Semantic dementia: a complex and culturally influenced presentation
Summary The variants of frontotemporal dementia (FTD) require careful differentiation from primary psychiatric disorders as the neuropsychiatric manifestations can overshadow the unique cognitive deficits. The language variants of FTD are less readily recognised by trainees despite making up around...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-02-01
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| Series: | BJPsych Bulletin |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056469422001000/type/journal_article |
| _version_ | 1797349585891360768 |
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| author | Richard H. Cole Camilla N. Clark Norman A. Poole |
| author_facet | Richard H. Cole Camilla N. Clark Norman A. Poole |
| author_sort | Richard H. Cole |
| collection | DOAJ |
| description | Summary
The variants of frontotemporal dementia (FTD) require careful differentiation from primary psychiatric disorders as the neuropsychiatric manifestations can overshadow the unique cognitive deficits. The language variants of FTD are less readily recognised by trainees despite making up around 43% of cases.1 This educational article presents an anonymised case of one of the language variants: semantic dementia. The cognitive deficits and neuropsychiatric manifestations (delusions and hyperreligiosity) are explored in terms of aetiology and management. By the end of the article, readers should be able to differentiate FTD from Alzheimer's disease, understand the principles of management and associated risks, and develop a multifaceted approach to hyperreligiosity in dementia.
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| first_indexed | 2024-03-08T12:32:28Z |
| format | Article |
| id | doaj.art-91d8adbf9b2d470681eb19f97e2644d1 |
| institution | Directory Open Access Journal |
| issn | 2056-4694 2056-4708 |
| language | English |
| last_indexed | 2024-03-08T12:32:28Z |
| publishDate | 2024-02-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Bulletin |
| spelling | doaj.art-91d8adbf9b2d470681eb19f97e2644d12024-01-22T00:08:36ZengCambridge University PressBJPsych Bulletin2056-46942056-47082024-02-0148445010.1192/bjb.2022.100Semantic dementia: a complex and culturally influenced presentationRichard H. Cole0https://orcid.org/0000-0002-3473-0808Camilla N. Clark1https://orcid.org/0000-0002-2817-2352Norman A. Poole2https://orcid.org/0000-0002-3187-6430Camden and Islington NHS Foundation Trust, London, UK and Institute of Psychiatry, Psychology & Neuroscience, King's College London, UKSt George's University of London, London, UKSouth West London and St George's Mental Health NHS Trust, London, UKSummary The variants of frontotemporal dementia (FTD) require careful differentiation from primary psychiatric disorders as the neuropsychiatric manifestations can overshadow the unique cognitive deficits. The language variants of FTD are less readily recognised by trainees despite making up around 43% of cases.1 This educational article presents an anonymised case of one of the language variants: semantic dementia. The cognitive deficits and neuropsychiatric manifestations (delusions and hyperreligiosity) are explored in terms of aetiology and management. By the end of the article, readers should be able to differentiate FTD from Alzheimer's disease, understand the principles of management and associated risks, and develop a multifaceted approach to hyperreligiosity in dementia. https://www.cambridge.org/core/product/identifier/S2056469422001000/type/journal_articlePsychotic disorderssemantic dementiafrontotemporal dementiaclinical neurologyhyperreligiosity |
| spellingShingle | Richard H. Cole Camilla N. Clark Norman A. Poole Semantic dementia: a complex and culturally influenced presentation BJPsych Bulletin Psychotic disorders semantic dementia frontotemporal dementia clinical neurology hyperreligiosity |
| title | Semantic dementia: a complex and culturally influenced presentation |
| title_full | Semantic dementia: a complex and culturally influenced presentation |
| title_fullStr | Semantic dementia: a complex and culturally influenced presentation |
| title_full_unstemmed | Semantic dementia: a complex and culturally influenced presentation |
| title_short | Semantic dementia: a complex and culturally influenced presentation |
| title_sort | semantic dementia a complex and culturally influenced presentation |
| topic | Psychotic disorders semantic dementia frontotemporal dementia clinical neurology hyperreligiosity |
| url | https://www.cambridge.org/core/product/identifier/S2056469422001000/type/journal_article |
| work_keys_str_mv | AT richardhcole semanticdementiaacomplexandculturallyinfluencedpresentation AT camillanclark semanticdementiaacomplexandculturallyinfluencedpresentation AT normanapoole semanticdementiaacomplexandculturallyinfluencedpresentation |