Tag Archives: FTD

How common is it to receive a misdiagnosis of dementia?

A diagnosis of dementia can be devastating, but the damage of an incorrect diagnosis has its own fallout. But how common is it to receive either a false diagnosis of dementia or a misdiagnosis for a specific type of dementia? As those who have dealt with dementia, there are several different types, each with its own set of treatment protocols and expected disease progression.

A recent study conducted by Australian researchers looked specifically at the frequency of misdiagnosis of frontotemporal dementia (FTD), comparing the initial referral data to the final clinical diagnosis, according to SciTechDaily.

The study reviewed the records of 100 patients referred to a memory disorders clinic by specialists. Researchers found that 70 percent of patients initially suspected of having frontotemporal dementia (FTD) were ultimately misdiagnosed.

Insights from the study:

  • 34 patients were accurately diagnosed while 66 were false positive.
  • Researchers determined that misinterpretation of neuroimaging, specifically nuclear imaging, was the primary cause of misdiagnosis of FTD.
  • Cognitive testing also played a factor in misdiagnosis.
  • Patients who presented with prior psychiatric histories were more likely to be misdiagnosed with FTD.

The study was small and based upon cases at a single clinic, so it’s difficult to know how widespread the issue of misdiagnosing FTD is in other countries.

FTD has been in the news this past week due to the ongoing saga of media personality Wendy Williams, who is claiming she doesn’t have FTD after reportedly being diagnosed and assigned a court-appointed guardian. There has been an ongoing controversy about the continued need for the legal conservatorship, and Williams is speaking out, frustrated by the lack of control she now has over her finances and living arrangements. As the above study found in some of the cases it reviewed, it may be possible that Williams was misdiagnosed with FTD and instead experienced alcohol-induced dementia, related to her well-documented struggles with alcohol, or another form of mental illness which had gone untreated. I am not a medical professional, but it seems reasonable that a second opinion and additional testing should be conducted, if it hasn’t already been done. If a celebrity like Wendy Williams can find herself in such a challenging situation, think about regular people like the rest of us who don’t have such a public platform to ask for help.

Image created by Google Gemini.

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Wendy Williams diagnosed with FTD, aphasia

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Former talk show host Wendy Williams recently revealed that she has been diagnosed with primary progressive aphasia and frontotemporal dementia (FTD). The update on her medical condition was provided as a new documentary about Williams and her whereabouts since leaving her talk show aired and generated a great deal of controversy.

I watched the documentary, “Where is Wendy Williams?” and while it was difficult to watch her cognitive struggles, a lot of people got an eye-opening education on the varied forms of dementia. While Alzheimer’s has moved more into the public awareness in recent years, dementia variants like FTD are less known and understood. For those who think dementia is just “memory loss” witnessing the symptoms Williams displayed, combined with the aphasia, should raise awareness of the distinct symptoms that dementia variants can present.

FTD can trigger personality-driven changes, with erratic behavior and mood swings. For the former radio personality and talk show host, aphasia is a particularly cruel diagnosis, as it impacts speech and language skills. All of these symptoms are on display in the documentary, further aggravated because of Williams self-medicating with alcohol. Williams was previously diagnosed with Graves’ disease and lymphedema.

The documentary also puts a spotlight on court-appointed guardianships, and how a system supposedly designed to protect the vulnerable can isolate the person and cause further harm. The Williams family feels cut off from providing care for their struggling family member, while those in Williams orbit approved by the guardian seem not equipped to handle such a complex case. There is also the challenge of convincing a loved one that they need help, which is something many families dealing with dementia are all too familiar with.

Actor Bruce Willis has also been diagnosed with FTD and aphasia. I’m grateful that both celebrities have chosen to go public with their dual diagnosis, as it will help raise awareness and hopefully funding for these conditions.

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