![]() Other conditions with similar features that must be considered include: With progression, they will demonstrate perseveration: following the same routine or using the same words when questioned. Their emotional responsiveness to others undergoes a decline, and they may display apathy toward their loved ones. ![]() This variant is characterized by a gradual regression and disinhibition of complex social and personal behavior including lewd acts (i.e., public urination), impulsive actions (i.e., reckless spending), and reprehensible language. Of the three variants, bvFTD is the most common and by far the most serious . It is a group of conditions encompassing a few distinct entities, namely, behavioral variant FTD (bvFTD) which involve deficits in emotional expression and social skills, semantic variant primary progressive aphasia (svPPA) is characterized by deficits in conceptual learning and identification, and nonfluent variant progressive primary aphasia which involves specific deficit targeting words and word output. Furthermore, the report showcases the handful of conditions that FTD can be misdiagnosed and discusses the thorough clinical/psychological examination and investigations to be done to arrive at FTD.įrontotemporal dementia (FTD) manifests as a gradual devolution of higher functions, particularly language and or social behaviors, with onset as young as 30, although there is a considerable increase in the number of cases after the age of 50 . Apart from the gradual decline of his cognitive function, the patient had multiple clinical encounters, during which he was misdiagnosed with schizophrenia. ![]() The following case describes the clinical course of a 50-year-old male with a recent history of sporadic visual and auditory hallucinations, followed by a gradual decline in cognitive function including declining memory, apathy and behavioral disinhibition, and social functioning, which are suggestive of FTD-type. Its presence offers a unique challenge to physicians trying to detect cognitive deficits, as it not only arises in middle age but also can be misdiagnosed as a primary psychiatric disorder. Frontotemporal dementia (FTD) is the most common cause of neurocognitive decline, second to Alzheimer’s disease (AD) and Lewy body dementia. ![]()
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