Ci. Elfgren et al., PERFORMANCE ON NEUROPSYCHOLOGICAL TESTS RELATED TO SINGLE-PHOTON EMISSION COMPUTERIZED-TOMOGRAPHY FINDINGS IN FRONTOTEMPORAL DEMENTIA, British Journal of Psychiatry, 169(4), 1996, pp. 416-422
Background. This study examines relations between regional cerebral bl
ood flow (rCBF) and neuropsychological test results, age at onset and
duration of disease in patients with frontotemporal-type dementia (FTD
). Method. Sixteen patients with a diagnosis of probable FTD were exam
ined using single photon emission computerised tomography (SPECT) with
Tc-99m-HMPAO as the tracer. The rCBF of 14 regions of interest relati
ve to cerebellar brood flow was calculated. Psychological tests assess
ing language, verbal fluency, memory and visuospatial constructive abi
lity were given. Results. Correlations were demonstrated between a glo
bal impairment score and relative blood flow in lateral frontal, media
l frontal and left orbital frontal areas. Verbal fluency scores correl
ated with left lateral frontal, medial frontal and left anterior infer
ior temporal blood flow No relationships between decrease in CBF and a
ge at onset or duration af disease, or between impaired cognitive func
tion and age at onset or duration of disease, were found. Conclusions.
The present study demonstrates a close coupling between reduced rCBF
and specific neuropsychological deficits In FTD.