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Looking beneath the surface: the importance of subcortical structures in frontotemporal dementia.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Rowe, James B 
Rohrer, Jonathan D 

Abstract

Whilst initial anatomical studies of frontotemporal dementia focussed on cortical involvement, the relevance of subcortical structures to the pathophysiology of frontotemporal dementia has been increasingly recognized over recent years. Key structures affected include the caudate, putamen, nucleus accumbens, and globus pallidus within the basal ganglia, the hippocampus and amygdala within the medial temporal lobe, the basal forebrain, and the diencephalon structures of the thalamus, hypothalamus and habenula. At the most posterior aspect of the brain, focal involvement of brainstem and cerebellum has recently also been shown in certain subtypes of frontotemporal dementia. Many of the neuroimaging studies on subcortical structures in frontotemporal dementia have been performed in clinically defined sporadic cases. However, investigations of genetically- and pathologically-confirmed forms of frontotemporal dementia are increasingly common and provide molecular specificity to the changes observed. Furthermore, detailed analyses of sub-nuclei and subregions within each subcortical structure are being added to the literature, allowing refinement of the patterns of subcortical involvement. This review focuses on the existing literature on structural imaging and neuropathological studies of subcortical anatomy across the spectrum of frontotemporal dementia, along with investigations of brain-behaviour correlates that examine the cognitive sequelae of specific subcortical involvement: it aims to 'look beneath the surface' and summarize the patterns of subcortical involvement have been described in frontotemporal dementia.

Description

Funder: National Institute for Health Research (NIHR) Queen Square Dementia Biomedical Research Unit


Funder: Alzheimer's Research UK, Brain Research Trust and The Wolfson Foundation


Funder: Medical Research Council


Funder: Alzheimer’s Society and Alzheimer’s Research UK


Funder: NIHR UCL/H Biomedical Research Centre and the Leonard Wolfson Experimental Neurology Centre (LWENC) Clinical Research Facility


Funder: DRI Ltd

Keywords

Frontotemporal Dementia, Mr Imaging, Subcortical Structures

Journal Title

Brain communications

Conference Name

Journal ISSN

2632-1297

Volume Title

3

Publisher

Sponsorship
Alzheimer's Society (004, AS-PG-16-007, 517, 10)
NIHR Cambridge Biomedical Research Centre (BRC-1215-20014)
Alzheimer’s Society (AS-JF-19a-004-517)
NIHR Rare Disease Translational Research Collaboration (BRC149/NS/MH)
MRC Clinician Scientist Fellowship (MR/M008525/1)
Cambridge University Centre for Parkinson-Plus, the Medical Research Council (SUAG/051 G101400)