A case of Posterior Cortical Atrophy Presenting with Features of Atypical Dementia
Journal of the Korean Society of Biological Psychiatry
;
: 46-53, 2008.
Artículo
en Coreano
| WPRIM
| ID: wpr-725077
ABSTRACT
Posterior cortical atrophy(PCA) is a presenile dementia that presents primarily with signs and symptoms of cortical visual dysfunction, while memory is relatively preserved until the late stage of the disease. We report a patient with PCA, confirmed by brain magnetic resonance imaging (MRI) and F18-fluorodeoxyglucose positron emission tomography(FDG PET). A 58-year-old right-handed woman presented initially with visual dimness and difficulty finding things around her. She had partial Balint's syndrome, partial Gerstmann syndrome, and idiomotor apraxia. She also had a mild memory disturbance, but preserved insight of her disease. Neuropsychological evaluation showed decreased parietal and left temporal functions bilaterally. Brain MRI and F18-FDG PET revealed typical bilateral occipitoparietal atrophy and hypometabolism, which were slightly worse on the right side. Cholinesterase inhibitor administration for 6 months improved the memory impairment slightly, but not the cortical visual dysfunction. This is a typical case of PCA, confirmed by neurologic signs and imaging findings.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Apraxias
/
Atrofia
/
Encéfalo
/
Anafilaxis Cutánea Pasiva
/
Imagen por Resonancia Magnética
/
Enfermedad del Almacenamiento de Glucógeno Tipo VI
/
Colinesterasas
/
Síndrome de Gerstmann
/
Demencia
/
Electrones
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Biological Psychiatry
Año:
2008
Tipo del documento:
Artículo
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