The patterns of language disorder associated with 'progressive aphasia
' due to lobar atrophy were compared with the language dysfunction of
patients with dementia of frontal lobe type (DFT). The progressive aph
asias were characterised primarily by impairment at the structural lev
els of language: phonology, grammar and semantics, whereas DFT was ass
ociated primarily with aspontaneity and loss of generative capability.
However, there was overlap in language symptomatology, particularly w
ith progression of disease. The findings lend support to the argument
that progressive aphasia and DFT represent different clinical manifest
ations of a common pathology, and form part of the spectrum of lobar a
trophies.