BACKGROUND The Landscape Montage Technique was originally developed by Hisao Nakai, a Japanese psychiatrist, to pursue the possibility and application of a psychotherapeutic approach using drawing for patients with schizophrenia. Drawing was initially adopted to evaluate patients with an impaired ability for verbal expression, particularly for the diagnosis and treatment of patients with schizophrenia. Since its development, the Landscape Montage Technique has been utilized in various clinical settings throughout Japan. This study aimed to evaluate the psychiatric conditions of a patient diagnosed as having primary progressive aphasia using the Landscape Montage Technique at a 3-year follow-up. CASE PRESENTATION We present the case of a 64-year-old, right-handed Japanese woman initially diagnosed as having logopenic variant primary progressive aphasia or logopenic aphasia. At a 3-year follow-up, logopenic aphasia progressed to behavioral variant frontotemporal dementia or frontotemporal dementia. According to her husband, she began to have speech difficulties approximately 5 years before her first visit. The results of neurocognitive tests suggested mild cognitive impairment or early stages of dementia. Her clinical dementia rating score was 0.5, suggesting a diagnosis of mild cognitive impairment. She had a Raven's Colored Progressive Matrices score of 31 out of 36, which indicated a nonverbal cognitive ability that was greater than the 90th percentile for her age. The Japanese Standard Language Test of Aphasia, which was performed at two points during the follow-up, indicated the possibility for a diagnosis of primary progressive aphasia given the progression of her aphasia. Based on her clinical symptoms and Japanese Standard Language Test of Aphasia results, a diagnosis of logopenic variant primary progressive aphasia was established. Magnetic resonance imaging revealed severe predominant left frontal and anterior temporal atrophy, as well as bilateral parietal atrophy. Amyloid beta deposition was negative. At the 3-year follow-up, logopenic variant primary progressive aphasia had progressed to behavioral variant frontotemporal dementia. However, the Landscape Montage Technique allowed for the diagnosis of behavioral variant frontotemporal dementia only 2 years after baseline. CONCLUSIONS The present study showed that the Landscape Montage Technique can be useful for diagnosing behavioral variant frontotemporal dementia that starts as logopenic variant primary progressive aphasia at earlier stages.

中文翻译：

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风景蒙太奇技术用于诊断额颞叶痴呆从原发性进行性失语开始的病例报告。

背景技术景观蒙太奇技术最初是由日本精神病学家中井久雄（Hisao Nakai）开发的，目的是寻求对精神分裂症患者进行心理治疗的方法和方法。最初采用绘图来评估语言表达能力受损的患者，尤其是精神分裂症患者的诊断和治疗。自从其发展以来，景观蒙太奇技术已在整个日本的各种临床环境中得到利用。这项研究的目的是在3年的随访中评估使用景观蒙太奇技术诊断为患有原发性进行性失语症的患者的精神状况。案例介绍我们介绍了一个64岁的案例，日本惯用右手的女性，最初被诊断为患有原发性渐进性失语或原发性失语。在3年的随访中，小脑失语发展为行为变异性额颞痴呆或额颞痴呆。据她的丈夫说，在她第一次访问之前大约五年，她开始出现语言障碍。神经认知测试的结果表明轻度认知障碍或痴呆的早期阶段。她的痴呆症临床评分为0.5分，表明诊断为轻度认知障碍。她的《乌鸦的有色进阶矩阵》得分为36（满分31分），表明她的非语言认知能力高于其年龄的90％。在随访过程中分两次进行了日本失语症标准语言测试，指出由于失语症的进展，有可能诊断为原发性进行性失语症。根据她的临床症状和日本标准语言失语症测试结果，诊断为低位变异性原发性进行性失语症。磁共振成像显示严重的左额叶和前颞叶萎缩以及双侧顶叶萎缩。β淀粉样蛋白沉积为阴性。在3年的随访中，低胸型原发性进行性失语症已发展为行为型额颞痴呆。然而，景观蒙太奇技术仅在基线后2年即可诊断出行为变异性额颞痴呆。