Right Temporal Variant Frontotemporal Dementia Presenting With Prosopagnosia: Insights From 18 F-FDG PET and MRI.
Muhammet Halil Baltacioglu, Pelin Sahin Oguz, Mehmet Sabri Erdol
✦ AI-curated · Sources linked
Case in brief
A 62-year-old man developed progressive difficulty recognizing people, accompanied by memory impairment. T2-weighted MRI showed atrophy of the right anterior temporal region. 18F-FDG PET demonstrated marked hypometabolism in the right temporal lobe, with additional involvement of the right frontal and anterior cingulate cortices; quantitative SPM Z-score analysis supported these findings. The combined structural and metabolic pattern was consistent with right temporal variant frontotemporal dementia, which affects networks involved in person recognition.
What made this case unusual
The case provides a multimodal depiction of right temporal variant frontotemporal dementia, including detailed 18F-FDG PET findings alongside MRI; the authors note that such PET characterization remains scarce.
Diagnostic / clinical pearl
Progressive prosopagnosia with right anterior temporal atrophy and corresponding right temporal hypometabolism can point to right temporal variant frontotemporal dementia.