Behavioral variant frontotemporal dementia

Case contributed by Charlie Chia-Tsong Hsu , 8 Dec 2013
Diagnosis almost certain
Changed by Mostafa Elfeky, 27 Oct 2021
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Updates to Case Attributes

Age changed from 50 to 50 years.

Tags changed:

  • legacy case
  • legacy

Updates to Study Attributes

Findings was changed:

Sagittal T1 and axial T2/FLAIR images demonstrate striking right frontal lobe atrophy with the characteristic "Knife blade" configuration of the frontal gyri. 

Coronal T2 images best demonstrate the right temporal atrophy with widening of the right Sylvian fissure and collateral sulcus and thinning of the superior/middle and inferior temporal gyri. It is also useful to comparedcompare the greater degree of frontal horn dilatation compared to the temporal horn implying greater frontal regional atrophy compared to the medial temporal lobe. 

A degree of hippocampi atrophy areis present but the overwhelming pattern is the asymmetric right frontotemporal lobe atrophy. 

Updates to Study Attributes

Findings was changed:

Axial Technetium-99-labelledTc-99m HMPAO labelled WBC SPECT images images demonstrate marked reduction in cerebral blood flow in the right frontal and temporal lobes. Functional HMPAO SPECT confirmed the morphological pattern of atrophy observed on the concurrent MRI examination. 

Updates to Freetext Attributes

Description was added:

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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