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The cognitive consequences of the COVID-19 infection and behavioral variant frontotemporal dementia: Is there a link?

Published online by Cambridge University Press:  19 July 2023

G. I. Costandache ,
B. A. Oroian ,
A. P. Salaru ,
P. F. Ionescu  and
C. Mihai
G. I. Costandache*
Affiliation:
Resident Psychiatrist, Institute of Psychiatry Socola
B. A. Oroian
Affiliation:
Resident Psychiatrist, Institute of Psychiatry Socola
A. P. Salaru
Affiliation:
Resident Psychiatrist, Institute of Psychiatry Socola
P. F. Ionescu
Affiliation:
Resident Psychiatrist, Institute of Psychiatry Socola
C. Mihai
Affiliation:
Associate Professor, University “Apollonia” Md, Ph.d, Institute of Psychiatry Socola, Iasi, Romania
*
*Corresponding author.

Abstract

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Introduction

Frontotemporal dementia behavioral variant (bvFTD) is the most common subtype of frontotemporal dementia, characterized by early and often severely disabling alterations in personality and social conduct that carry a huge impact on the patient, family, and society.

Objectives

The aim of the study was to correlate the clinical data collected from our patient with relevant literature and discuss the diagnosis of bvFTD in the context of the COVID-19 pandemic.

Methods

Case report and a systematic review of the literature.

Results

The middle-aged female patient we examined presented an array of psychiatric symptoms, including cognitive, behavioral, and personality changes that emerged in two months after a mild form of SARS-CoV-2 infection. Objectively, a cranial CT scan displayed frontal and anterior temporal lobe atrophy. The rapid and severe decline of the patient’s mental faculties throughout the last year, along with the circumstances in which the pathology developed, raised a question about the etiological factors that contributed to this early-onset dementia.

Conclusions

Although diagnostic criteria are useful, frontotemporal dementia may be difficult to differentiate from other conditions because there are no disease-specific biomarkers. Correlations between the COVID-19 infection and the fulminant bvFTD symptoms remain unclear and require further investigations.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S791
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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