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Living with Frontotemporal dementia and/or amyotrophic lateral sclerosis 1

A rare brain and nerve condition caused by changes in the C9ORF72 gene, which can cause dementia, ALS, or both, starting in adulthood.

Understanding Frontotemporal dementia and/or amyotrophic lateral sclerosis 1

Frontotemporal dementia and/or amyotrophic lateral sclerosis 1 (FTDALS1) is a rare neurodegenerative disease caused by changes in the C9ORF72 gene.

It can show as frontotemporal dementia (FTD), as amyotrophic lateral sclerosis (ALS), or both. FTD symptoms include changes in personality, behavior, and judgment, trouble communicating, and sometimes hallucinations or delusions. ALS symptoms include abnormal muscle tone, muscle twitches and cramps, trouble walking, and problems with swallowing and speech. Symptoms start in adulthood and vary widely, even within a family.

Signs & symptoms

GARD lists these among the less common findings, and we don't have enough information about how common they are:

  • Changes in personality and behavior
  • Trouble communicating
  • Muscle twitches and cramps
  • Trouble walking
  • Problems with swallowing and speech
  • Hallucinations or delusions

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    ALS Association and The Association for Frontotemporal Degeneration may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: ALS Association, The Association for Frontotemporal Degeneration
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with ALS Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should I have genetic testing for the C9ORF72 gene?
Which specialists can help with both thinking and movement symptoms?
What does this mean for my relatives?

Quick facts

InheritanceAutosomal Dominant

It is caused by a repeat expansion in the C9ORF72 gene, in which a six-letter piece of DNA repeats many more times than usual. It is autosomal dominant, which means most people inherit it from one parent.

Also known as: alsftd; amyotrophic lateral sclerosis and/or frontotemporal dementia; c9orf72 frontotemporal dementia with motor neuron disease; frontotemporal dementia and/or amyotrophic lateral sclerosis type 1; frontotemporal dementia and/or motor neuron disease; frontotemporal dementia with motor neuron disease 1

Patient organizations

Source: NIH GARD · Frontotemporal dementia and/or amyotrophic lateral sclerosis 1GARD ID 18396 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Frontotemporal dementia and/or amyotrophic lateral sclerosis 1.

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