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[A case of schizophreniform disorder in frontotemporal dementia (FTD)].
Psychiatr Prax. 2003 May; 30 Suppl 2:S78-82.PP

Abstract

The concept of frontotemporal lobar degeneration comprises a heterogenous group of cortical dementias, including frontotemporal dementia, as the major clinical variant. Because of their highly variable clinical presentation, to establish the diagnosis of frontotemporal dementia could be a diagnostic challenge for the clinician. Here we report a 53 years old caucasian male patient who was admitted for hospitalization due to acute severe schizophrenia-like symptoms. The leading symptomatology comprised acoustic and bizarre optical hallucinations with euphoria and self-overestimation. Remission of the psychotic symptoms demasked the clinical picture of a rapidly progressive frontotemporal dementia with marked apathy, indifference, emotional blunting, loss of insight, change of personality and typical cognitive impairment. The diagnosis was supported by the results of cerebral MRI and FDG-18 PET. This first clinical manifestation of a schizophrenia-like syndrome in the 6th life decade implicates frontotemporal dementia as an important differential diagnosis of schizophrenic disorders in late life. In addition of basically thinking about frontotemporal dementia, a detailed medical history, cognitive testing, neuroimaging and eventually the evaluation of the further disease course are necessary to establish a diagnosis of frontotemporal dementia.

Authors+Show Affiliations

Reischle E
Klinik und Poliklinik für Psychiatrie und Psychotherapie der Universität Regensburg, Institut für Neuroradiologie am Bezirksklinikum Regensburg.
Sturm K
No affiliation info available
Schuierer G
No affiliation info available
Ibach B
No affiliation info available

MeSH

Acute DiseaseAtrophyDementiaDiagnosis, DifferentialFrontal LobeHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsPsychotic DisordersTemporal LobeTomography, Emission-Computed

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

14509045

Citation

Reischle, Ekkehard, et al. "[A Case of Schizophreniform Disorder in Frontotemporal Dementia (FTD)]." Psychiatrische Praxis, vol. 30 Suppl 2, 2003, pp. S78-82.
Reischle E, Sturm K, Schuierer G, et al. [A case of schizophreniform disorder in frontotemporal dementia (FTD)]. Psychiatr Prax. 2003;30 Suppl 2:S78-82.
Reischle, E., Sturm, K., Schuierer, G., & Ibach, B. (2003). [A case of schizophreniform disorder in frontotemporal dementia (FTD)]. Psychiatrische Praxis, 30 Suppl 2, S78-82.
Reischle E, et al. [A Case of Schizophreniform Disorder in Frontotemporal Dementia (FTD)]. Psychiatr Prax. 2003;30 Suppl 2:S78-82. PubMed PMID: 14509045.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of schizophreniform disorder in frontotemporal dementia (FTD)]. AU - Reischle,Ekkehard, AU - Sturm,Kornelia, AU - Schuierer,Gerhard, AU - Ibach,Bernd, PY - 2003/9/26/pubmed PY - 2004/2/18/medline PY - 2003/9/26/entrez SP - S78 EP - 82 JF - Psychiatrische Praxis JO - Psychiatr Prax VL - 30 Suppl 2 N2 - The concept of frontotemporal lobar degeneration comprises a heterogenous group of cortical dementias, including frontotemporal dementia, as the major clinical variant. Because of their highly variable clinical presentation, to establish the diagnosis of frontotemporal dementia could be a diagnostic challenge for the clinician. Here we report a 53 years old caucasian male patient who was admitted for hospitalization due to acute severe schizophrenia-like symptoms. The leading symptomatology comprised acoustic and bizarre optical hallucinations with euphoria and self-overestimation. Remission of the psychotic symptoms demasked the clinical picture of a rapidly progressive frontotemporal dementia with marked apathy, indifference, emotional blunting, loss of insight, change of personality and typical cognitive impairment. The diagnosis was supported by the results of cerebral MRI and FDG-18 PET. This first clinical manifestation of a schizophrenia-like syndrome in the 6th life decade implicates frontotemporal dementia as an important differential diagnosis of schizophrenic disorders in late life. In addition of basically thinking about frontotemporal dementia, a detailed medical history, cognitive testing, neuroimaging and eventually the evaluation of the further disease course are necessary to establish a diagnosis of frontotemporal dementia. SN - 0303-4259 UR - https://www.unboundmedicine.com/medline/citation/14509045/[A_case_of_schizophreniform_disorder_in_frontotemporal_dementia__FTD_]_ DB - PRIME DP - Unbound Medicine ER -