9780521188302

Case Studies in Dementia: Common and Uncommon Presentations

by
  • ISBN13:

    9780521188302

  • ISBN10:

    052118830X

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2011-06-06
  • Publisher: Cambridge University Press
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Summary

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.

Author Biography

Serge Gauther is Director, Alzheimers Disease Research Unit, McGilL Center for Studies in Aging, Dorglas Mental Health University,institute,McGill University,Quebec,canda. Pedro Rosa-Neto is Assistant Professor of Neurology, Neuros,urgery, and psychiatry at McGill University, Quebec, Canada.

Table of Contents

List of contributorsp. viii
Prefacep. xv
Acknowledgmentsp. xvi
Introduction to the diagnosis of dementiap. 1
Subjective cognitive complaintp. 6
Man with subjective complaints but abnormal CSFp. 13
When mild cognitive impairment really is Alzheimer's diseasep. 18
Lost for wordsp. 26
Woman with right-sided numbnessp. 33
Don't be fooled by a misleadingly high MMSE scorep. 42
Hemiparesis followed by dementiap. 47
Young man with behavioral symptomsp. 55
Woman with visual complaintsp. 59
Difficulty playing tennisp. 64
Progressive aphasia complicated by intraccrebaral bleddingp. 71
Progressive difficulty with naming and object identificationp. 82
A lady with weakness, fasciculations, and railing memoryp. 90
Progressive difficulty producing speechp. 98
Young man with progressive speech impairment and weaknessp. 105
Personality disintegration - it runs in the familyp. 115
Woman with complaints about her left armp. 124
The aged brain: when the pieces don't fitp. 132
Hypersexuality in a 69-year-old manp. 139
Man with fluctuating confusionp. 148
Man with post-operative cognitive impairmentp. 155
Penicillin for dementia in a young manp. 165
Thiamine for dementia in a young womanp. 172
Dizziness in someone with HIVp. 180
Case of young man smoking pot but with a mother who died of dementiap. 188
University educated man with childish behaviorp. 193
Frontotemporal lobar dementia vs. solvent intoxication: A piece that does not fit the puzzlep. 201
Man with difficulty keeping pacep. 208
Young woman with abnormal movements but no family historyp. 215
Elderly lady with right-sided visual hallucinationsp. 222
Woman with gait impairment and difficulty readingp. 229
Man with problems with reading and calculatingp. 238
Man with gait impairment and urine incontinencep. 245
Falling before forgettingp. 253
"Man who stopped drinkingp. 259
Woman with dementia and hepatic diseasep. 265
Young woman with recurrent "stroke" attacksp. 272
Young man with slow cognitive declinep. 277
Young woman with lateralized motor symptomsp. 282
Indexp. 292
Table of Contents provided by Ingram. All Rights Reserved.

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