Diogenes syndrome in dementia: a case report
| Autor: | Alessio Fiorentini, Luca Sacchi, Matteo Cesari, Tiziana Carandini, Giorgio Marotta, Sara Pozzoli, Andrea Arighi, Anna M. Pietroboni, Emanuela Rotondo, Carlotta Coppola, Giuseppina Schinco, Elio Scarpini, Clara Mandelli, Fabio Triulzi, Daniela Galimberti, Paolo Brambilla, Giorgio G. Fumagalli |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Confabulation Diogenes syndrome hoarding Context (language use) Case Report frontotemporal dementia 03 medical and health sciences 0302 clinical medicine Atrophy medicine collecting Verbal fluency test Dementia Psychiatry business.industry Neuropsychology Old Age medicine.disease 030227 psychiatry Psychiatry and Mental health medicine.symptom business 030217 neurology & neurosurgery Frontotemporal dementia |
| Zdroj: | BJPsych Open |
| ISSN: | 2056-4724 |
| Popis: | Background Diogenes syndrome is a neurobehavioural syndrome characterised by domestic squalor, hoarding and lack of insight. It is an uncommon but high-mortality condition, often associated with dementia. Aims To describe the clinical features and treatment of Diogenes syndrome secondary to behavioural variant frontotemporal dementia (bvFTD). Method We describe a case of bvFTD in a 77-year-old man presenting with Diogenes syndrome. Results The patient's medical and psychiatric histories were unremarkable, but in recent years he had begun packing his flat with ‘art pieces’. Mental state examination revealed confabulation and more structured delusions. Neuropsychological evaluation outlined an impairment in selective attention and letter verbal fluency, but no semantic impairment, in the context of an overall preserved mental functioning. Brain magnetic resonance imaging and positron emission tomography (PET) with fluorodeoxyglucose showed mild bilateral temporo-insular atrophy and hypometabolism in the left-superior temporal gyrus respectively. An amyloid PET scan and genetic analysis covering the dementia spectrum were normal. A diagnosis of bvFTD was made. Conclusions The clinical framing of behavioural symptoms of dementia such as hoarding poses a diagnostic challenge. This case illustrates the importance of a deeper understanding of Diogenes syndrome, leading to timelier diagnosis and effective therapeutic strategies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|