Non-Alzheimer's disease dementias: anatomic, clinical, and molecular correlates

Can J Psychiatry. 2004 Mar;49(3):164-71. doi: 10.1177/070674370404900303.

Abstract

Objective: To review the clinical and molecular features of non-Alzheimer's disease (non-AD) dementias, focusing on disorders associated with tau pathology (that is, frontotemporal lobar degeneration [FTLD], corticobasal ganglionic degeneration [CBD], and progressive supranuclear palsy [PSP]) or on disorders with synuclein pathology (that is, dementia with Lewy bodies [DLB] and multisystem atrophy [MSA]). We also discuss the pharmacologic treatment of these disorders.

Methods: We report a selective review of the literature on FTLD, CBD, PSP, DLB, and MSA.

Results: The non-AD dementias can present with a wide variety of cognitive and behavioural symptoms. Through common clinical features and shared molecular etiologies, neurodegenerative disorders previously thought to be distinct are now classified into tauopathies and synucleinopathies.

Conclusions: The unique cognitive and behavioural manifestations of the non-AD dementias can be mistaken for psychiatric disorders. Improved detection of tauopathies and synucleinopathies and their differentiation from AD is possible.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Alzheimer Disease / diagnosis
  • Brain / pathology
  • Dementia / diagnosis
  • Dementia / genetics*
  • Dementia / pathology
  • Diagnosis, Differential
  • Humans
  • Nerve Tissue Proteins / genetics*
  • Synucleins
  • Tauopathies / diagnosis
  • Tauopathies / genetics*
  • Tauopathies / pathology
  • tau Proteins / genetics*

Substances

  • Nerve Tissue Proteins
  • Synucleins
  • tau Proteins