额颞叶痴呆(FTD)影响大脑的额叶和颞叶,导致人格改变,语言障碍,和行为障碍,包括冲动和抑制。由于FTD的不断发展,在法医评估中评估责任和累犯风险具有挑战性。尽管文献有限,我们介绍了一个45岁的男性,没有法律或病史,由于与额颞叶痴呆(bvFTD)的行为变异相关的行为变化而实施犯罪行为。初步评估发现他不负责任,具有不可评估的累犯风险。随后的评估显示,基于临床演变,累犯风险较低。我们将考虑现有文献和瑞士法学来讨论这些发现。
Frontotemporal dementia (FTD) affects the frontal and temporal lobes of the brain, leading to personality changes, language impairments, and behavioral disturbances, including impulsivity and disinhibition. Assessing responsibility and recidivism risk in forensic evaluations is challenging due to the evolving nature of FTD. Despite limited literature, we present a
case of a 45-year-old man with no prior legal or medical history, who committed criminal acts due to behavioral changes linked to the behavioral variant of frontotemporal dementia (bvFTD). Initial assessment found him irresponsible, with a non-evaluable risk of recidivism. Subsequent evaluation showed a low recidivism risk based on clinical evolution. We discuss these findings considering existing literature and Swiss jurisprudence.