Clinical spectrum of frontotemporal dementia: schizophrenia-like symptoms and amyotrophic lateral sclerosis (family case study)

E. Mendelevich
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Abstract

Frontotemporal dementia is a heterogeneous pathology with various clinical, histological, and genetic variants. The behavioral variant of frontotemporal dementia (bvFTD) in some cases presents differential diagnostic difficulties when distinguishing from primary mental disorders. The article provides an observation of patient K., who was observed at the initial stage of the disease with a diagnosis of schizophrenia. The comparison of psychopathological and behavioral symptoms with the presence of a family history of amyotrophic lateral sclerosis (ALS) served as a turning point to a different interpretation of the pathology and recognition and confirmation of the “definite diagnosis” — bvFTD.
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额颞叶痴呆症的临床表现:精神分裂症样症状和肌萎缩侧索硬化症(家庭病例研究)
额颞叶痴呆是一种异质性病理,有各种临床、组织学和遗传变异。在某些情况下,额颞叶痴呆的行为变异型(bvFTD)在与原发性精神障碍相鉴别时会带来鉴别诊断上的困难。文章对患者K.进行了观察,他在疾病初期被诊断为精神分裂症。精神病理和行为症状与肌萎缩性脊髓侧索硬化症(ALS)家族病史的比较,成为对病理做出不同解释的转折点,也是识别和确认 "明确诊断"--bvFTD--的转折点。
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