Karcher Anouk, Hamza Rayane, Jantzi Camille
Centre Universitaire Romand de Médecine Légale (CURML), Hôpitaux Universitaires de Genève (HUG), Geneva, Switzerland.
University of Geneva, Geneva, Switzerland.
Front Psychiatry. 2024 Jul 2;15:1437363. doi: 10.3389/fpsyt.2024.1437363. eCollection 2024.
Frontotemporal dementia (FTD) affects the frontal and temporal lobes of the brain, leading to personality changes, language impairments, and behavioral disturbances, including impulsivity and disinhibition. Assessing responsibility and recidivism risk in forensic evaluations is challenging due to the evolving nature of FTD. Despite limited literature, we present a case of a 45-year-old man with no prior legal or medical history, who committed criminal acts due to behavioral changes linked to the behavioral variant of frontotemporal dementia (bvFTD). Initial assessment found him irresponsible, with a non-evaluable risk of recidivism. Subsequent evaluation showed a low recidivism risk based on clinical evolution. We discuss these findings considering existing literature and Swiss jurisprudence.
额颞叶痴呆（FTD）会影响大脑的额叶和颞叶，导致人格改变、语言障碍以及行为紊乱，包括冲动和脱抑制现象。由于FTD的性质不断演变，在法医评估中评估责任和再犯风险具有挑战性。尽管相关文献有限，但我们报告了一例45岁男性病例，他此前无法律或病史，因与行为变异型额颞叶痴呆（bvFTD）相关的行为改变而实施了犯罪行为。初步评估发现他无责任能力，再犯风险不可评估。随后的评估显示，基于临床进展，其再犯风险较低。我们结合现有文献和瑞士判例法对这些发现进行了讨论。
