Frontotemporal dementia: right temporal variant

Case contributed by Dr Chee Kok Yoon

Presentation

12 month history of progressive memory impairment associated with disinhibition, change in social conduct with inappropriate behaviour, perseveration, impulsive, lack of insight and unable to recognise and distinguish speaking tone of people. Very poor result in Cambridge Face Memory Test. NuCOG significant impairment in memory; relative preserved executive function.

Patient Data

Age: 56
Gender: Female

Global atrophy with frontotemporal predilection. No occipital atrophy. Significant more right temporal then left temporal atrophy. 

Case Discussion

56 years old female who presented with both personality/behaviour change consistent with frontotemporal dementia of behavioural variant, but at the same time also has significant memory impairment evidenced by objective cognitive assessment. Classically behavioural variant of FTD does not have significant memory impairment and less so temporal lobe atrophy. Right temporal variant of FTD is consistent with the clinical finding and MRI appearance.

PlayAdd to Share

Case information

rID: 43542
Case created: 15th Mar 2016
Last edited: 20th Aug 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.