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Dissecting neural correlates of theory of mind and executive functions in behavioral variant frontotemporal dementia
CM. Weise, A. Engel, M. Polyakova, Q. Wu, K. Mueller, S. Herzig, R. Jech, J. Diehl-Schmid, L. Riedl, S. Anderl-Straub, J. Kornhuber, K. Fassbender, J. Wiltfang, K. Fliessbach, J. Prudlo, M. Synofzik, A. Danek, M. Otto, ML. Schroeter, FTLD...
Language English Country England, Great Britain
Document type Journal Article
Grant support
FTLDc 01GI1007A
German Federal Ministry of Education and Research
FTLDc 01GI1007A
German Federal Ministry of Education and Research
FTLDc 01GI1007A
German Federal Ministry of Education and Research
01ED2008A
EU Joint Program-Neurodegenerative Diseases networks Genfi-Prox
01EW2008
EU Moodmarker program
D.3830
Foundation of the state Baden-Württemberg
D.5009
Boehringer Ingelheim Ulm University BioCenter
D.2468
Fondation Thierry Latran
SCHR 774/5-1
Deutsche Forschungsgemeinschaft
project TelDem
eHealthSax Initiative of the Sächsische Aufbaubank
NLK
BioMedCentral
from 2009-06-01
BioMedCentral Open Access
from 2009
Directory of Open Access Journals
from 2009
Free Medical Journals
from 2009
PubMed Central
from 2009
ProQuest Central
from 2015-01-01
Open Access Digital Library
from 2009-01-01
Open Access Digital Library
from 2009-01-01
Health & Medicine (ProQuest)
from 2015-01-01
ROAD: Directory of Open Access Scholarly Resources
from 2009
Springer Nature OA/Free Journals
from 2009-06-01
- MeSH
- Executive Function * physiology MeSH
- Frontotemporal Dementia * pathology diagnostic imaging physiopathology psychology MeSH
- Middle Aged MeSH
- Humans MeSH
- Magnetic Resonance Imaging * MeSH
- Brain diagnostic imaging pathology MeSH
- Neuropsychological Tests * MeSH
- Cross-Sectional Studies MeSH
- Aged MeSH
- Social Cognition MeSH
- Theory of Mind * physiology MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Behavioral variant frontotemporal dementia (bvFTD) is characterized by profound and early deficits in social cognition (SC) and executive functions (EF). To date it remains unclear whether deficits of the respective cognitive domains are based on the degeneration of distinct brain regions. In 103 patients with a diagnosis of bvFTD (possible/probable/definite: N = 40/58/5) from the frontotemporal lobar degeneration (FTLD) consortium Germany cohort (age 62.5±9.4 years, gender 38 female/65 male) we applied multimodal structural imaging, i.e. voxel-based morphometry, cortical thickness (CTH) and networks of structural covariance via source based morphometry. We cross-sectionally investigated associations with performance in a modified Reading the Mind in the Eyes Test (RMET; reflective of theory of mind - ToM) and five different tests reflective of EF (i.e. Hamasch-Five-Point Test, semantic and phonemic Fluency, Trail Making Test, Stroop interference). Finally, we investigated the conjunction of RMET correlates with functional networks commonly associated with SC respectively ToM and EF as extracted meta-analytically within the Neurosynth database. RMET performance was mainly associated with gray matter volume (GMV) and CTH within temporal and insular cortical regions and less within the prefrontal cortex (PFC), whereas EF performance was mainly associated with prefrontal regions (GMV and CTH). Overlap of RMET and EF associations was primarily located within the insula, adjacent subcortical structures (i.e. putamen) and the dorsolateral PFC (dlPFC). These patterns were more pronounced after adjustment for the respective other cognitive domain. Corroborative results were obtained in analyses of structural covariance networks. Overlap of RMET with meta-analytically extracted functional networks commonly associated with SC, ToM and EF was again primarily located within the temporal and insular region and the dlPFC. In addition, on a meta-analytical level, strong associations were found for temporal cortical RMET correlates with SC and ToM in particular. These data indicate a temporo-frontal dissociation of bvFTD related disturbances of ToM and EF, with atrophy of the anterior temporal lobe being critically involved in ToM deficits. The consistent overlap within the insular cortex may be attributable to the multimodal and integrative role of this region in socioemotional and cognitive processing.
Clinic for Cognitive Neurology University of Leipzig Medical Center Leipzig Germany
Department of Neurology Halle University Medical Center Halle Germany
Department of Neurology Ludwig Maximilians University Munich München Germany
Department of Neurology Max Planck Institute for Human Cognitive and Brain Sciences Leipzig Germany
Department of Neurology Rostock University Medical Center Rostock Germany
Department of Neurology Saarland University Hospital Homburg Homburg Germany
Department of Neurology University of Ulm Ulm Germany
Department of Psychiatry and Psychotherapy University of Göttingen Göttingen Germany
References provided by Crossref.org
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