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Effects of Prescribed Medications on Cognition and Behavior in Frontotemporal Lobar Degeneration
Journal article   Open access   Peer reviewed

Effects of Prescribed Medications on Cognition and Behavior in Frontotemporal Lobar Degeneration

David Irwin, Carol F. Lippa and Andrea Rosso
American journal of Alzheimer's disease and other dementias, v 25(7), pp 566-571
01 Nov 2010
PMID: 20930186
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10845326View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Clinical Neurology Geriatrics & Gerontology Life Sciences & Biomedicine Neurosciences & Neurology Science & Technology
A retrospective chart review of 21 patients meeting core clinical criteria for behavioral or aphasic variants of frontotemporal lobar degeneration (FTLD) was conducted. Data recorded included Folstein Mini-Mental State Examination (MMSE) scores, medications prescribed, and subjective reports of behavioral symptoms from each visit. Behaviors were graded on a scale from 1 to 3 and totaled for each visit. Changes in MMSE and behavior scores between visits 1 month and 6 months apart where a new medication was started were analyzed using a paired t test and were compared between medication classes using an unpaired t test. Acetylcholinesterase inhibitors (AChEIs) were associated with a decrease in MMSE scores by 1.6 (P = .02) and an increase in total behavior scores by 1.0 (P = .03). Mean MMSE and behavior scores were statistically more improved by selective serotonin reuptake inhibitors than AChEIs (P = .04). This data suggest a potential worsening of objective measures of cognitive and behavioral symptoms in FTLD with AChEI treatment.

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Web of Science research areas
Clinical Neurology
Geriatrics & Gerontology
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