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Published on: May 28, 2007
A case of late-onset OCD developing PLS and FTD.
Enrica Bersano1, Maria Francesca Sarnelli2, Valentina Solara2
1a Department of Neurology , Eastern Piedmont University, "Maggiore della Carità" University Hospital , Novara , Italy.
This case report details a rare instance of primary lateral sclerosis and frontotemporal dementia presenting with late-onset obsessive-compulsive disorder. The patient experienced progressive motor and cognitive decline, highlighting a unique neurological presentation.
Area of Science:
- Neurology
- Neuroscience
- Psychiatry
Background:
- Late-onset obsessive-compulsive disorder (OCD) is uncommon, and its association with neurodegenerative diseases requires further investigation.
- Understanding the spectrum of neurodegenerative disorders is crucial for accurate diagnosis and management.
Observation:
- A 64-year-old woman developed late-onset OCD at age 57, followed by motor symptoms (dysarthria, dysphagia, weakness) and cognitive changes.
- Initial investigations revealed no active denervation but showed hippocampal atrophy and temporal cortex thinning on MRI and PET scans.
- Over four years, symptoms progressed, indicating severe frontotemporal atrophy and leading to a diagnosis of primary lateral sclerosis (PLS) and frontotemporal dementia (FTD).
Findings:
- The patient presented with a unique combination of primary lateral sclerosis (PLS) and frontotemporal dementia (FTD).
- Obsessive-compulsive disorder (OCD) was a prominent early symptom, preceding significant motor and cognitive decline.
- Neuroimaging revealed progressive atrophy in the temporal and frontal lobes, correlating with clinical deterioration.
Implications:
- This case highlights a novel association between PLS, FTD, and early-onset OCD, expanding the known clinical presentations of these disorders.
- The findings suggest a potential overlap in the pathophysiology of OCD and FTD/PLS, warranting further research.
- This case underscores the importance of comprehensive neurological and psychiatric evaluations in patients with atypical symptom presentations.
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