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2 results

  • Case 35 - Man who stopped drinking

  • Edited by Serge Gauthier, McGill University, Montréal, Pedro Rosa-Neto, McGill University, Montréal
  • Book:
    Case Studies in Dementia
    Published online:
    16 May 2011
    Print publication:
    21 April 2011, pp 259-264

  • Summary

    This chapter presents a case study of a 60-year-old man who had complained of stumbling for 2 years without dizziness or stiffness of the legs. There is an impression of mild dementia on neuro-cognitive examination with obvious slowness of mental processing. Neurological examination of the upper body and head is unremarkable. His feet are high-arched, and power in the flexor and extensor muscles of the feet is diminished to grade MRC 4 on the left side and grade MRC 3 on the right side with an inverse position of the right foot. Taking the information from history, neurological, and neuro-cognitive examination together, the chapter concludes that the old man suffers from cognitive impairments in combination with a bi-pyramidal syndrome with poly-neuropathy and urine incontinence. It appears that the cognitive impairment leads to a presenile form of dementia, characterized not only by memory deficits but also by mental slowness and dysfunction.