Frontotemporal dementia and neurocysticercosis: a case report

Satler, Corina; Maestro, Elza Santos; Tomaz, Carlos

doi:10.1590/S1980-57642012DN06010011

ABSTRACT

We report a case of a 67-year-old woman with frontotemporal dementia (FTD) and a history of neurocysticercosis. After her retirement she showed progressive behavioral changes and neuropsychiatric symptoms with relative preservation of cognitive functioning. During the next three years, the patient manifested progressive deterioration of verbal communication gradually evolving to mutism, a hallmark of cases of progressive nonfluent aphasia.

Key words:
progressive nonfluent aphasia; neurocysticercosis; neuropsychological assessment; frontotemporal lobar degeneration

RESUMO

Caso de uma mulher de 71 anos com demência frontotemporal e historia de neurocisticercose. Após sua aposentadoria ela apresentou progressivas mudanças comportamentais e sintomas neuropsiquiátricos, com relativa preservação do funcionamento cognitivo. Durante os seguintes três anos, a paciente foi desenvolvendo uma deteriorização progressiva da comunicação verbal evoluindo gradualmente a mutismo, marca que descreve um caso de afasia progressiva não fluente.

Palavras-chave:
afasia progressiva não fluente; neurocisticercose; avaliação neuropsicológica; degeneração lobar frontotempora

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REFERENCES

Snowden J, Bathgate D, Varma A, Blackshaw A, Gibbons Z, Neary D. Distinct behavioral profiles in frontotemporal dementia and semantic dementia. J Neurol Neurosurg Psychiatry 2000;70:323-332.
Grossman, M. Frontotemporal dementia: A review. J Int Neuropsychol Soc 2002;8:566-583.
Neary D, Snowden J, Mann D. Frontotemporal dementia. Lancet Neurol 2005;4:771-780.
Hodges J, Patterson K. Semantic dementia: a unique clinicopathological syndrome. Lancet Neurol 2007;6:1004-1014.
Peelle J, Troiani V, Gee J, et al. Sentence comprehension and voxel-based morphometry in progressive nonfluent aphasia, semantic dementia, and nonaphasic frontotemporal dementia. J Neuroling 2008;21: 418-432.
Josephs K. Frontotemporal dementia and related disorders: deciphering the enigma. Ann Neurol 2008;64:4-14.
Bozeat S, Gregory C, Lambon Ralph M, Hodges J. Which neuropsychiatric and behavioral features distinguish frontal and temporal variants of frontotemporal dementia from Alzheimer's disease? J Neurol Neurosurg Psychiatry 2009;69:178-186.
Mendez M, Perryman K. Neuropsychiatric features of frontotemporal dementia: Evaluation of consensus criteria and review. J Neuropsychiatry Clin Neurosci 2002;134:424-429.
DeGiorgio C, Medina M, Durón R, Zee C, Pietsch Escueta S. Neurocysticercosis. Epilepsy Curr 2004;4:107-111.
Garcia H, Del Bruto O. Neurocysticercosis: updated concepts about an old disease. Lancet Neurol 2005;4:653-661.
Andrade Filho A, da Silva Figueroa L, Andrade-Souza V. Clinical tomographic correlations of 220 patients with neurocisticercosis, Bahia, Brazil. Braz J Infect Dis 2007;11:114-117.
White A. New developments in the management of neurocysticercosis. J Infect Dis 2009;199:1262-1262.
Sotelo J. Clinical manifestations, diagnosis, and treatment of neurocysticercosis. Curr Neurol Neurosc Rep 2011;11:529-535.
Sorvillo F, DeGiorgio C, Waterman S. Deaths from cysticercosis, United States. Emerg Infect Dis 2007;13:230-235.
Del Bruto O, Sotelo J, Roman G (Editors) (1998). Neurocysticercosis: a clinical handbook. The Netherlands: Swets and Zeitlinger; 1998.
Andrade DC, Rodrigues C, Abraham R, et al. Cognitive impairment and dementia in neurocysticercosis: a cross-sectional controlled study. Neurology 2010;74:1288-1295.
Caixeta L, Caixeta M, de Almeida Neto J. Neurocisticercose: forma psiquica e demência. Rev Patol Trop 2004;33:33-44.
Ramirez-Bermudez J, Higuera J, Lopez-Mesa E, Lopez-Gomez M, Corona T. Is dementia reversible in patients with neurocysticercosis? J Neurol Neurosurg Psychiatry 2005;76:1164-1166.
Forlenza O, Filho AH, Nobrega J, Machado LR, de Barros N, de Camargo C, da Silva M. Psychiatric manifestation of neurcysticercosis: a study of 38 patients from a neurology clinic in Brazil. J Neurol Neurosurg Psychiatry 1997;62:612-616.
Del Bruto O, Santibanez R, Noboa C, Aguirre R, Diaz E, Alarcon T. Epilepsy due to neurocysticercosis: analysis of 203 patients. Neurology 1992;42:389-392.
Kowacs P, Rogacheski E, Muzzio J, Werneck L. The role of the irritative zone and of the number and distribution of calcifications in the severity of epilepsy associated with intracranial calcifications. Arq Neuropsiquiatr 2006;64:905-911.
Takayanagui O, Odashima N. Clinical aspects of neurocysticercosis. Parasitol Int 2006;55(Suppl):S111-115.
Duron R, Medina M, Osorio J, Martinez L, Aguilar-Estrada R, Thompson A. Prognosis of the epilepsy due to neurocysticercosis: a five year follow-up from the Salamá epilepsy study in Honduras. Epilepsia 2003;44(Suppl. 8):38.
Cummings J, Mega M, Gray K, Rosenberg-Thompson S, Carusi D, Gornbein J. The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology 1994;44:2308-2314.
Carthery-Goulart M, Areza-Fegyveres R, Schultz R, Okamoto I, Caramelli, P, Bertolucci P . Versão brasileira da escala Cornell de depressão em demência. Arq Neuropsiquiatr 2007; 65:912-915.
Welch L, Doineau D, Johnson S, King D. Educational and gender normative data for the Boston Naming Test in a group of older adults. Brain Lang,1996;53:260-266.
Carpio A. Neurocysticercosis: an update. Lancet Infect Dis 2002;2:751-762.
Wallin M, Pretell E, Bustos J, et al. Cognitive changes and quality of life in Neurocysticercosis: a longitudinal study. PLoS Negl Trop Dis 2012;6:e1493.
Sjögren M, Andersen C. Frontotemporal dementia: a brief review. Mech Ageing Dev 2006;127:180-187.
Snowden J, Neary D, Mann D. Frontotemporal dementia. Br J Psychiatry 2002;180:140-143.

Publication Dates

Publication in this collection
Jan-Mar 2012

History

Received
23 Oct 2010
Accepted
10 Jan 2011

This is an open-access article distributed under the terms of the Creative Commons Attribution License

[1] Snowden J, Bathgate D, Varma A, Blackshaw A, Gibbons Z, Neary D. Distinct behavioral profiles in frontotemporal dementia and semantic dementia. J Neurol Neurosurg Psychiatry 2000;70:323-332.

[2] Grossman, M. Frontotemporal dementia: A review. J Int Neuropsychol Soc 2002;8:566-583.

[3] Neary D, Snowden J, Mann D. Frontotemporal dementia. Lancet Neurol 2005;4:771-780.

[4] Hodges J, Patterson K. Semantic dementia: a unique clinicopathological syndrome. Lancet Neurol 2007;6:1004-1014.

[5] Peelle J, Troiani V, Gee J, et al. Sentence comprehension and voxel-based morphometry in progressive nonfluent aphasia, semantic dementia, and nonaphasic frontotemporal dementia. J Neuroling 2008;21: 418-432.

[6] Josephs K. Frontotemporal dementia and related disorders: deciphering the enigma. Ann Neurol 2008;64:4-14.

[7] Bozeat S, Gregory C, Lambon Ralph M, Hodges J. Which neuropsychiatric and behavioral features distinguish frontal and temporal variants of frontotemporal dementia from Alzheimer's disease? J Neurol Neurosurg Psychiatry 2009;69:178-186.

[8] Mendez M, Perryman K. Neuropsychiatric features of frontotemporal dementia: Evaluation of consensus criteria and review. J Neuropsychiatry Clin Neurosci 2002;134:424-429.

[9] DeGiorgio C, Medina M, Durón R, Zee C, Pietsch Escueta S. Neurocysticercosis. Epilepsy Curr 2004;4:107-111.

[10] Garcia H, Del Bruto O. Neurocysticercosis: updated concepts about an old disease. Lancet Neurol 2005;4:653-661.

[11] Andrade Filho A, da Silva Figueroa L, Andrade-Souza V. Clinical tomographic correlations of 220 patients with neurocisticercosis, Bahia, Brazil. Braz J Infect Dis 2007;11:114-117.

[12] White A. New developments in the management of neurocysticercosis. J Infect Dis 2009;199:1262-1262.

[13] Sotelo J. Clinical manifestations, diagnosis, and treatment of neurocysticercosis. Curr Neurol Neurosc Rep 2011;11:529-535.

[14] Sorvillo F, DeGiorgio C, Waterman S. Deaths from cysticercosis, United States. Emerg Infect Dis 2007;13:230-235.

[15] Del Bruto O, Sotelo J, Roman G (Editors) (1998). Neurocysticercosis: a clinical handbook. The Netherlands: Swets and Zeitlinger; 1998.

[16] Andrade DC, Rodrigues C, Abraham R, et al. Cognitive impairment and dementia in neurocysticercosis: a cross-sectional controlled study. Neurology 2010;74:1288-1295.

[17] Caixeta L, Caixeta M, de Almeida Neto J. Neurocisticercose: forma psiquica e demência. Rev Patol Trop 2004;33:33-44.

[18] Ramirez-Bermudez J, Higuera J, Lopez-Mesa E, Lopez-Gomez M, Corona T. Is dementia reversible in patients with neurocysticercosis? J Neurol Neurosurg Psychiatry 2005;76:1164-1166.

[19] Forlenza O, Filho AH, Nobrega J, Machado LR, de Barros N, de Camargo C, da Silva M. Psychiatric manifestation of neurcysticercosis: a study of 38 patients from a neurology clinic in Brazil. J Neurol Neurosurg Psychiatry 1997;62:612-616.

[20] Del Bruto O, Santibanez R, Noboa C, Aguirre R, Diaz E, Alarcon T. Epilepsy due to neurocysticercosis: analysis of 203 patients. Neurology 1992;42:389-392.

[21] Kowacs P, Rogacheski E, Muzzio J, Werneck L. The role of the irritative zone and of the number and distribution of calcifications in the severity of epilepsy associated with intracranial calcifications. Arq Neuropsiquiatr 2006;64:905-911.

[22] Takayanagui O, Odashima N. Clinical aspects of neurocysticercosis. Parasitol Int 2006;55(Suppl):S111-115.

[23] Duron R, Medina M, Osorio J, Martinez L, Aguilar-Estrada R, Thompson A. Prognosis of the epilepsy due to neurocysticercosis: a five year follow-up from the Salamá epilepsy study in Honduras. Epilepsia 2003;44(Suppl. 8):38.

[24] Cummings J, Mega M, Gray K, Rosenberg-Thompson S, Carusi D, Gornbein J. The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology 1994;44:2308-2314.

[25] Carthery-Goulart M, Areza-Fegyveres R, Schultz R, Okamoto I, Caramelli, P, Bertolucci P . Versão brasileira da escala Cornell de depressão em demência. Arq Neuropsiquiatr 2007; 65:912-915.

[26] Welch L, Doineau D, Johnson S, King D. Educational and gender normative data for the Boston Naming Test in a group of older adults. Brain Lang,1996;53:260-266.

[27] Carpio A. Neurocysticercosis: an update. Lancet Infect Dis 2002;2:751-762.

[28] Wallin M, Pretell E, Bustos J, et al. Cognitive changes and quality of life in Neurocysticercosis: a longitudinal study. PLoS Negl Trop Dis 2012;6:e1493.

[29] Sjögren M, Andersen C. Frontotemporal dementia: a brief review. Mech Ageing Dev 2006;127:180-187.

[30] Snowden J, Neary D, Mann D. Frontotemporal dementia. Br J Psychiatry 2002;180:140-143.

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