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Delusions and Hallucinations as First Symptoms of Frontotemporal Dementia: A Case Report of a 48-Year Old Male

Published online by Cambridge University Press:  16 April 2020

R. Malta ,
C. Torres ,
T. Faria  and
S. Almeida
R. Malta
Affiliation:
Department of Psychiatry, St John's Hospital, University of Oporto, Oporto, Portugal
C. Torres
Affiliation:
Department of Psychiatry, St John's Hospital, University of Oporto, Oporto, Portugal
T. Faria
Affiliation:
St John's Hospital, University of Oporto, Oporto, Portugal
S. Almeida
Affiliation:
Department of Psychiatry, St John's Hospital, University of Oporto, Oporto, Portugal

Abstract

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Frontotemporal dementia (FTD) generally has a presenile onset, behavioral manifestations dominate the clinical picture during which cognitive functions are still relatively intact. Therefore, particularly in the early stages of FTD it is difficult to differentiate this type of dementia from other types of dementia and psychiatric disorders.

Although most patients with frontotemporal dementia (FTD) present with neuropsychiatric symptoms, the frequency of psychotic symptoms, assumed to be rare, is still unclear possibly due to limited temporal-limbic involvement in this disorder. We report the case of a 48-year old man admitted in a psychiatric ward with delusions and hallucinations.

Significant behavior impairment was present related to social isolation and personality changes. Structural and functional neuroimaging methods disclosed asymmetric frontal and bitemporal damage, mainly on the left. Differential diagnosis consisted of psychotic disorders as well as one of the subtypes of the frontotemporal lobar degeneration group.

Type
P01-96
Information
European Psychiatry , Volume 24 , Issue S1: 17th EPA Congress - Lisbon, Portugal, January 2009, Abstract book , January 2009 , 24-E484
Copyright
Copyright © European Psychiatric Association 2009
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