPECT/PET PNFA MRI/CT SPEC/PETT 1 bvftd SD MRI bvftd SD FTLD 2. Alzheimer Lewy FTLD 2 bvftd 1 3 SD 271

PNFA Broca 3. 4 bvftd SD PNFA 4. MRI 4 bvftd 5. 5 C9orf 72 tau progranulin tau progranulin progranulin C9orf 72 tau 6. 6 FTLD 3 TDP 43 FUS MRI PET 7,8 7. phenocopy syndrome 1 MRI bvftd phenocopy syndrome 行動障害型前頭側頭型認知症 (bvftd) 意味性認知症 (SD) R R 1 MRI 272 8

8CQ 8 2 FDG PET 1 Whitwell JL, Josephs KA. Recent advances in the imaging of frontotemporal dementia. Curr Neurol Neurosci Rep. 2012 12 6 715 723. 2 Vemuri P, Simon G, Kantarci K, et al. Antemortem differential diagnosis of dementia pathology using structural MRI Differential STAND. Neuroimage. 2011 55 2 522 531. 3 Pan PL, Song W, Yang J, et al. Gray matter atrophy in behavioral variant frontotemporal dementia a meta analysis of voxel based morphometry studies. Dement Geriatr Cogn Disord. 2012 33 2 3 141 148. 4 Risacher SL, Saykin AJ. Neuroimaging biomarkers of neurodegenerative diseases and dementia. Semin Neurol. 2013 33 4 386 416. 5 Whitwell JL, Weigand SD, Boeve BF, et al. Neuroimaging signatures of frontotemporal dementia genetics C9ORF72, tau, progranulin and sporadics. Brain. 2012 135 Pt 3 794 806. 6 Whitwell JL, Josephs KA. Neuroimaging in frontotemporal lobar degeneration predicting molecular pathology. Nat Rev Neurol. 2011 8 3 131 142. 7 Maruyama M, Shimada H, Suhara T, Imaging of tau pathology in a tauopathy mouse model and in Alzheimer patients compared to normal controls. Neuron. 2013 79 6 1094 1108. 8 Okamura N, Furumoto S, Fodero Tavoletti MT, et al. Non invasive assessment of Alzheimer s disease neurofibrillary pathology using 18F THK5105 PET. Brain. 2014 137 Pt 6 1762 1771. PubMed 2015 7 8 #1 "Frontotemporal Lobar Degeneration/diagnosis" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI AND "Dementia/diagnosis" MeshOR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD bvftd AND diagnosis OR diagnoses OR diagnostic AND "Diagnostic Imaging" Mesh OR "magnetic resonance imaging" OR "single photon emission computed tomography" OR "positron emission tomography" OR MRI OR SPECT OR PET 2015 7 10 #1 /TH OR /TI OR /TH OR /TI OR "Frontotemporal Lobar Degeneration"/TI OR "Frontotemporal Dementia"/TI OR FTD/TI OR FTLD/TI OR bvftd AND SH,,, X,, OR /TH OR /TI AND /TH OR MRI/TI OR OR OR OR OR PET/TI OR OR OR SPECT/TI OR OR OR OR OR 273

CQ 8 3 frontotemporal lobar degenera tion FTLD FTLD selective serotonin reuptake inhibitor SSRI 2C FTLD 1,2 Nardell 2 Mini Mental State Examination MMSE FTLD SSRI 3 FTLD SSRI 1997 Swartz 4 FTLD SSRI 5 FTLD SSRI Lanctôt PET 4 FTLD 10 5 HT 1A 6 Hughes SSRI FTLD 7 cholinesterase inhibitor ChEI 1,2 ChEI ChEI FTLD ChEI 8 NMDA 3 FTLD 2 RCT 24 Neuropsychiatric Inventory NPI 9 10 FTLD TDP 43 FUS 1 274 8

8CQ 8 3 1 Riedl L, Mackenzie IR, Förstl H, et al. Frontotemporal lobar degeneration current perspectives. Neuropsychiatr Dis Treat. 2014 10 297 310. 2 Nardell M, Tampi RR. Pharmacological treatments for frontotemporal dementias a systematic review of randomized controlled trials. Am J Alzheimers Dis Other Demen. 2014 29 2 123 132. 3 Lebert F, Stekke W, Hasenbroekx C, et al. Frontotemporal dementia a randomised, controlled trial with trazodone. Dement Geriatr Cogn Disord. 2004 17 4 355 359. 4 Swartz JR, Miller BL, Lesser IM, et al. Frontotemporal dementia treatment response to serotonin selective reuptake inhib itors. J Clin Psychiatry 1997 58 212 216. 5 Ikeda M, Shigenobu K, Fukuhara R, et al. Efficacy of fluvoxamine as a treatment for behavioral symptoms in frontotem poral lobar degeneration patients. Dement Geriatr Cogn Disord. 2004 17 3 117 121. 6 Lanctôt KL, Herrmann N, Ganjavi H, et al. Serotonin 1A receptors in frontotemporal dementia compared with controls. Psychiatry Res. 2007 156 3 247 250. 7 Hughes LE, Rittman T, Regenthal R, et al. Improving response inhibition systems in frontotemporal dementia with citalo pram. Brain. 2015 138 Pt 7 1961 1975. 8 Li Y, Hai S, Zhou Y, et al. Cholinesterase inhibitors for rarer dementias associated with neurological conditions. Cochrane Database Syst Rev. 2015 3 CD009444. 9 Jesso S, Morlog D, Ross S, et al. The effects of oxytocin on social cognition and behaviour in frontotemporal dementia. Brain. 2011 134 Pt 9 2493 2501. 10 Finger EC, MacKinley J, Blair M, et al. Oxytocin for frontotemporal dementia a randomized dose finding study of safety and tolerability. Neurology. 2015 84 2 174 181. PubMed 2015 7 10 #1 "Frontotemporal Lobar Degeneration/drug therapy" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI AND Dementia/drug therapy MeshOR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD bvftd AND "drug therapy" OR chemotherapy OR pharmacotherapy OR "pharmacological therapy" 2015 7 9 #1 /TH OR /TI OR /TH OR /TI OR "Frontotemporal Lobar Degeneration"/TI OR "Frontotemporal Dementia"/TI OR FTD/TI OR FTLD/TI OR bvftd AND SHOR /MTH OR /MTH OR /TI OR /TI OR /TI 275

CQ 8 4 frontotemporal lobar degenera tion FTLD FTLD 2C FTLD 1 Alzheimer FTLD 2 Shinagawa 3 6 FTLD quality of life QOL 4 Mioshi 5 McKinnon 6 2 7 Lough 1 FTLD 8 1 FTLD 9 2 FTLD 5 Alzheimer Alzheimer FTLD activities of daily living ADL 10 7,9,11 12 276 8

8CQ 8 4 1 Bozeat S, Gregory CA, Ralph MA, et al. Which neuropsychiatric and behavioural features distinguish frontal and temporal variants of frontotemporal dementia from Alzheimer s disease? J Neurol Neurosurg Psychiatry. 2000 69 2 178 186. 2 Merrilees J. A model for management of behavioral symptoms in frontotemporal lobar degeneration. Alzheimer Dis Assoc Disord. 2007 21 4 S64 S69. 3 Shinagawa S, Nakajima S, Plitman E, et al. Non pharmacological management for patients with frontotemporal dementia a systematic review. J Alzheimers Dis. 2015 45 1 283 293. 4 Pick 1995 97 3 179 192. 5 Mioshi E, McKinnon C, Savage S, et al. Improving burden and coping skills in frontotemporal dementia caregivers A pilot study. Alzheimer Dis Assoc Disord 2013 27 1 84 86. 6 McKinnon C, O Connor CM, Savage S, et al. Qualitative results of a structured group program for carers of people with frontotemporal dementia. Int J Geriatr Psychiatry. 2013 28 2 217 218. 7 Pick 1996 98 10 822 829 8 Lough S, Hodges JR. Measuring and modifying abnormal social cognition in frontal variant frontotemporal dementia. J Psychosom Res. 2002 53 2 639 646. 9 2000 28 5 477 481 10 1996 24 9 861 869 11 2007 18 12 861 869 12 Yokota O, Fujisawa Y, Takahashi J, et al. Effects of group home care on behavioral symptoms, quality of life, and psycho tropic drug use in patients with frontotemporal dementia. J Am Med Dir Assoc. 2006 7 5 335 337. PubMed 2015 7 10 #1 "Frontotemporal Lobar Degeneration/therapy" Mesh OR "Frontotemporal Lobar Degeneration" Majr AND "Therapeutics" MeshOR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TIAND Dementia/therapy Mesh OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND therapy OR therapeutic OR treatment OR intervention* NOT "Frontotemporal Lobar Degeneration/drug therapy" Mesh OR "Frontotemporal Lobar Degeneration" Majr AND "Drug Therapy" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TIAND Dementia/drug therapy Mesh OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND "drug therapy" OR chemotherapy OR pharmacotherapy OR "pharmacological therapy" OR "nonpharmacological therapy" OR "non pharmacological therapy" OR "nonpharmacologic therapy" OR "non pharmacologic therapy" OR "nonpharmacological treatment" OR "non pharmacological treatment" OR "nonpharmacologic treatment" OR "non pharmacologic treatment" OR nonpharmacological intervention* OR non pharmacological intervention* OR nonpharmacologic intervention* OR non pharmacologic intervention* OR "nonpharmacological management" OR "non pharmacological management" OR "nonpharmacologic management" OR "non pharmacologic management" AND "Frontotemporal Lobar Degeneration" Mesh OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" OR "Frontotemporal Lobar Degeneration/rehabilitation" Mesh OR "Frontotemporal Lobar Degeneration/therapy" Mesh AND "Rehabilitation" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TI AND rehabilitation TI OR "occupational therapy" TI OR "activities of daily living" TI OR "activity of daily living" TI OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND rehabilitation OR "occupational therapy" OR "activities of daily living" OR "activity of daily living"or "Frontotemporal Lobar Degeneration/nursing" Mesh OR "Frontotemporal Lobar Degeneration/ therapy" Mesh AND "Nursing" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal 277

dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TI AND nursing TI OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND nursing OR "Frontotemporal Lobar Degeneration/diet therapy" Mesh OR "Frontotemporal Lobar Degeneration/therapy" Mesh AND "Nutrition Therapy" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TI AND nutrition therap* TI OR diet therap* TI OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND nutrition therap* OR diet therap* OR "Frontotemporal Lobar Degeneration/ surgery" Mesh OR "Frontotemporal Lobar Degeneration/therapy" Mesh AND "Surgical Procedures, Operative" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TI AND surgery TI OR surgical TI OR operation TI OR operative TI OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND surgery OR surgical OR operation OR operative OR "Frontotemporal Lobar Degeneration/radiotherapy" Mesh OR "Frontotemporal Lobar Degeneration/therapy" Mesh AND "Radiotherapy" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TI AND radiotherap* TI OR chemoradiotherap* TI OR radiosurg* TI OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND radiotherap* OR chemoradiotherap* OR radiosurg* OR "Frontotemporal Lobar Degeneration/therapy" Mesh AND "Psychotherapy" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TI AND psychotherap* TI OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND psychotherap* OR "Frontotemporal Lobar Degeneration/therapy" Mesh AND "Patient Care" Mesh OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TI AND care TI OR cares TI OR "frontotemporal lobar degeneration" OR "frontotemporal dementia" OR FTD OR FTLD OR bvftd OR pick disease* OR picks disease* OR "frontal lobe dementia" OR "frontotemporal lobe dementia" OR "frontal variant frontotemporal dementia" AND care OR cares 2015 7 9 #1 /TH OR /TI OR /TH OR /TI OR "Frontotemporal Lobar Degeneration"/TI OR "Frontotemporal Dementia"/TI OR FTD/TI OR FTLD/TI OR bvftd OR /TI OR Pick OR /TI OR /TI OR /TI AND SH,,,,,,,,, OR /MTH OR /TI OR /TINOT /TH OR /TI OR /TH OR /TI OR "Frontotemporal Lobar Degeneration"/TI OR "Frontotemporal Dementia"/TI OR FTD/TI OR FTLD/TI OR bvftd OR /TI OR Pick OR /TI OR /TI OR /TI AND SHOR /TH OR /MTH OR /TI OR /TI OR /TI OR /TH OR /TI OR /TH OR /TI OR "Frontotemporal Lobar Degeneration"/TI OR "Frontotemporal Dementia"/TI OR FTD/TI OR FTLD/TI OR bvftd OR /TI OR Pick OR /TI OR /TI OR /TI AND SH,,,,,, OR /TI OR /TI OR /MTH OR /TI OR /MTH OR /TI OR /MTH OR /TI OR /TI OR /TI OR /MTH OR /TI OR /TI OR /TI OR /TI OR /TH OR /TI OR /TI OR /TI OR /MTH OR /TI OR /TI 278 8

8CQ 8 5 CQ 8 5 frontotemporal lobar degenera tion FTLD FTLD 2C FTLD Alzheimer 1 3 FTLD Alzheimer 4 7 2015 7 1 FTLD Kumamoto 2 FTLD 7 8 Nunnemann FTLD FTLD 9 1 Bozeat S, Gregory CA, Ralph MA, et al. Which neuropsychiatric and behavioural features distinguish frontal and temporal variants of frontotemporal dementia from Alzheimer s disease? J Neurol Neurosurg Psychiatry. 2000 69 2 178 186. 2 Bathgate D, Snowden JS, Varma A, et al. Behaviour in frontotemporal dementia, Alzheimer s disease and vascular dementia. Acta Neurol Scand. 2001 103 6 367 378. 3 Ikeda M, Brown J, Holland AJ, et al. Changes in appetite, food preference, and eating habits in frontotemporal dementia and Alzheimer s disease. J Neurol Neurosurg Psychiatry. 2002 73 4 371 376. 4 2004 15 Suppl 1 88 94 5 de Vugt ME, Riedijk SR, Aalten P, et al. Impact of behavioural problems on spousal caregivers a comparison between Alzheimer s disease and frontotemporal dementia. Dement Geriatr Cogn Disord. 2006 22 1 35 41. 6 Boutoleau Bretonnière C, Vercelletto M, Volteau C, et al. Zarit burden inventory and activities of daily living in the behav 279

ioral variant of frontotemporal dementia. Dement Geriatr Cogn Disord. 2008 25 3 272 277. 7 Kumamoto K, Arai Y, Hashimoto N, et al. Problems family caregivers encounter in home care of patients with frontotem poral lobar degeneration. Psychogeriatrics. 2004 4 2 33 39. 8 MED REHABIL. 2008 91 47 54. 9 Nunnemann S, Kurz A, Leucht S, et al. Caregivers of patients with frontotemporal lobar degeneration a review of burden, problems, needs, and interventions. Int Psychogeriatr. 2012 24 9 1368 1386. PubMed 2015 7 10 #1 "Frontotemporal Lobar Degeneration" Majr OR "frontotemporal lobar degeneration" TI OR "frontotemporal dementia" TI OR FTD TI OR FTLD TI OR bvftd TI OR pick disease* TI OR picks disease* TI OR "frontal lobe dementia" TI OR "frontotemporal lobe dementia" TI OR "frontal variant frontotemporal dementia" TIAND care OR education OR burden OR support* AND caregiver* OR family 2015 7 10 #1 /TH OR /TI OR /TH OR /TI OR "Frontotemporal Lobar Degeneration"/TI OR "Frontotemporal Dementia"/TI OR FTD/TI OR FTLD/TI OR bvftd OR /TI OR Pick OR /TI OR /TI OR /TI AND /TH OR OR /TH OR AND /TH OR OR /TH OR OR OR OR 280 8