intermediatefrontotemporal dementiabvFTDneurocognitive disordersAlzheimer differentialdisinhibitionpersonality changesfrontal lobe
A 62-year-old male presents with progressive personality changes over 2 years. His wife reports he has become socially inappropriate (making sexual comments to strangers), disinhibited, apathetic, and compulsive about eating sweets. His memory is relatively preserved. Language output has become sparse. MRI shows prominent frontal and temporal lobe atrophy. What is the MOST likely diagnosis?