Book contents
- Common Pitfalls in Cognitive and Behavioral Neurology
- Common Pitfalls in Cognitive and Behavioral Neurology
- Copyright page
- Dedication
- Contents
- Diseases Discussed in the Book
- Preface
- Acknowledgements
- Abbreviations
- Part 1Missing the Diagnosis Altogether
- Part 2Misidentifying the Impaired Cognitive Domain
- Part 3Missing Important Clues in the History
- Part 4Failure of Pattern Recognition
- Part 5Difficult-to-Characterize Cognitive/Behavioral Disorders
- Part 6Clinical Findings That Are Subtle
- Part 7Misinterpreting Test Results
- Part 8Attributing Findings to a Known or Suspected Disorder
- Part 9Missing Radiographic Clues
- Part 10Management Misadventures
- Case 46I Don’t Know When to Stop
- Case 47Is It Still Helping?
- Case 48Caring for the Caregiver
- Case 49Better Safe than Sorry?
- Case 50Great Expectations
- Case 51Nothing Can Be Done
- Index
- Plate Section (PDF Only)
- References
Case 51 - Nothing Can Be Done
from Part 10 - Management Misadventures
Published online by Cambridge University Press: 03 November 2020
Book contents
- Common Pitfalls in Cognitive and Behavioral Neurology
- Common Pitfalls in Cognitive and Behavioral Neurology
- Copyright page
- Dedication
- Contents
- Diseases Discussed in the Book
- Preface
- Acknowledgements
- Abbreviations
- Part 1Missing the Diagnosis Altogether
- Part 2Misidentifying the Impaired Cognitive Domain
- Part 3Missing Important Clues in the History
- Part 4Failure of Pattern Recognition
- Part 5Difficult-to-Characterize Cognitive/Behavioral Disorders
- Part 6Clinical Findings That Are Subtle
- Part 7Misinterpreting Test Results
- Part 8Attributing Findings to a Known or Suspected Disorder
- Part 9Missing Radiographic Clues
- Part 10Management Misadventures
- Case 46I Don’t Know When to Stop
- Case 47Is It Still Helping?
- Case 48Caring for the Caregiver
- Case 49Better Safe than Sorry?
- Case 50Great Expectations
- Case 51Nothing Can Be Done
- Index
- Plate Section (PDF Only)
- References
Summary
This 70-year-old right-handed man presented with a 4-year history of worsening forgetfulness. Since his retirement as a lawyer he noticed increasing difficulties recalling recent conversations and finding words. His family reported he was unintentionally repeating questions and stories. In addition, he was not as active as before and spent more time watching TV. One year earlier, he discussed his concerns with his primary care physician whose evaluation revealed a Mini-Mental State Examination score (MMSE) of 24/30, unremarkable screening labs, and a brain MRI which showed mild generalized atrophy. He was told he had mild cognitive impairment (MCI) which is considered a predementia stage. He was on donepezil 10 mg daily and memantine 10 mg twice daily, with no meaningful changes in his cognition or function.
Information
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- Information
- Common Pitfalls in Cognitive and Behavioral NeurologyA Case-Based Approach, pp. 164 - 168Publisher: Cambridge University PressPrint publication year: 2020
References
Akbaraly, T. N. et al. 2009. Leisure activities and the risk of dementia in the elderly: results from the Three-City Study. Neurology 73(11) 854–861.CrossRefGoogle ScholarPubMed
Fotuhi, M., Do, D. and Jack, C. 2012. Modifiable factors that alter the size of the hippocampus with ageing. Nature Reviews Neurology 8 189.CrossRefGoogle ScholarPubMed
Hughes, C. P. et al. 1982. A new clinical scale for the staging of dementia. Br J Psychiatry 140 566–572.Google Scholar
Karssemeijer, E. G. A. et al. 2017. Positive effects of combined cognitive and physical exercise training on cognitive function in older adults with mild cognitive impairment or dementia: a meta-analysis. Ageing Res Rev 40 75–83.Google Scholar
Kuiper, J. S. et al. 2015. Social relationships and risk of dementia: a systematic review and meta-analysis of longitudinal cohort studies. Ageing Res Rev 22 39–57.Google Scholar
Livingston, G. et al. 2017. Dementia prevention, intervention, and care. Lancet 390(10113) 2673–2734.CrossRefGoogle ScholarPubMed
Morris, M. C. et al. 2015a. MIND diet slows cognitive decline with aging. Alzheimers Dement 11(9) 1015–1022.CrossRefGoogle ScholarPubMed
Morris, M. C. et al. 2015b. MIND diet associated with reduced incidence of Alzheimer’s disease. Alzheimers Dement 11(9) 1007–1014.CrossRefGoogle ScholarPubMed
Petersen, R. C. et al. 2018. Practice guideline update summary: mild cognitive impairment: report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology 90(3) 126–135.CrossRefGoogle Scholar
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