Case Studies in Dementia. Common and Uncommon Presentation

Description

Dementia is amongst the greatest challenges facing the medical profession as the population ages. Accurate diagnosis is essential as many rarer forms of the disease are treatable if recognized early. This collection of case studies from around the world illustrates both common and unusual causes of dementia, emphasizing clinical reasoning, integrative thinking and problem-solving skills. Each case consists of a clinical history, examination findings and special investigations, followed by diagnosis and discussion. The aim is to reinforce diagnostic skills through careful analysis of individual presenting patterns, and to guide treatment decisions, using state-of-the-art diagnostic classification and tools. The reader will be able to distinguish patients who need reassurance, closer follow-up or immediate referral to specialized services. Written and edited by internationally recognized experts in dementia, these case studies will inform and challenge clinicians at all stages of their careers.

• From the Case Studies in Neurology series, this book promotes clinical reasoning, integrative thinking, problem-solving, communication, teamwork and self-directed learning • Illustrates both common and uncommon presentations and etiologies, broadening the experience of the reader • Includes comments on diagnostic procedures, including novel approaches, facilitating accurate diagnosis

Contents

Introduction to the diagnosis of dementia Serge Gauthier and Pedro Rosa-Neto; 1. Subjective cognitive complaint S. Epelbaum and B. Dubois; 2. Man with subjective complaints but abnormal CSF Machiel Pleizier and P. Scheltens; 3. When mild cognitive impairment really is Alzheimer's disease Rawan Tarawneh and John C. Morris; 4. Lost for words Paige Moorhouse; 5. Man with right-sided numbness A. Arboix and M. Grau-Olivares; 6. Don't be fooled by a misleadingly high MMSE score D. J. Burn; 7. Hemiparesis followed by dementia Y. Deschaintre, F. Massoud and G. C. Léger; 8. Young man with behavioral symptoms P. H. Robert; 9. Alzheimer atypical presentation Serge Gauthier, Sylvie Belleville, Emilie Lepage and Jean-Paul Soucy; 10. Difficulty playing tennis M. E. Growdon and G. D. Rabinovici; 11. Progressive aphasia complicated by intracerebral bleeding G. C. Léger; 12. Progressive difficulty with naming and object identification Mariana Blanco and Morris Freedman; 13. A lady with weakness, fasciculations and failing memory Shahul Hameed, Ian R. A. Mackenzie and Ging-Yuek Robin Hsiung; 14. Progressive difficulty producing speech Mariana Blanco and Morris Freedman; 15. Young man with progressive speech impairment and weakness Aiman Sanosi, Ian R. A. Mackenzie and Ging-Yuek Robin Hsiung; 16. Personality disintegration – it runs in the family Jette Stokholm, Peter Johannsen, Jørgen E. Nielsen and Anders Gade; 17. Man with complaints about his left arm Yannick Nadeau, Mario Masellis and Sandra E. Black; 18. The aged brain: when the pieces don't fit Bruno Franchi; 19. Hypersexuality in a 69 year old man Oscar L. Lopez and James T. Becker; 20. Man with fluctuating confusion Uwe Ehrt, Robert Perry and Dag Aarsland; 21. Man with post-operative cognitive impairment Gustavo C. Román and Carlos Bazán III; 22. Penicillin for dementia in a young man Huali Wang and Xin Yu; 23. Glucose for dementia in a young woman Christian Schmidt, Steffen Plickert, David Summers and Inga Zerr; 24. Dizzyness in someone with HIV Nicholas W. S. Davies and Bruce J. Brew; 25. Case of a young man smoking pot but with a mother who died of dementia Serge Gauthier, Pedro-Rosa Neto, Jean-Paul Soucy and Gabriel Leonard; 26. University educated man with childish behavior Ricardo Nitrini and Leonardo Caixeta; 27. Frontotemporal lobar degeneration vs solvent intoxication: a piece that does not fit the puzzle Louis Verret and Rémi W. Bouchard; 28. Man with difficulty keeping pace B. J. Kerklaan and P. Scheltens; 29. Young woman with abnormal movements but no family history Ryan V. V. Evans and Kevin M. Biglan; 30. Elderly lady with right sided visual hallucinations Will Guest, Gerald Pfeffer and Neil Cashman; 31. Man with gait impairment and difficulty reading Joseph M. Ferrara and Irene Litvan; 32. Man with problems for reading and calculating Paulo Caramelli and Mirna Lie Hosogi-Senaha; 33. Man with gait impairment and urine incontinence Eric Schmidt; 34. Falling before forgetting V. Jelic, I. Nennesmo, S. Pålhagen and B. Winblad; 35. Mixed Alzheimer's disease and Wernicke's encephalopathy M. M. Kenan and R. S. Doody; 36. Woman with dementia and hepatic disease Benjamin Lam, Mario Masellis and Sandra E. Black; 37. Young woman with dementia and cerebrovascular disease: dementia with recurrent 'stroke' attacks Masamichi Ikawa and Makoto Yoneda; 38. A young man with slow cognitive decline Marie Christie Guiot and Pedro Rosa-Neto; Index.

Contributors

Serge Gauthier, Pedro Rosa-Neto, S. Epelbaum, B. Dubois, Machiel Pleizier, P. Scheltens, Rawan Tarawneh, John C. Morris, Paige Moorhouse, A. Arboix, M. Grau-Olivares, D. J. Burn, Y. Deschaintre, F. Massoud, G. C. Léger, P. H. Robert, Sylvie Belleville, Emilie Lepage, Jean-Paul Soucy, M. E. Growdon, G. D. Rabinovici, Mariana Blanco, Morris Freedman, Shahul Hameed, Ian R. A. Mackenzie, Ging-Yuek Robin Hsiung, Aiman Sanosi, Jette Stokholm, Peter Johannsen, Jørgen E. Nielsen, Anders Gade, Yannick Nadeau, Mario Masellis, Sandra E. Black, Bruno Franchi, Oscar L. Lopez, James T. Becker, Uwe Ehrt, Robert Perry, Dag Aarsland, Gustavo C. Román, Carlos Bazán III, Huali Wang, Xin Yu, Christian Schmidt, Steffen Plickert, David Summers, Inga Zerr, Nicholas W. S. Davies, Bruce J. Brew, Gabriel Leonard, Ricardo Nitrini, Leonardo Caixeta, Louis Verret, Rémi W. Bouchard, B. J. Kerklaan, Ryan V. V. Evans, Kevin M. Biglan, Will Guest, Gerald Pfeffer, Neil Cashman, Joseph M. Ferrara, Irene Litvan, Paulo Caramelli, Mirna Lie Hosogi-Senaha, Eric Schmidt, V. Jelic, I. Nennesmo, S. Pålhagen, B. Winblad, M. M. Kenan, R. S. Doody, Benjamin Lam, Mario Masellis, Masamichi Ikawa, Makoto Yoneda, Marie Christie Guiot