Dr. Antonio Bullon serves as an attending psychiatrist at Mount Auburn Hospital in Cambridge, Massachusetts. In this role, Dr. Antonio Bullon cares for a geriatric population diagnosed with dementia and other neuropsychiatric illnesses.
2. Introduction
Dr. Antonio Bullon serves as an attending psychiatrist at Mount Auburn
Hospital in Cambridge, Massachusetts. In this role, Dr. Antonio Bullon
cares for a geriatric population diagnosed with dementia and other
neuropsychiatric illnesses.
Frontotemporal dementia (FTD), also known as frontotemporal lobar
degeneration, is an umbrella term for a collection of conditions, all of
which involve increasing nerve cell loss in the frontal or temporal lobes
of the brain. This cell death leads to a progressive loss of function and
decline in personality, behavior, language use, and/or motor functions.
Cases typically fall into one of three categories, each defined by its
unique symptomatology.
Behavior variant frontotemporal dementia, or bvFTD, most often
develops in one's 50s or 60s and features changes in relationship
behavior and personality. It develops due to nerve cell degeneration in
areas responsible for conduct, empathy, judgment, and other social
behaviors. These processes lead to a broad range of antisocial or
asocial symptoms, which include emotional apathy, lack of inhibition,
and loss of interpersonal skills, as well as declining personal hygiene
and changes in eating behaviors.
3. Frontotemporal Dementia
While bvFTD affects behavior, primary progressive
aphasia (PPA) affects one's ability to speak, write, or
comprehend language. It also occurs in midlife and
appears in two variants, the first of which is the semantic
and takes away one's ability to speak or understand a
coherent sentence. Patients with the agrammatic/nonfluent
form of the disorder, by contrast, demonstrate speech that
is coherent but is non-grammatical or appears labored.
The third form of FTD affects motor and muscle function,
but does not necessarily include behavior or language
symptoms. This category includes amyotrophic lateral
sclerosis, a condition of muscle weakness more commonly
known as Lou Gehrig's disease. It also includes
progressive supranuclear palsy (PSP), which features
muscle symptoms and problems with posture or walking,
as well as corticobasal syndrome, which leads to limb
stiffness and coordination challenges.