Case Studies in Dementia - Volume 1

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. Features • 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   Table of 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.