Clinical analysis of neuropsychological and behavioral symptoms in a patient of frontal variant Alzheimer disease
10.3760/cma.j.cn101721-20210602-00030
- VernacularTitle:一例额叶变异型阿尔茨海默病患者神经心理学和行为症状的临床分析
- Author:
Pan LI
1
;
Wei QUAN
;
Huihong ZHANG
;
Yuying ZHOU
Author Information
1. 南开大学附属环湖医院 天津大学环湖医院神经内科 300350
- Keywords:
Alzheimer disease;
Frontal variant Alzheimer disease;
Executive dysfunction;
Behavioral disturbance;
Multimodal neuroimaging
- From:
Clinical Medicine of China
2021;37(5):453-457
- CountryChina
- Language:Chinese
-
Abstract:
Although the neuropathologic changes and diagnostic criteria for the neurodegenerative disorder Alzheimer′s diseasehave been established, the clinical symptoms are very different largely.The clinical symptoms of its special type frontal lobe variant and behavioral variant frontotemporal dementia are very similar, which brings great challenges to the differential diagnosis.Therefore, we report a patient with progressive cognitive impairment, early significant executive dysfunction and abnormal behavior, and magnetic resonance imaging showed significant frontotemporal atrophy.It is easy to be misdiagnosed as behavioral variant frontotemporal dementia.However, multimodal functional neuroimaging results show that neuropathological changes are more likely to be frontal variant Alzheimer′s disease.This study shows that the use of detailed neuropsychological tests, biological markers and multimodal neuroimaging to identify these atypical syndromes will help to improve the accuracy of diagnosis and patient management.
