Psychiatric Symptoms in Patients with Focal cortical Degeneration

The psychiatric phenomenology exhibited by a mixed group of patients with focal cortical degeneration (FCD) is described. The diagnosis of FCD was made in the presence of a slowly progressive focal neuropsychological deficit without evidence of infarct or neoplasm. Localized or asymmetric atrophy wa...

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Main Authors: R. M. Lawrence, M. A. Ronca, P. Tyrrell, M. N. Rossor
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.3233/BEN-1994-73-407
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author R. M. Lawrence
M. A. Ronca
P. Tyrrell
M. N. Rossor
author_facet R. M. Lawrence
M. A. Ronca
P. Tyrrell
M. N. Rossor
author_sort R. M. Lawrence
collection DOAJ
description The psychiatric phenomenology exhibited by a mixed group of patients with focal cortical degeneration (FCD) is described. The diagnosis of FCD was made in the presence of a slowly progressive focal neuropsychological deficit without evidence of infarct or neoplasm. Localized or asymmetric atrophy was present on neuroimaging (CT or MRI) and positron emission tomography demonstrated focal hypometabolism or in those assessed later in the disease an area of maximal hypometabolism which correlated with the neuropsychological deficit. FCD patients exhibited prominent obsessive–compulsive behaviour. Obsessive–compulsive features were often repetitive, stereotyped and bizarre and occurred in association with frontal and left temporal atrophy and hypometabolism and were absent in those with predominant posterior cortical pathology.
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spelling doaj-art-4ce7ab9600be434d811280ce9823b3d82025-02-03T01:28:10ZengWileyBehavioural Neurology0953-41801875-85841994-01-0173-415315810.3233/BEN-1994-73-407Psychiatric Symptoms in Patients with Focal cortical DegenerationR. M. Lawrence0M. A. Ronca1P. Tyrrell2M. N. Rossor3National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UKNational Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UKNational Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UKNational Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UKThe psychiatric phenomenology exhibited by a mixed group of patients with focal cortical degeneration (FCD) is described. The diagnosis of FCD was made in the presence of a slowly progressive focal neuropsychological deficit without evidence of infarct or neoplasm. Localized or asymmetric atrophy was present on neuroimaging (CT or MRI) and positron emission tomography demonstrated focal hypometabolism or in those assessed later in the disease an area of maximal hypometabolism which correlated with the neuropsychological deficit. FCD patients exhibited prominent obsessive–compulsive behaviour. Obsessive–compulsive features were often repetitive, stereotyped and bizarre and occurred in association with frontal and left temporal atrophy and hypometabolism and were absent in those with predominant posterior cortical pathology.http://dx.doi.org/10.3233/BEN-1994-73-407
spellingShingle R. M. Lawrence
M. A. Ronca
P. Tyrrell
M. N. Rossor
Psychiatric Symptoms in Patients with Focal cortical Degeneration
Behavioural Neurology
title Psychiatric Symptoms in Patients with Focal cortical Degeneration
title_full Psychiatric Symptoms in Patients with Focal cortical Degeneration
title_fullStr Psychiatric Symptoms in Patients with Focal cortical Degeneration
title_full_unstemmed Psychiatric Symptoms in Patients with Focal cortical Degeneration
title_short Psychiatric Symptoms in Patients with Focal cortical Degeneration
title_sort psychiatric symptoms in patients with focal cortical degeneration
url http://dx.doi.org/10.3233/BEN-1994-73-407
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AT maronca psychiatricsymptomsinpatientswithfocalcorticaldegeneration
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