Posterior (Bilateral Parieto-occipital) Cortical Atrophy: A Case Study
Author(s)
Baki ARPACIKeywords
Posterior cortical atrophydegenerative dementia
visuospatial dysfunction
Psychiatry
RC435-571
Neurology. Diseases of the nervous system
RC346-429
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Internal medicine
RC31-1245
Medicine
R
DOAJ:Psychiatry
DOAJ:Medicine (General)
DOAJ:Health Sciences
DOAJ:Neurology
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Scientific Background: Primary degenerative dementia can show different features in the early stages and can start with asymmetric or symmetric focal degeneration. Posterior cortical atrophy is a rare progressive dementia syndrome which can be evaluated, using neuropsychological tests and neuroimaging techniques, along with clinical features. Definitive diagnosis is made histopathologically.Objective: To discuss the clinical features of a case with posterior cortical atrophy, characterized by progressive visuospatial disorder, and the differential diagnosis, under the light of related literature.Results: Neurocognitive assessment revealed a serious visuospatial and constructional disturbance as well as facial recognition defects, dressing apraxia and agraphia, and a mild memory and verbal fluency impairment. Cranial MRI demonstrated bilateral parieto-occipital atrophy, and the SPECT investigation showed decreased perfusion in the right temporoparieto occipital region compared to the left hemisphere. Routine and other laboratory investigations were normal. Conclusion: The patient was started on memantine with a daily dose of 20 mg, twice a day. After four months, he became temporarily able to drive and park his tractor, but, the symptoms progressed later. (Archives of Neuropsychiatry 2009; 46: 192-6)Date
2009-12-01Type
ArticleIdentifier
oai:doaj.org/article:9573d7e898bc46fb9c5900567ddec0951300-0667
https://doaj.org/article/9573d7e898bc46fb9c5900567ddec095