By Serge Gauthier, Pedro Rosa-Neto
Dementia is among the best demanding situations dealing with the scientific occupation because the inhabitants a while. actual analysis is vital as many rarer varieties of the ailment are treatable if well-known early. This selection of case stories from around the globe illustrates either universal and strange motives of dementia, emphasizing scientific reasoning, integrative pondering and problem-solving talents. every one case includes a scientific historical past, exam findings and targeted investigations, through prognosis and dialogue. the purpose is to augment diagnostic abilities via cautious research of person offering styles, and to steer therapy judgements, utilizing state of the art diagnostic class and instruments. The reader should be in a position to distinguish sufferers who want reassurance, nearer follow-up or rapid referral to really good providers. Written and edited via across the world well-known specialists in dementia, those case reviews will tell and problem clinicians in any respect phases in their careers
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Additional resources for Case Studies in Dementia: Common and Uncommon Presentations
The reason for referral to the outpatient clinic was concern on the part of her family about her ability to function independently at home over the past several months. General history The patient is a high school educated, retired home care worker who lives alone with her son living close by. She has five grown children. Her hemorrhagic stroke 5 years ago was associated with transient right hemiplegia. She made a complete functional recovery, but her course was complicated by a post-stroke seizure disorder occurring 1 year after her stroke.
Neurologic evaluation 5 years ago, because of black-outs during car driving, revealed no abnormalities. His electroencephalogram (EEG) and magnetic resonance imaging (MRI) were reported to be normal. He stopped smoking 7 years ago and uses three units alcohol daily. Patient lives with his wife and has two children and three grandchildren. Family history The patient’s father suffered from dementia in his 70s and died 8 years after onset of symptoms. No specific diagnosis was made. Case Studies in Dementia: Common and Uncommon Presentations, ed.
The NIHSS score was 21. The patient showed a non-fluent language and was unable to repeat syllables or words, but the comprehension was quite preserved. She was also disoriented (self, time, space) and showed important memory impairment (immediate and delayed recall). The MMSE score was 3 as she had severe motor aphasia and furthermore she was illiterate. Special studies The brain MRI scan showed acute cerebral ischemia in the territory of the left middle cerebral artery (Fig. 2). The 24-h Holter ECG monitoring disclosed paroxysmal atrial fibrillation.
Case Studies in Dementia: Common and Uncommon Presentations by Serge Gauthier, Pedro Rosa-Neto