Institute of Cognitive Neurology INECO, Buenos Aires, Argentina.
Int Rev Psychiatry. 2013 Apr;25(2):159-67. doi: 10.3109/09540261.2013.769939.
Several factors make diagnosis of a possible behavioural variant of frontotemporal dementia (bvFTD) particularly challenging, especially the overlap of certain symptomatic dimensions such as apathy, disinhibition, depression, anhedonia, stereotyped behaviour, and psychosis between bvFTD and several psychiatric disorders that appear in late adulthood. We discuss the most frequent psychiatric conditions that can simulate early bvFTD symptoms, including late onset bipolar disorder, late onset schizophrenia-like psychosis, late onset depression, and attention deficit hyperactivity disorder in middle and older age.
有几个因素使得可能的额颞叶痴呆(bvFTD)行为变异型的诊断极具挑战性,尤其是 bvFTD 与某些在晚年出现的精神障碍之间存在某些症状维度(如冷漠、失抑制、抑郁、快感缺失、刻板行为和精神病)的重叠,使得这种情况更为复杂。我们讨论了最常见的可以模拟早期 bvFTD 症状的精神疾病,包括中老年起病的双相情感障碍、中老年起病的类似精神分裂症的精神病、中老年起病的抑郁症和注意缺陷多动障碍。