Rapidly progressive behavioural changes in 39 y.o. patient

Frontotemporal dementia (FTD) provides group of neurodegenerative disorders of frontal and/or temporal brain lobes. These areas are responsible for complex cognitive functions. FTD occurs in population with a frequency of approximately 15/100,000. It is one of the more common causes of early-onset dementia, with an average age of symptom onset in the sixth decade. There are three distinct variants of FTD (1) behavioral variant of frontotemporal dementia (bvFTD), (2) progressive nonfluent aphasia (PA) and (3) semantic dementia (SD). Due to its heterogeneity, it is a challenge to make a right diagnosis. Case report: A well-functioning 39-year-old man in a short period of time began to show rapidly progressing behavior changes. Disturbing symptoms were dominated by: general apathy, difficulty with social interactions impulsive behavior, incomprehensible/ inadequate aggression towards family members and binge eating. The man was admitted to the hospital and underwent a thorough diagnostic process to determine the cause of progressive behavioral changes. After rule out other conditions or diseases, based on the characteristic changes in imaging scans, frontotemporal dementia was diagnosed. The data obtained come from the physical examination, subjective examination and the medical history of the patient treated in Klinika Neurologii Klinicznego Szpitala Wojewódzkiego No 2 in Rzeszów. Presented case shows the importance of taking into account frontotemporal dementia in the diagnostic process of progressive behavioral changes also in patients in the age group in which this disease entity is not typical.

Biography :

Joanna Wi�?niewska is studying at Collegium Medicum University of Rzeszow. He is an Neurology Scientific Circle assistant professor.

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