TY - JOUR EP - 1044 AV - public Y1 - 2017/12/01/ TI - Genetic screening in sporadic ALS and FTD KW - ALS KW - C9ORF KW - FRONTOTEMPORAL DEMENTIA KW - GENETICS ID - discovery1564668 N2 - The increasing complexity of the genetic landscape in amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) presents a significant resource and physician training challenge. At least 10% of those diagnosed with ALS or FTD are known to carry an autosomal dominant genetic mutation. There is no consensus on what constitutes a positive family history, and ascertainment is unreliable for many reasons. However, symptomatic individuals often wish to understand as much as possible about the cause of their disease, and to share this knowledge with their family. While the right of an individual not to know is a key aspect of patient autonomy, and despite the absence of definitive therapy, many newly diagnosed individuals are likely to elect for genetic testing if offered. It is incumbent on the practitioner to ensure that they are adequately informed, counselled and supported in this decision. N1 - This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ IS - 12 VL - 88 SP - 1042 A1 - Turner, MR A1 - Al-Chalabi, A A1 - Chio, A A1 - Hardiman, O A1 - Kiernan, MC A1 - Rohrer, JD A1 - Rowe, J A1 - Seeley, W A1 - Talbot, K JF - Journal of Neurology, Neurosurgery & Psychiatry SN - 1468-330X UR - http://doi.org/10.1136/jnnp-2017-315995 ER -