Here is some basic info:
http://www.brain.northwestern.edu/mdad/frontal.html
Essentially, its a progressive dementia, and didn't used to be
differentiated from AD by most doctors, but needs to be, since the
drugs used to treat AD can actually make it worse. Frontal lobe
dementia is the name given to any dementia caused by damage to that
part of the brain - a common type is called Pick's disease.
Since the frontal lobe is the part of the brain that governs mood,
behaviour, judgement and self control, you can imagine what the
symptoms look like. Rather than memory issues, the first signs are more
often alterations in personality and behaviour, changes in the way a
person feels and expresses emotion, and loss of judgement.
It often hits people in middle age, who suddenly start behaving in
strange ways - becoming rude and insensitive, uninhibited, obsessive.
They also have language problems early in the game. The personality
changes can really be bewildering - the person seems cognitively
intact, but starts doing socially inappropriate things, like making
rude comments in public, being overtly sexual, playing practical jokes,
being totally uninhibited (scratching, disrobing). They tend to have
language problems early and also tend to put things in their mouth a
lot, and can get into eating obsessively (plus eating strange things).
And...they are often roamers.
So, its a different behaviour profile. They tend not to have the memory
and reasoning problems until later in the game - although the fact that
they SEEM with it can make their strange behaviour really hard to
fathom. They also tend not to have the muscular coordination problems
as early.
In the end, they arrive at the same place as someone with end stage AD.
I think it would be really hard to deal with i.e. your formerly kind
and reasonable 55 year old spouse who SEEMS normal in terms of memory
and mental abilities suddenly starts acting like a jerk, gets fired
from his job for grabbing the secretary and being rude at meetings,
starts drinking and eating obsessively etc.
Its often mistaken for mental illness in the early stages for obvious
reasons.
Mary G.
Songbird - 24 Aug 2005 16:08 GMT
> I think it would be really hard to deal with i.e. your formerly kind
> and reasonable 55 year old spouse who SEEMS normal in terms of memory
> and mental abilities suddenly starts acting like a jerk, gets fired
> from his job for grabbing the secretary and being rude at meetings,
> starts drinking and eating obsessively etc.
We had a well-known case of that locally. A well-respected high school
principal who was unfailingly courteous and respectful to women started
making filthy comments, being abusive to students and actually ended up with
some sexual harassment suits. He was allowed to "retire" early out of
respect to his long and illustrious record. His wife kept saying something
had to be wrong, and it turned out she was right. He was finally diagnosed
with Pick's disease about six months later. It was quite sad for everyone.
Once he was to the point that he was in AL and past personal embarassment,
his family went public with the diagnosis in an effort to have others
understand. He became the AL's most-visited resident, and his funeral three
years later was packed with people who were willing to look past the disease
and remember his legacy.
Songbird
Evelyn Ruut - 24 Aug 2005 16:09 GMT
>> I think it would be really hard to deal with i.e. your formerly kind
>> and reasonable 55 year old spouse who SEEMS normal in terms of memory
[quoted text clipped - 16 lines]
>
> Songbird
Songbird, that is a wonderful story.
My daughter is visiting right now with her family (for my son's wedding
which will be on Sunday) and we were looking through photos of Ida,
remembering the beautifully clean house she had, with all the lovely meals
she made. It was a good memory, and it refreshed us not to be thinking of
all the sorrows we had when she got sick.
I have always said to those whose loved ones have passed on, that I hoped
their best memories would sustain them. I need to remember those good
times when she was at her best, myself. Looking at those old photos was a
good trip down memory lane!
How are things going with your parents? Did you end up going with them to
their respective medical appointments?

Signature
Best Regards,
Evelyn
(to reply to me personally, remove 'sox')