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Case 44 - It’s Not Alzheimer Disease; Now What?

from Part 9 - Missing Radiographic Clues

Published online by Cambridge University Press:  03 November 2020

Keith Josephs ,
Federico Rodriguez-Porcel ,
Rhonna Shatz ,
Daniel Weintraub  and
Alberto Espay
Keith Josephs
Affiliation:
Mayo Clinic Alzheimer’s Disease Research Center
Federico Rodriguez-Porcel
Affiliation:
Medical University of South Carolina
Rhonna Shatz
Affiliation:
University of Cincinnati
Daniel Weintraub
Affiliation:
University of Pennsylvania
Alberto Espay
Affiliation:
University of Cincinnati
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Summary

This 85-year-old right-handed man presented with a 5-year history of memory difficulties. His daughter described a slowly progressive decline in his ability to recall recent events. Initially, he repeated stories and frequently misplaced items. Within the prior two years, he forgot appointments and started adding notes to calendars. Otherwise, he remained very independent and active, exercising daily. He exhibited no motor or personality changes. The patient was not concerned about his difficulties and attributed them to normal aging. His only medication was tamsulosin for prostatic hyperplasia. His neurological exam was normal except for a Montreal Cognitive Assessment (MoCA) score of 25/30 due to impairments in delayed recall (he recalled one word freely; could not name the others even after category or multiple-choice cues) and orientation to time.

Type
Chapter
Information
Common Pitfalls in Cognitive and Behavioral Neurology
A Case-Based Approach
 , pp. 141 - 143
Publisher: Cambridge University Press
Print publication year: 2020

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References

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