Demencia frontotemporal y esclerosis lateral amiotrófica: presentación de un caso clínico

摘要

For a long time amyotrophic lateral sclerosis was seen as an exclusively motor disease, however, a lot of investigations have proved the existence of cognitive symptoms similar to frontotemporal dementia that could precede, coexist or appear after the motor symptoms. We report the caseof a 69 years old hispanic man who consults about progressive swallowing impairments. In thespeech languagepathologist assessment, we detected cognitive impairments that made necessaryto complete the workout with specific test. The results of the assessment, shown disturbancein swallowing with suggestive symptomatology of motor neuron disease, besides cognitiveimpairments in executive functions, visuospatial abilities, memory, language and behaviorsand conductual abnormalities. A few months after speech language pathologist assessment, the diagnosis of amyotrophic lateral sclerosis was given. This case emphasize in the importance of a exhaustive anamnesis and clinical assessment, as well as early diagnosis focused on opportune interventions. Additionally, it’s important to note the need for professionals with update knowledge in neuropsychology, to support interventions.