Nervous System Disorders
[Arnold Pick (18511924), professor of psychiatry and neurology at the German University in Prague]
= FRONTOTEMPORAL DEMENTIA
= rare form of presenile dementia similar to Alzheimer disease; may be inherited with autosomal dominant mode; M <F
- social impairment + disinhibitive and impulsive behavior
- focal cortical atrophy of anterior frontal + anterior temporal lobes
- dilatation of frontal + temporal horns of lateral ventricle
PET:
- hypometabolism in frontal + anterior temporal lobes + anterior cingulate gyrus
- temporal lobe involvement extends to anterior aspects (NOT in Alzheimer disease)
- frontal-predominant form = sparing of temporal lobes