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Case Report
Dementia and Neurocognitive Disorders 2008: 7: 2: 64-67

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사지 운동성 행위상실증을 주소로 내원한 전두측두엽 치매 환자 1예
윤정한∙서미경*∙이상미∙문소영
아주대학교 의과대학 신경과학교실
삼성서울병원 신경과*
A Patient with Frontotemporal Dementia Presenting with Limb-Kinetic Apraxia
Jung Han Yoon, M.D., Mee Kyung Suh, M.A.*, Sang Mi Lee, B.Sc., So Young Moon, M.D., Ph.D.
Department of Neurology, Ajou University School of Medicine, Suwon;
Department of Neurology*, Samsung Medical Center, Seoul, Korea
A 59-yr-old, right-handed woman developed bilateral clumsiness of the hands and dysarthria 6 months prior to admission. A detailed neurologic evaluation showed limb-kinetic apraxia with frontal lobe dysfunction. Brain MRI showed significant anterior temporal lobar atrophy. Brain PET revealed bilateral decreases in glucose metabolism around the motor cortices and temporal lobes, predominantly on the right side. This case suggests that limb-kinetic apraxia is a presenting symptom of frontotemporal dementia.
Key Words: Frontotemporal dementia, Limb-kinetic apraxia, Dysarthria