TY - JOUR T1 - CHaracterization of a family with c9ftd/als associated with the ggggcc repeat expansion in c9orf72 AU - Savica R, Adeli A, Vemuri P, et al Y1 - 2012/09/01 N1 - 10.1001/archneurol.2012.772 JO - Archives of Neurology SP - 1164 EP - 1169 VL - 69 IS - 9 N2 - Background  The hexanucleotide repeat in the chromosome 9 open reading frame 72 (C9ORF72) gene was recently discovered as the underlying genetic cause of many families with frontotemporal dementia (FTD) and/or amyotrophic lateral sclerosis (ALS) linked to chromosome 9 (c9FTD/ALS). We report the clinical, neuropsychologic, and neuroimaging findings of a family with the C9ORF72 mutation and clinical diagnoses bridging the FTD, parkinsonism, and ALS spectrum.Objective  To characterize the antemortem characteristics of a family with c9FTD/ALS associated with the GGGGCC repeat expansion in C9ORF72.Design  Clinical series.Setting  Tertiary care academic medical center.Patients  The members of a family affected by the mutation with features of FTD and/or ALS.Main Outcome Measures  Clinical, neuropsychologic, and neuroimaging assessments.Results  All 3 examined subjects had the hexanucleotide expansion detected in C9ORF72. All had personality/behavioral changes early in the course of the disease. One case had levodopa-unresponsive parkinsonism, and 1 had ALS. Magnetic resonance imaging showed symmetric bilateral frontal, temporal, insular, and cingulate atrophy.Conclusions  This report highlights the clinical and neuroimaging characteristics of a family with c9FTD/ALS. Further studies are needed to better understand the phenotypical variability and the cliniconeuroimaging-neuropathologic correlations. SN - 0003-9942 M3 - doi: 10.1001/archneurol.2012.772 UR - http://dx.doi.org/10.1001/archneurol.2012.772 ER -