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Dementia Can Begin With Language, Behavior and Orientation Changes
Early signs can include trouble with language, orientation and daily tasks, and about 25% of Alzheimer’s cases begin with atypical symptoms, clinicians say.
Dementia does not always begin with memory loss; Frontotemporal Dementia often presents first through behavioral or personality changes rather than the cognitive decline typical of Alzheimer's disease.
FTD is the most common form of early-onset dementia, typically affecting people aged 45 to 64; it often starts in the frontal lobe, which governs behavior, social interaction, and planning.
Because early symptoms like compulsive behaviors are often misread as psychiatric issues, it takes an average of three to four years to receive an FTD diagnosis, Brad Dickerson, neurologist, said.
Genetic mutations drive FTD in roughly 20 percent of cases, with a 50 percent chance of inheriting the condition if a mutation is present, though exercise may help delay symptoms.
While recent years brought a revolution in Alzheimer's treatment with medications lecanemab and donanemab, there is currently no cure for FTD, creating a significant disparity in available medical options.