The clinical picture of the behavioural variant of frontotemporal dementia can be very similar to a manic episode. Paying a careful attention to memory and attention problems and assessing the cognitive status of a patient with mania-like symptoms and no previous psychiatric history should be a standard procedure in order to distinguish mania from behavioural variant of frontotemporal dementia. Sometimes, imaging techniques are revealing important aspects that are essential for a correct diagnosis and treatment plan. Here, we present a case of frontotemporal dementia with early onset that had a manic like clinical presentation. Also, we shortly discuss the available pharmacological approaches and outline the importance of thorough differential diagnosis.
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