Right versus left temporal lobe semiology in dementia: Lessons from two cases with focal frontotemporal dementia syndromes

Author:

Barbosa Breno José Alencar Pires123ORCID,Correia Victor Adill Gomes1,Albuquerque Pedro Mota de1,Barros Amanda Vilma Brito Pires do Rego4,Arca Vitor Maia1,Araújo Luziany Carvalho5

Affiliation:

1. Centro de Ciências Médicas, Área Acadêmica de Neuropsiquiatria Universidade Federal de Pernambuco Recife Brazil

2. Instituto de Medicina Integral Prof. Fernando Figueira Recife Brazil

3. Grupo de Neurologia Cognitiva e Do Comportamento, Departamento de Neurologia, Faculdade de Medicina Universidade de São Paulo São Paulo Brazil

4. Hospital Universitário Oswaldo Cruz Universidade de Pernambuco Recife Brazil

5. Department of Radiology, Hospital das Clínicas de Pernambuco ‐ Empresa Brasileira de Serviços Hospitalares Universidade Federal de Pernambuco Recife Brazil

Abstract

AbstractFocal atrophy of the left anterior temporal lobe has been associated with the semantic type of primary progressive aphasia evolving to semantic dementia. In contrast, focal atrophy of the right temporal lobe has more recently been described as a controverse entity reported as the right temporal variant of FTD. We describe two cases of FTD dementia syndromes: in Case 1, atrophy of the right temporal lobe led to significant behavioural impairment and difficulties in recognizing known people. In Case 2, atrophy of the left temporal lobe was associated with severe aggressive, ritualistic behaviour and aphasia.

Publisher

Wiley

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