Frontotemporal dementia

Case contributed by Dr Chee Kok Yoon

Presentation

62 years old Chinese female, presented with 12 years history of involuntary movements (dystonia and dyskinesia) of the neck and peri-oral region, with emergence of delusion 2 years after the onset of involuntary movements. Associated with anxiety symptoms. Delusion resistant antipsychotic medications. Neurocognitive assessment persistently showed severe impairment of executive function, memory and visuoconstructional ability. Language impairment not severe but family noticed a change in quality. No family history. History also suggestive of a change in dietary preference.

Patient Data

Age: 62-year-old
Gender: Female

MRI Brain

Modality: MRI

Bilateral frontotemporal atrophy

Case Discussion

PET Scan was performed and supportive of FTD. Further history revealed the tardive dystonia and dyskinesia were antipsychotic-induced. Schizophrenia was a wrong diagnosis.

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Case Information

rID: 19528
Case created: 20th Sep 2012
Last edited: 12th Nov 2015
Inclusion in quiz mode: Included

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