Letters to the editor
Loss of silent reading in frontotemporal dementia: unmasking the inner speech
| The first 150 words of the full text of this article appear below. |
Presenting signs of frontotemporal dementia usually include social disinhibition, loss of initiative, compulsive features, cognitive decline, and motor symptoms. Behavioural features have recently been detailed, in an attempt to distinguish patients with frontotemporal dementia from patients with Alzheimer's disease.1 2 We report a new feature inaugurating this syndrome which could be a strong illustration of a prefrontal inhibitory role in the control of inner speech, through an early loss of silent reading as an inaugural sign of frontotemporal dementia.
A 69 year old man, a retired baker, with no family history of
neurological disease, was admitted to the neurological department for
evaluation and diagnosis of a progressive dementia with movement disorders. Since the beginning of 1998 (when he was 67), his wife had
noticed that he had slight head movements with small amplitude, occurring only while watching TV. During 1998 the patient had started
to read aloud at bedtime, annoying his wife. His voice
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
