Book contents
- Case Studies in Dementia
- Case Studies in Dementia
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgments
- Introduction to the diagnosis of dementia
- Case 1 Subjective cognitive complaint
- Case 2 Man with subjective complaints but abnormal CSF
- Case 3 When mild cognitive impairment really is Alzheimer's disease
- Case 4 Lost for words
- Case 5 Woman with right-sided numbness
- Case 6 Don't be fooled by a misleadingly high MMSE score
- Case 7 Hemiparesis followed by dementia
- Case 8 Young man with behavioral symptoms
- Case 9 Woman with visual complaints
- Case 10 Difficulty playing tennis
- Case 11 Progressive aphasia complicated by intracerebral bleeding
- Case 12 Progressive difficulty with naming and object identification
- Case 13 A lady with weakness, fasciculations, and failing memory
- Case 14 Progressive difficulty producing speech
- Case 15 Young man with progressive speech impairment and weakness
- Case 16 Personality disintegration – it runs in the family
- Case 17 Woman with complaints about her left arm
- Case 18 The aged brain: when the pieces don't fit
- Case 19 Hypersexuality in a 69-year-old man
- Case 20 Man with fluctuating confusion
- Case 21 Man with post-operative cognitive impairment
- Case 22 Penicillin for dementia in a young man
- Case 23 Thiamine for dementia in a young woman
- Case 24 Dizziness in someone with HIV
- Case 25 Case of young man smoking pot but with a mother who died of dementia
- Case 26 University educated man with childish behavior
- Case 27 Frontotemporal lobar dementia vs. solvent intoxication: A piece that does not fit the puzzle
- Case 28 Man with difficulty keeping pace
- Case 29 Young woman with abnormal movements but no family history
- Case 30 Elderly lady with right-sided visual hallucinations
- Case 31 Woman with gait impairment and difficulty reading
- Case 32 Man with problems with reading and calculating
- Case 33 Man with gait impairment and urine incontinence
- Case 34 Falling before forgetting
- Case 35 Man who stopped drinking
- Case 36 Woman with dementia and hepatic disease
- Case 37 Young woman with recurrent “stroke” attacks
- Case 38 Young man with slow cognitive decline
- Case 39 Young woman with lateralized motor symptoms
- Index
Case 35 - Man who stopped drinking
Published online by Cambridge University Press: 16 May 2011
Book contents
- Case Studies in Dementia
- Case Studies in Dementia
- Copyright page
- Contents
- Contributors
- Preface
- Acknowledgments
- Introduction to the diagnosis of dementia
- Case 1 Subjective cognitive complaint
- Case 2 Man with subjective complaints but abnormal CSF
- Case 3 When mild cognitive impairment really is Alzheimer's disease
- Case 4 Lost for words
- Case 5 Woman with right-sided numbness
- Case 6 Don't be fooled by a misleadingly high MMSE score
- Case 7 Hemiparesis followed by dementia
- Case 8 Young man with behavioral symptoms
- Case 9 Woman with visual complaints
- Case 10 Difficulty playing tennis
- Case 11 Progressive aphasia complicated by intracerebral bleeding
- Case 12 Progressive difficulty with naming and object identification
- Case 13 A lady with weakness, fasciculations, and failing memory
- Case 14 Progressive difficulty producing speech
- Case 15 Young man with progressive speech impairment and weakness
- Case 16 Personality disintegration – it runs in the family
- Case 17 Woman with complaints about her left arm
- Case 18 The aged brain: when the pieces don't fit
- Case 19 Hypersexuality in a 69-year-old man
- Case 20 Man with fluctuating confusion
- Case 21 Man with post-operative cognitive impairment
- Case 22 Penicillin for dementia in a young man
- Case 23 Thiamine for dementia in a young woman
- Case 24 Dizziness in someone with HIV
- Case 25 Case of young man smoking pot but with a mother who died of dementia
- Case 26 University educated man with childish behavior
- Case 27 Frontotemporal lobar dementia vs. solvent intoxication: A piece that does not fit the puzzle
- Case 28 Man with difficulty keeping pace
- Case 29 Young woman with abnormal movements but no family history
- Case 30 Elderly lady with right-sided visual hallucinations
- Case 31 Woman with gait impairment and difficulty reading
- Case 32 Man with problems with reading and calculating
- Case 33 Man with gait impairment and urine incontinence
- Case 34 Falling before forgetting
- Case 35 Man who stopped drinking
- Case 36 Woman with dementia and hepatic disease
- Case 37 Young woman with recurrent “stroke” attacks
- Case 38 Young man with slow cognitive decline
- Case 39 Young woman with lateralized motor symptoms
- Index
Summary
This chapter talks about an 81-year-old, left-handed, Caucasian man who was referred by his internist for evaluation of cognitive change. Initial impression was that of an acute-on-chronic change of cognition and gait, which occurred about a month before the first visit, most likely due to Wernicke's encephalopathy, plus underlying dementia. Potentially contributing factors in the differential diagnosis of the dementia were alcoholism in the past, suspected nutritional insufficiency, possible multi-infarct dementia, and possible Alzheimer's disease. The patient was treated emergently for Wernicke's encephalopathy with intravenous thiamine hydrochloride immediately following the new patient visit. The patient's history suggested both an insidious dementia and an acute change due to some other factor. This case illustrates the importance of obtaining a careful chronology of symptoms in the history, and of entertaining the possibility of both acute and chronic processes.
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- Case Studies in DementiaCommon and Uncommon Presentations, pp. 259 - 264Publisher: Cambridge University PressPrint publication year: 2011