{"id":1540,"date":"2022-08-22T18:47:57","date_gmt":"2022-08-22T16:47:57","guid":{"rendered":"https:\/\/neurologie-afradi.de\/?p=1540"},"modified":"2022-08-22T18:47:57","modified_gmt":"2022-08-22T16:47:57","slug":"frontotemporale-demenz","status":"publish","type":"post","link":"https:\/\/neurologie-afradi.de\/en\/frontotemporale-demenz\/","title":{"rendered":"Frontotemporale Demenz"},"content":{"rendered":"<section  class='av_textblock_section av-l74zpzuo-8fc7d8eee5bef1be736dbea70e0fe858'   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>*** Deutsch ***<\/p>\n<p>Frontotemporale Demenzen (FTDs) sind eine Gruppe von klinisch und neuropathologisch heterogenen neurodegenerativen Erkrankungen, die durch ausgepr\u00e4gte Ver\u00e4nderungen im Sozialverhalten und der Pers\u00f6nlichkeit oder Aphasie, begleitet von einer Degeneration des Frontal- und\/oder Temporallappens, gekennzeichnet sind.<\/p>\n<p>Einige Patienten mit FTD entwickeln auch ein begleitendes motorisches Syndrom wie Parkinsonismus oder Motoneuronerkrankung (MND).<\/p>\n<p>Die Verhaltensvariante FTD (bvFTD) ist der h\u00e4ufigste klinische Subtyp und macht etwa die H\u00e4lfte aller FTD-F\u00e4lle aus. Das Markenzeichen von bvFTD sind fortschreitende Ver\u00e4nderungen der Pers\u00f6nlichkeit und des Verhaltens in einem fr\u00fchen Stadium des Krankheitsverlaufs. Diese Verhaltenssymptome stellen eine signifikante und anhaltende Ver\u00e4nderung von der pr\u00e4morbiden Pers\u00f6nlichkeit dar.<\/p>\n<p>Der Krankheitsbeginn tritt normalerweise w\u00e4hrend der sechsten Dekade auf, wurde jedoch bereits in der zweiten Dekade und erst in der neunten beschrieben. Aufgrund ihrer \u00dcberschneidung mit psychiatrischen Erkrankungen gehen die Symptome bei bvFTD der korrekten Diagnose oft mehrere Jahre voraus. Enthemmung \u2013 Beispiele f\u00fcr Enthemmung oder sozial unangemessenes Verhalten sind das Ber\u00fchren oder K\u00fcssen von Fremden, \u00f6ffentliches Wasserlassen und Bl\u00e4hungen ohne Bedenken. Patienten k\u00f6nnen beleidigende Bemerkungen machen oder in die Privatsph\u00e4re anderer eindringen. Patienten mit FTD k\u00f6nnen Nutzungsverhalten zeigen, wie z. B. das Spielen mit Gegenst\u00e4nden in ihrer Umgebung oder das Mitnehmen pers\u00f6nlicher Gegenst\u00e4nde anderer. Apathie und Empathieverlust \u2013 Apathie manifestiert sich als Verlust des Interesses und\/oder der Motivation f\u00fcr Aktivit\u00e4ten und soziale Beziehungen. Die Patienten k\u00f6nnen sich weniger an Gespr\u00e4chen beteiligen und passiv werden. Apathie wird h\u00e4ufig mit Depressionen verwechselt, und Patienten werden oft fr\u00fch im Krankheitsverlauf an eine psychiatrische Behandlung \u00fcberwiesen.<\/p>\n<p>Wenn Patienten die Empathie verlieren, k\u00f6nnen die Angeh\u00f6rigen die Patienten als kalt oder gef\u00fchllos gegen\u00fcber den Emotionen anderer beschreiben. Die Degeneration der rechten orbitofrontalen und vorderen Schl\u00e4fenregion ist mit dem Verlust von Sympathie und Empathie verbunden. Hyperoralit\u00e4t \u2013 Hyperoralit\u00e4t und Ern\u00e4hrungsumstellungen \u00e4u\u00dfern sich in ver\u00e4nderten Lebensmittelpr\u00e4ferenzen, wie z. B. Hei\u00dfhunger auf Kohlenhydrate, insbesondere auf s\u00fc\u00dfe Speisen, und Essattacken. Erh\u00f6hter Konsum von Alkohol oder Tabak kann auftreten. Die Patienten k\u00f6nnen \u00fcber das S\u00e4ttigungsgef\u00fchl hinaus essen oder \u00fcberm\u00e4\u00dfige Mengen an Nahrung in den Mund nehmen, die nicht richtig gekaut werden kann. Sie k\u00f6nnen versuchen, ungenie\u00dfbare Gegenst\u00e4nde zu konsumieren. Dieses Verhalten korreliert mit der rechten orbitofrontalen, insul\u00e4ren, striatalen und hypothalamischen Degeneration. Zwanghafte Verhaltensweisen \u2013 Perseverative, stereotype oder zwanghafte ritualistische Verhaltensweisen umfassen stereotype Sprache, einfache sich wiederholende Bewegungen und komplexe ritualistische Verhaltensweisen wie Horten, Kontrollieren oder Putzen. Manche Patienten entwickeln neue Hobbys oder Interessen, insbesondere solche mit religi\u00f6sem Aspekt, denen sie obsessiv nachgehen. Andere Verhaltensweisen, die traditionell mit Zwangsst\u00f6rungen in Verbindung gebracht werden, wie H\u00e4ndewaschen und Keimphobien, fehlen im Allgemeinen. Patienten mit FTD k\u00f6nnen eine starre Pers\u00f6nlichkeit, starre Ern\u00e4hrungspr\u00e4ferenzen und Unflexibilit\u00e4t gegen\u00fcber \u00c4nderungen der Routine entwickeln.<\/p>\n<p>*** English***<\/p>\n<p>Frontotemporal dementias (FTDs) are a group of clinically and neuropathologically heterogeneous neurodegenerative disorders characterized by prominent changes in social behavior and personality or aphasia accompanied by degeneration of the frontal and\/or temporal lobes. Some patients with FTD also develop a concomitant motor syndrome such as parkinsonism or motor neuron disease (MND). FTD is one of the more common causes of early-onset dementia, with an average age of symptom onset in the sixth decade.<\/p>\n<p>Behavioral variant FTD (bvFTD) is the most common clinical subtype, comprising approximately half of all cases of FTD. The hallmark of bvFTD is progressive changes in personality and behavior early in the disease course. These behavioral symptoms represent a significant and persistent shift from the premorbid personality.<\/p>\n<p>Disease onset usually occurs during the sixth decade but has been reported as early as the second decade and as late as the ninth. Because of their overlap with psychiatric disorders, symptoms in bvFTD often precede the correct diagnosis by several years.<\/p>\n<p>Early behavioral changes of bvFTD include the following:<\/p>\n<ul>\n<li>Disinhibition \u2013 Examples of disinhibition or socially inappropriate behavior include touching or kissing strangers, public urination, and flatulence without concern. Patients may make offensive remarks or invade others&#8216; personal space. Patients with FTD may exhibit utilization behaviors, such as playing with objects in their surroundings or taking others&#8216; personal items.<\/li>\n<li>Apathy and loss of empathy \u2013 Apathy manifests as losing interest and\/or motivation for activities and social relationships. Patients may participate less in conversations and grow passive. Apathy is mistaken frequently for depression, and patients are often referred for psychiatric treatment early in the disease course. As patients lose empathy, caregivers may describe patients as cold or unfeeling towards others&#8216; emotions. Degeneration of right orbitofrontal and anterior temporal regions is associated with the loss of sympathy and empathy.<\/li>\n<\/ul>\n<ul>\n<li>Hyperorality \u2013 Hyperorality and dietary changes manifest as altered food preferences, such as carbohydrate cravings, particularly for sweet foods, and binge eating. Increased consumption of alcohol or tobacco may occur. Patients may eat beyond satiety or put excessive amounts of food in their mouths that cannot be chewed properly. They may attempt to consume inedible objects. This behavior correlates with right orbitofrontal, insular, striatal and hypothalamic degeneration.<\/li>\n<li>Compulsive behaviors \u2013 Perseverative, stereotyped, or compulsive ritualistic behaviors include stereotyped speech, simple repetitive movements, and complex ritualistic behaviors such as hoarding, checking, or cleaning. Some patients develop new hobbies or interests, particularly those with a religious aspect, which are pursued obsessively. Other behaviors traditionally associated with obsessive compulsive disorder, such as handwashing and germ phobias, are generally absent. Patients with FTD can develop a rigid personality, rigid food preferences, and inflexibility to changes in routine.<\/li>\n<\/ul>\n<p>*** \u0641\u0627\u0631\u0633\u06cc ***<\/p>\n<p>\u062f\u0645\u0627\u0646\u0633 \u0641\u0631\u0648\u0646\u062a\u0648\u062a\u0645\u067e\u0648\u0631\u0627\u0644 (FTDs) \u06af\u0631\u0648\u0647\u06cc \u0627\u0632 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u0639\u0635\u0628\u06cc \u0646\u0627\u0647\u0645\u06af\u0646 \u0627\u0632 \u0646\u0638\u0631 \u0628\u0627\u0644\u06cc\u0646\u06cc \u0648 \u0622\u0633\u06cc\u0628 \u0634\u0646\u0627\u0633\u06cc \u0639\u0635\u0628\u06cc \u0647\u0633\u062a\u0646\u062f \u06a9\u0647 \u0628\u0627 \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a \u0631\u0641\u062a\u0627\u0631\u06cc \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0648 \u0634\u062e\u0635\u06cc\u062a\u06cc \u0645\u0634\u062e\u0635 \u06cc\u0627 \u0627\u062e\u062a\u0644\u0627\u0644 \u06af\u0641\u062a\u0627\u0631\u06cc \u0647\u0645\u0631\u0627\u0647 \u0628\u0627 \u062f\u0698\u0646\u0631\u0627\u0633\u06cc\u0648\u0646 \u0644\u0648\u0628 \u067e\u06cc\u0634\u0627\u0646\u06cc \u0648\/\u06cc\u0627 \u06af\u06cc\u062c\u06af\u0627\u0647\u06cc \u0645\u0634\u062e\u0635 \u0645\u06cc \u0634\u0648\u0646\u062f.\u0628\u0631\u062e\u06cc \u0627\u0632 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 FTD \u0647\u0645\u0686\u0646\u06cc\u0646 \u062f\u0686\u0627\u0631 \u0633\u0646\u062f\u0631\u0645 \u062d\u0631\u06a9\u062a\u06cc \u0647\u0645\u0632\u0645\u0627\u0646 \u0645\u0627\u0646\u0646\u062f \u067e\u0627\u0631\u06a9\u06cc\u0646\u0633\u0648\u0646\u06cc\u0633\u0645 \u06cc\u0627 \u0628\u06cc\u0645\u0627\u0631\u06cc \u0646\u0648\u0631\u0648\u0646 \u062d\u0631\u06a9\u062a\u06cc (MND) \u0645\u06cc \u0634\u0648\u0646\u062f. \u0646\u0648\u0639 \u0631\u0641\u062a\u0627\u0631\u06cc FTD (bvFTD) \u0634\u0627\u06cc\u0639 \u062a\u0631\u06cc\u0646 \u0632\u06cc\u0631\u06af\u0631\u0648\u0647 \u0628\u0627\u0644\u06cc\u0646\u06cc \u0627\u0633\u062a \u06a9\u0647 \u062d\u062f\u0648\u062f \u0646\u06cc\u0645\u06cc \u0627\u0632 \u0645\u0648\u0627\u0631\u062f FTD \u0631\u0627 \u062a\u0634\u06a9\u06cc\u0644 \u0645\u06cc \u062f\u0647\u062f. \u0645\u0634\u062e\u0635\u0647 bvFTD \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a \u0634\u062e\u0635\u06cc\u062a\u06cc \u0648 \u0631\u0641\u062a\u0627\u0631\u06cc \u067e\u06cc\u0634\u0631\u0648\u0646\u062f\u0647 \u062f\u0631 \u0627\u0648\u0627\u06cc\u0644 \u062f\u0648\u0631\u0647 \u0628\u06cc\u0645\u0627\u0631\u06cc \u0627\u0633\u062a. \u0627\u06cc\u0646 \u0639\u0644\u0627\u0626\u0645 \u0631\u0641\u062a\u0627\u0631\u06cc \u0646\u0634\u0627\u0646 \u062f\u0647\u0646\u062f\u0647 \u06cc\u06a9 \u062a\u063a\u06cc\u06cc\u0631 \u0642\u0627\u0628\u0644 \u062a\u0648\u062c\u0647 \u0648 \u0645\u062f\u0627\u0648\u0645 \u062f\u0631 \u0634\u062e\u0635\u06cc\u062a \u067e\u06cc\u0634 \u0627\u0632 \u0628\u0631\u0648\u0632 \u0628\u06cc\u0645\u0627\u0631\u06cc \u0627\u0633\u062a. \u0634\u0631\u0648\u0639 \u0628\u06cc\u0645\u0627\u0631\u06cc \u0645\u0639\u0645\u0648\u0644\u0627\u064b \u062f\u0631 \u062f\u0647\u0647 \u0634\u0634\u0645 \u0627\u062a\u0641\u0627\u0642 \u0645\u06cc \u0627\u0641\u062a\u062f\u060c \u0627\u0645\u0627 \u0645\u0648\u0627\u0631\u062f\u06cc \u0646\u06cc\u0632 \u062f\u0631 \u0627\u0648\u0627\u06cc\u0644 \u062f\u0647\u0647 \u062f\u0648\u0645 \u0648 \u062a\u0627 \u0627\u0648\u0627\u062e\u0631 \u062f\u0647\u0647 \u0646\u0647\u0645 \u06af\u0632\u0627\u0631\u0634 \u0634\u062f\u0647 \u0627\u0633\u062a. \u0628\u0647 \u062f\u0644\u06cc\u0644 \u0647\u0645\u067e\u0648\u0634\u0627\u0646\u06cc \u0622\u0646 \u0628\u0627 \u0627\u062e\u062a\u0644\u0627\u0644\u0627\u062a \u0631\u0648\u0627\u0646\u067e\u0632\u0634\u06a9\u06cc\u060c \u0639\u0644\u0627\u0626\u0645 bvFTD \u0627\u063a\u0644\u0628 \u0686\u0646\u062f\u06cc\u0646 \u0633\u0627\u0644 \u0642\u0628\u0644 \u0627\u0632 \u062a\u0634\u062e\u06cc\u0635 \u0628\u06cc\u0645\u0627\u0631\u06cc \u060c \u0646\u0645\u0627\u06cc\u0627\u0646 \u0645\u06cc\u06af\u0631\u062f\u0646\u062f. \u0641\u0642\u062f\u0627\u0646 \u0628\u0627\u0632\u062f\u0627\u0631\u0646\u062f\u06af\u06cc\u2013 \u0646\u0645\u0648\u0646\u0647 \u0647\u0627\u06cc\u06cc \u0627\u0632 \u0639\u062f\u0645 \u0628\u0627\u0632\u062f\u0627\u0631\u0646\u062f\u06af\u06cc \u06cc\u0627 \u0631\u0641\u062a\u0627\u0631 \u0646\u0627\u0645\u0646\u0627\u0633\u0628 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0634\u0627\u0645\u0644 \u0644\u0645\u0633 \u06cc\u0627 \u0628\u0648\u0633\u06cc\u062f\u0646 \u063a\u0631\u06cc\u0628\u0647 \u0647\u0627\u060c \u0627\u062f\u0631\u0627\u0631 \u06a9\u0631\u062f\u0646 \u062f\u0631 \u062c\u0645\u0639 \u0648 \u06af\u0627\u0632 \u0628\u062f\u0648\u0646 \u0646\u06af\u0631\u0627\u0646\u06cc \u0627\u0633\u062a. \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0627\u0638\u0647\u0627\u0631\u0627\u062a \u062a\u0648\u0647\u06cc\u0646 \u0622\u0645\u06cc\u0632 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u0646\u062f \u06cc\u0627 \u0628\u0647 \u062d\u0631\u06cc\u0645 \u062e\u0635\u0648\u0635\u06cc \u062f\u06cc\u06af\u0631\u0627\u0646 \u062a\u062c\u0627\u0648\u0632 \u06a9\u0646\u0646\u062f. \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 FTD \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc \u0645\u0627\u0646\u0646\u062f \u0633\u0648 \u0627\u0633\u062a\u0641\u0627\u062f\u0647 \u0627\u0632 \u062e\u0648\u062f \u0631\u0627 \u0646\u0634\u0627\u0646 \u062f\u0647\u0646\u062f \u0645\u062b\u0644\u0627 \u0628\u0627\u0632\u06cc \u0628\u0627 \u0627\u0634\u06cc\u0627\u0621 \u0645\u0648\u062c\u0648\u062f \u062f\u0631 \u0645\u062d\u06cc\u0637 \u062e\u0648\u062f \u06cc\u0627 \u0628\u0631\u062f\u0646 \u0648\u0633\u0627\u06cc\u0644 \u0634\u062e\u0635\u06cc \u062f\u06cc\u06af\u0631\u0627\u0646. \u0628\u06cc \u062a\u0641\u0627\u0648\u062a\u06cc \u0648 \u0627\u0632 \u062f\u0633\u062a \u062f\u0627\u062f\u0646 \u0647\u0645\u062f\u0644\u06cc \u2013 \u0628\u06cc \u062a\u0641\u0627\u0648\u062a\u06cc \u0628\u0647 \u0635\u0648\u0631\u062a \u0627\u0632 \u062f\u0633\u062a \u062f\u0627\u062f\u0646 \u0639\u0644\u0627\u0642\u0647 \u0648\/\u06cc\u0627 \u0627\u0646\u06af\u06cc\u0632\u0647 \u0628\u0631\u0627\u06cc \u0641\u0639\u0627\u0644\u06cc\u062a \u0647\u0627 \u0648 \u0631\u0648\u0627\u0628\u0637 \u0627\u062c\u062a\u0645\u0627\u0639\u06cc \u0638\u0627\u0647\u0631 \u0645\u06cc \u0634\u0648\u062f. \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u06a9\u0645\u062a\u0631 \u0648\u0627\u0631\u062f \u0645\u06a9\u0627\u0644\u0645\u0647 \u0634\u0648\u0646\u062f \u0648 \u0645\u0646\u0641\u0639\u0644 \u0634\u0648\u0646\u062f. \u0628\u06cc \u062a\u0641\u0627\u0648\u062a\u06cc \u0627\u063a\u0644\u0628 \u0628\u0627 \u0627\u0641\u0633\u0631\u062f\u06af\u06cc \u0627\u0634\u062a\u0628\u0627\u0647 \u06af\u0631\u0641\u062a\u0647 \u0645\u06cc \u0634\u0648\u062f \u0648 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0627\u063a\u0644\u0628 \u062f\u0631 \u0627\u0648\u0627\u06cc\u0644 \u062f\u0648\u0631\u0647 \u0628\u06cc\u0645\u0627\u0631\u06cc \u0628\u0631\u0627\u06cc \u062f\u0631\u0645\u0627\u0646 \u0631\u0648\u0627\u0646\u067e\u0632\u0634\u06a9\u06cc \u0627\u0631\u062c\u0627\u0639 \u062f\u0627\u062f\u0647 \u0645\u06cc \u0634\u0648\u0646\u062f. \u0648\u0642\u062a\u06cc \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0627\u062d\u0633\u0627\u0633 \u0647\u0645\u062f\u0644\u06cc \u062e\u0648\u062f \u0631\u0627 \u0628\u0627 \u0633\u0627\u06cc\u0631\u06cc\u0646 \u0627\u0632 \u062f\u0633\u062a \u0645\u06cc \u062f\u0647\u0646\u062f\u060c \u0627\u0639\u0636\u0627\u06cc \u062e\u0627\u0646\u0648\u0627\u062f\u0647 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0628\u06cc\u0645\u0627\u0631 \u0631\u0627 \u0633\u0631\u062f \u06cc\u0627 \u0628\u06cc \u062a\u0648\u062c\u0647 \u0628\u0647 \u0627\u062d\u0633\u0627\u0633\u0627\u062a \u062f\u06cc\u06af\u0631\u0627\u0646 \u062a\u0648\u0635\u06cc\u0641 \u06a9\u0646\u0646\u062f. \u062a\u062d\u0644\u06cc\u0644 \u0646\u0627\u062d\u06cc\u0647 \u0627\u0648\u0631\u0628\u06cc\u062a\u0648\u0641\u0631\u0648\u0646\u062a\u0627\u0644 \u0631\u0627\u0633\u062a \u0648 \u06af\u06cc\u062c\u06af\u0627\u0647\u06cc \u0642\u062f\u0627\u0645\u06cc \u0628\u0627 \u0627\u0632 \u062f\u0633\u062a \u062f\u0627\u062f\u0646 \u0647\u0645\u062f\u0631\u062f\u06cc \u0648 \u0647\u0645\u062f\u0644\u06cc \u0647\u0645\u0631\u0627\u0647 \u0627\u0633\u062a. \u067e\u0631 \u062f\u0647\u0627\u0646\u06cc \u2013 \u067e\u0631 \u062f\u0647\u0627\u0646\u06cc \u0648 \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a \u0631\u0698\u06cc\u0645 \u063a\u0630\u0627\u06cc\u06cc \u062f\u0631 \u062a\u0631\u062c\u06cc\u062d\u0627\u062a \u063a\u0630\u0627\u06cc\u06cc \u062a\u063a\u06cc\u06cc\u0631 \u06cc\u0627\u0641\u062a\u0647 \u0645\u0646\u0639\u06a9\u0633 \u0645\u06cc \u0634\u0648\u062f\u060c \u0645\u0627\u0646\u0646\u062f \u0647\u0648\u0633 \u06a9\u0631\u0628\u0648\u0647\u06cc\u062f\u0631\u0627\u062a \u0628\u0647 \u062e\u0635\u0648\u0635 \u063a\u0630\u0627\u0647\u0627\u06cc \u0634\u06cc\u0631\u06cc\u0646 \u0648 \u067e\u0631\u062e\u0648\u0631\u06cc. \u0627\u0641\u0632\u0627\u06cc\u0634 \u0645\u0635\u0631\u0641 \u0627\u0644\u06a9\u0644 \u06cc\u0627 \u062a\u0646\u0628\u0627\u06a9\u0648 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0631\u062e \u062f\u0647\u062f. \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0628\u06cc\u0634 \u0627\u0632 \u062d\u062f \u063a\u0630\u0627 \u0628\u062e\u0648\u0631\u0646\u062f \u06cc\u0627 \u0645\u0642\u062f\u0627\u0631 \u0632\u06cc\u0627\u062f\u06cc \u063a\u0630\u0627 \u0631\u0627 \u062f\u0631 \u062f\u0647\u0627\u0646 \u062e\u0648\u062f \u0628\u06af\u0630\u0627\u0631\u0646\u062f \u06a9\u0647 \u0628\u0647 \u062f\u0631\u0633\u062a\u06cc \u062c\u0648\u06cc\u062f\u0647 \u0646\u0634\u0648\u062f. \u0645\u06cc \u062a\u0648\u0627\u0646\u06cc\u062f \u0633\u0639\u06cc \u06a9\u0646\u06cc\u062f \u0627\u0642\u0644\u0627\u0645 \u063a\u06cc\u0631 \u062e\u0648\u0631\u0627\u06a9\u06cc \u0645\u0635\u0631\u0641 \u06a9\u0646\u06cc\u062f. \u0627\u06cc\u0646 \u0631\u0641\u062a\u0627\u0631 \u0628\u0627 \u062f\u0698\u0646\u0631\u0627\u0633\u06cc\u0648\u0646 \u0627\u0648\u0631\u0628\u06cc\u062a\u0648\u0641\u0631\u0648\u0646\u062a\u0627\u0644 \u0631\u0627\u0633\u062a\u060c \u0645\u0646\u0632\u0648\u06cc\u060c \u0645\u062e\u0637\u0637 \u0648 \u0647\u06cc\u067e\u0648\u062a\u0627\u0644\u0627\u0645\u0648\u0633 \u0645\u0631\u062a\u0628\u0637 \u0627\u0633\u062a.\u00a0 \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc \u0627\u062c\u0628\u0627\u0631\u06cc &#8211; \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc \u062a\u0634\u0631\u06cc\u0641\u0627\u062a\u06cc \u0645\u062f\u0627\u0648\u0645\u060c \u06a9\u0644\u06cc\u0634\u0647 \u0627\u06cc \u06cc\u0627 \u0627\u062c\u0628\u0627\u0631\u06cc \u0634\u0627\u0645\u0644 \u0633\u062e\u0646\u0627\u0646 \u06a9\u0644\u06cc\u0634\u0647 \u0627\u06cc\u060c \u062d\u0631\u06a9\u0627\u062a \u062a\u06a9\u0631\u0627\u0631\u06cc \u0633\u0627\u062f\u0647 \u0648 \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc \u062a\u0634\u0631\u06cc\u0641\u0627\u062a\u06cc \u067e\u06cc\u0686\u06cc\u062f\u0647 \u0645\u0627\u0646\u0646\u062f \u0627\u062d\u062a\u06a9\u0627\u0631\u060c \u0686\u06a9 \u06a9\u0631\u062f\u0646 \u06cc\u0627 \u0648\u0633\u0648\u0627\u0633 \u062a\u0645\u06cc\u0632 \u06a9\u0631\u062f\u0646 \u0627\u0633\u062a. \u0628\u0631\u062e\u06cc \u0627\u0632 \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0633\u0631\u06af\u0631\u0645\u06cc \u0647\u0627 \u06cc\u0627 \u0639\u0644\u0627\u06cc\u0642 \u062c\u062f\u06cc\u062f\u06cc \u067e\u06cc\u062f\u0627 \u0645\u06cc \u06a9\u0646\u0646\u062f\u060c \u0628\u0647 \u0648\u06cc\u0698\u0647 \u0622\u0646\u0647\u0627\u06cc\u06cc \u06a9\u0647 \u062c\u0646\u0628\u0647 \u0645\u0630\u0647\u0628\u06cc \u062f\u0627\u0631\u0646\u062f \u0631\u0627 \u0628\u0627 \u0648\u0633\u0648\u0627\u0633 \u062f\u0646\u0628\u0627\u0644 \u0645\u06cc \u06a9\u0646\u0646\u062f. \u0633\u0627\u06cc\u0631 \u0631\u0641\u062a\u0627\u0631\u0647\u0627\u06cc\u06cc \u06a9\u0647 \u0628\u0647 \u0637\u0648\u0631 \u0633\u0646\u062a\u06cc \u0628\u0627 OCD \u0645\u0631\u062a\u0628\u0637 \u0647\u0633\u062a\u0646\u062f\u060c \u0645\u0627\u0646\u0646\u062f \u0634\u0633\u062a\u0646 \u062f\u0633\u062a \u0647\u0627 \u0648 \u0641\u0648\u0628\u06cc\u0627\u06cc \u0645\u06cc\u06a9\u0631\u0648\u0628\u060c \u0628\u0647 \u0637\u0648\u0631 \u06a9\u0644\u06cc \u0648\u062c\u0648\u062f \u0646\u062f\u0627\u0631\u0646\u062f. \u0628\u06cc\u0645\u0627\u0631\u0627\u0646 \u0645\u0628\u062a\u0644\u0627 \u0628\u0647 FTD \u0645\u0645\u06a9\u0646 \u0627\u0633\u062a \u0634\u062e\u0635\u06cc\u062a\u06cc \u0633\u0641\u062a \u0648 \u0633\u062e\u062a\u060c \u062a\u0631\u062c\u06cc\u062d\u0627\u062a \u063a\u0630\u0627\u06cc\u06cc \u0627\u0646\u0639\u0637\u0627\u0641 \u0646\u0627\u067e\u0630\u06cc\u0631\u06cc \u0646\u0633\u0628\u062a \u0628\u0647 \u062a\u063a\u06cc\u06cc\u0631\u0627\u062a \u0631\u0648\u062a\u06cc\u0646 \u062f\u0627\u0634\u062a\u0647 \u0628\u0627\u0634\u0646\u062f.<\/p>\n<\/div><\/section>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[],"class_list":["post-1540","post","type-post","status-publish","format-standard","hentry","category-informativ"],"_links":{"self":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/posts\/1540","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/comments?post=1540"}],"version-history":[{"count":0,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/posts\/1540\/revisions"}],"wp:attachment":[{"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/media?parent=1540"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/categories?post=1540"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurologie-afradi.de\/en\/wp-json\/wp\/v2\/tags?post=1540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}