Prado Catarina Sodré de Castro, Lopes Pedro Maranhão Gomes, Moll Jorge, DeSalles Antonio, de Oliveira-Souza Ricardo
Department of Neurology, Gaffrée e Guinle University Hospital, the Federal University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Division of Clinical and Experimental Neurology, The D'Or Institute for Research & Education (Idor), Rio de Janeiro, RJ, Brazil.
Neurocase. 2021 Apr;27(2):129-137. doi: 10.1080/13554794.2021.1886310. Epub 2021 Apr 15.
A 65-year-old right-handed man gradually became socially indifferent and less active. Four years later, he was indicted for molesting children on multiple occasions. Psychomotor slowness and executive impairment contrasted with sparing of language, semantic memory, visuospatial perception, construction praxis, and right-left orientation. Neuroimaging showed asymmetric atrophy of dorsomedial frontal and anterior temporal lobes, and hypoperfusion of medial prefrontal cortex consistent with a diagnosis of behavioral variant of frontotemporal dementia. Further information revealed that the patient exhibited pedophilic behavior several years prior to symptom onset. We conclude that preexisting developmental pedophilia was "unmasked" by the underlying progressive frontotemporal degeneration.
一名65岁的右利手男性逐渐变得对社交冷漠且活动减少。四年后，他因多次猥亵儿童而被起诉。精神运动迟缓及执行功能障碍与语言、语义记忆、视觉空间感知、结构运用及左右定向功能保留形成对比。神经影像学显示背内侧额叶和颞叶前部不对称萎缩，内侧前额叶皮质灌注不足，符合行为变异型额颞叶痴呆的诊断。进一步信息显示，该患者在症状出现前数年就表现出恋童癖行为。我们得出结论，潜在的进行性额颞叶变性“暴露”了先前存在的发育性恋童癖。
