A 58-year-old man presents with progressive behavioral changes over 1 year, including social inappropriateness, impulsivity, and emotional blunting. Vital signs are stable (BP 128/82, HR 76, RR 14). Mini-Cog score is 27/30, demonstrating relatively preserved cognition and memory. MRI brain shows focal anterior temporal and frontal lobe atrophy. He denies recent head trauma or substance abuse. Which of the following is the most likely diagnosis?
- A)Normal pressure hydrocephalus
- B)Frontotemporal dementiaGABARITO
- C)Alzheimer disease
- D)Huntington disease
- E)Lewy body dementia
Explicação
Frontotemporal dementia is the correct answer because early personality change, disinhibition, apathy, and executive dysfunction with relatively preserved memory are classic for frontotemporal lobar degeneration. Ver explicação completa e trilha adaptativa →