Frontotemporal dementia: right temporal variant
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.
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Global atrophy with frontotemporal predilection. No occipital atrophy. Significant more right temporal then left temporal atrophy.
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.
- lez-Caballero, G.G., Abellán-Miralles, I. & Sáenz-Sanjuan, M.J., 2015. Right temporal lobe variant of frontotemporal dementia. Journal of Clinical Neuroscience, 22(7), pp.1139–1143.