# Unravelling the Silence: A Case Report on the Late Diagnosis of Language-Predominant Frontotemporal Dementia in a Rural Tertiary Hospital

**Authors:** Rishitha Kotla, Amol Andhale, Tushar Patil, Sakshi S Dudhe, Devyansh Nimodia

PMC · DOI: 10.7759/cureus.66183 · 2024-08-05

## TL;DR

This case report discusses the late diagnosis of a rare dementia type in an elderly patient, highlighting the challenges in identifying language-related symptoms.

## Contribution

The paper presents a detailed case of late-diagnosed language-predominant frontotemporal dementia in a rural hospital setting.

## Key findings

- The patient exhibited significant language deficits and memory impairments linked to temporal lobe damage.
- Late diagnosis of FTD was attributed to the lack of definitive tests and delayed recognition of symptoms.

## Abstract

Frontotemporal dementia (FTD) is one of the significant neurological disorders that mostly affects over-60-year-old adults. In essence, FTD, which results from frontal and temporal lobe damages, manifests itself in several ways that include behavioral modifications as well as linguistic loss. These are behavioral variant FTD (bvFTD), primary progressive aphasia (PPA), or various movement disorders with genetic links. FTD takes, on average, three years to be diagnosed since there are no definitive diagnostic tests for this disease. MRI and PET scans use brain imaging techniques to observe damaged parts of the brain. The case study shows a lot of deep-seated language deficits and memory impairments, which ultimately point to the involvement of the temporal lobe. Understanding about FTD and early detection are crucial in enhancing intervention as well as management efforts.

## Linked entities

- **Diseases:** Frontotemporal dementia (MONDO:0010857), primary progressive aphasia (MONDO:0019806)

## Full-text entities

- **Diseases:** language deficits (MESH:D007806), neurological disorders (MESH:D009461), movement disorders (MESH:D009069), PPA (MESH:D018888), linguistic loss (MESH:D016388), FTD (MESH:D057180), memory impairments (MESH:D008569), frontal and temporal lobe damages (MESH:C538521)

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11374134/full.md

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Source: https://tomesphere.com/paper/PMC11374134