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Table 1 Clinical and auxiliary features of gPrDs with FTD phenotype and grouped by codon 129 genotypes

From: Genetic prion diseases presenting as frontotemporal dementia: clinical features and diagnostic challenge

Variables

Total (N = 49)

Codon 129 genotypes

P values

MM (N = 11)

MV/VV (N = 16)

Baseline characteristics

 Female, %

23/49 (46.9)

5/11 (45.5)

11/16 (68.8)

0.226

 Age at onset, years, median (IQR)

45.0 (39.5, 53.5)

59.0 (43.0, 66.0)

43.5 (39.3, 60.3)

0.368

 Symptoms duration, years, median (range)

5.0 (2.8, 7.0)

4.5 (1.5, 7.0)

5.0 (3.0,6.9)

0.481

 Family history, %

40/49 (81.6)

5/11 (45.4)

14/16 (87.5)

0.033

 bvFTD, %

37/49 (75.5)

5/11 (45.5)

12/16 (75.0)

0.118

 PPA, %

9/49 (18.4)

6/11 (54.5)

2/16 (12.5)

0.225

 FTD-ALS

2/49 (4.1)

0

2/16 (12.5)

0.499

Clinical features of FTD

 Disinhibition, %

23/40 (57.5)

7/10 (70.0)

4/13 (30.8)

0.062

 Apathy, %

27/42 (64.3)

6/10 (60.0)

9/13 (69.2)

0.685

 Loss of empathy, %

8/40 (20.0)

4/10 (40.0)

2/13 (15.4)

0.341

 Stereotyped/perseverative behavior, %

16/40 (40.0)

4/10 (40.0)

4/13 (30.8)

0.685

 Alterations in food preferences, %

10/40 (25.0)

2/10 (20.0)

2/13 (15.4)

1.000

 Executive deficits, %

23/40 (57.5)

5/10 (50.0)

10/13 (76.9)

0.378

 Speech disorders, %

23/29 (79.3)

9/11 (81.8)

12/15 (80.0)

1.000

Clinical features of prion diseases

 Cognitive dysfunction, %

38/41 (92.7)

10/10 (100)

15/15 (100)

1.000

 Parkinsonism, %

28/44 (63.7)

7/10 (70.0)

8/15 (53.3)

0.405

 Pyramidal signs, %

9/23 (39.1)

4/10 (40.0)

5/11 (45.4)

1.000

 Visual signs, %

5/21 (23.8)

1/10 (10.0)

4/10 (40.0)

0.303

 Mutism, %

14/39 (35.9)

5/10 (50.0)

5/15 (33.3)

0.405

 Seizure, %

8/31 (25.8)

1/10 (10.0)

3/15 (20.0)

0.626

 Cerebellar signs, %

7/31 (22.6)

2/10 (20.0)

3/15 (20.0)

1.000

 Myoclonus, %

9/40 (22.5)

4/10 (40.0)

2/15 (12.3)

0.175

Laboratory features

 PSWCs on EEG, %

0/29 (0)

0/10 (0)

0/8 (0)

1.000

 Positive CSF 14-3-3 protein, %

3/10 (30.0)

3/7 (42.9)

0/2 (0)

0.500

 Elevated CSF tau protein, %

6/10 (60.0)

4/7 (57.1)

1/2 (50.0)

1.000

 Positive RT-QuIC, %

2/3 (66.7)

1/2 (50.0)

1/1 (100.0)

1.000

 Frontotemporal atrophy, %

26/29 (89.7)

10/11 (90.9)

10/11 (90.9)

1.000

 Hyperintensity on MRI, %

6/24 (25.0)

3/10 (30.0)

1/10 (10.0)

0.582

 Frontotemporal hypoperfusion or hypometabolism, %

10/11 (90.9)

4/4 (100.0)

6/6 (100.0)

1.000

 Tau-positive pathology

5/6 (83.3)

1/1 (100.0)

2/2 (100.0)

1.000

  1. CJD, Creutzfeldt-Jakob disease; FTD, frontotemporal dementia; IQR, interquartile range; PRNP, prion protein gene; PSWCs, periodic sharp wave complexes; RT-QuIC, real-time quaking-induced conversion assay