Understanding Frontal Network Impairment Referrals

A review of referrals to the Eastern Cognitive Disorders Clinic over nine years revealed that a significant number of patients presented with frontal network impairment, which often raises the concern of frontotemporal dementia (FTD). Out of 611 total referrals, approximately 161 were related to frontal behavioral changes, with various diagnoses ultimately surfaced. Notably, only about a quarter of those referred with suspected FTD actually received a diagnosis of behavioral variant FTD, while nearly half were diagnosed with other forms of FTD or primary psychiatric disorders. This highlights the complexities of diagnosis, as behavioral changes can stem from various neurodegenerative and psychiatric conditions, necessitating a careful and comprehensive evaluation process to guide appropriate interventions.