Pick’s disease and subdural haematoma: A diagnostic red herring

  • Philip Adebayo
  • Funmilola Taiwo
  • Fatma Bakshi
  • Sunham Nur
Keywords: Neurodegenrative disease, Subdural haematoma, Exhibitionism, Disinhibition, Frontotemporal disease, Dementia

Abstract

Frontotemporal dementia (FTD), otherwise known as Pick’s disease, is a clinically heterogeneous group of sporadic and familial neurodegenerative diseases. These conditions are characterized by dementia, behavioural and language dysfunction and loss of executive skills resulting from the degeneration of the frontal and temporal lobes. Although reversible causes of dementia are always sought during the evaluation of patients with progressive cognitive decline, the occurrence of a reversible aetiology may distract from evaluating for neurodegenerative causes of dementia. This report is about a 66-year old man with features of FTD and superimposed chronic subdural haematoma.

References

Bang J, Spina S, Miller BL. Frontotemporal dementia. Lancet. 2015; 386: 1672–1682.

Akinyemi RO, Owolabi MO, Makanjuola VA, Ogunseyinde AO, Ogunniyi A. Frontotemporal dementia in a Nigerian woman: case report and brief review of the literature. Afr J Med Med Sci 2009; 38: 71–75.

Neary D, Snowden JS, Gustafson L, Passant U, Stuss D, Black S, Freedman M, Kertesz A, Robert PH, Albert M, Boone K, Miller BL, Cummings J, Benson DF.Frontotemporal lobar degeneration: a consensus on clinical diagnostic criteria. Neurology 1998 ; 51: 1546-1554.

Foelholm R, Waltimo O. Epidemiology of chronic subdural haematoma. Acta Neurochir (Wien). 1975; 32(3–4): 247–250.

Hogan DB, Jetté N, Fiest KM, Roberts JI, Pearson D, Smith EE, et al. The Prevalence and Incidence of Frontotemporal Dementia: a Systematic Review. Can J Neurol Sci 2016; 43(S1): S96–S109.

Miller BL, Ikonte C, Ponton M, Levy M, Boone K, Darby A, et al. A study of the Lund-Manchester research criteria for frontotemporal dementia: clinical and single photon emission CT correlations. Neurology1997; 48: 937–942.

Ames D, Cummings JL, Wirshing WC, Quinn B, Mahler M. Repetitive and compulsive behavior in frontal lobe degenerations. J Neuropsychiatry Clin Neurosci 1994; 6: 100–113.

Schmidtke K, Hiersemenzel LP.Progressive hemiparesis in frontal lobe degeneration.Eur Neurol 1997; 38: 105-112.

Sahyouni R, Goshtasbi K, Mahmoodi A, Tran DK, Chen JW. Chronic Subdural Hematoma: A Perspective on Subdural Membranes and Dementia. World Neurosurg 2017; 108: 954–958.

Published
2019-06-01
Section
Case Report