n African Journal of Psychiatry - Dementia masquerading as mania - when should it be suspected? : scientific letters

Volume 16, Issue 1
  • ISSN : 1994-8220



Frontotemporal Dementia (FTD) is a degenerative disorder of the brain that affects the frontal and temporal cortices resulting in impairments in reasoning, personality, movement, speech, social graces, language and memory. The changes in personal and social conduct, which occur in the early stages of the disease, include loss of inhibition, apathy, social withdrawal, hyperorality and ritualistic compulsive behaviors. These changes can be dramatic and may be misdiagnosed as a psychiatric disorder. We present a case wherein FTD was misdiagnosed and treated as mania and highlight the features of late-onset 'mania' that should raise clinical suspicion.

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