NEUROLOGY

Semantic dementia (semantic variant primary progressive aphasia)

Mar 16, 2017 by in NEUROLOGY Comments Off on Semantic dementia (semantic variant primary progressive aphasia)

2. Impaired single-word comprehensionAt least three of the following other diagnostic features must be present:1. Impaired object knowledge, particularly for low-frequency or low-familiarity items2. Surface dyslexia or dysgraphia3. Spared repetition4….

read more

Chronic traumatic encephalopathy

Mar 16, 2017 by in NEUROLOGY Comments Off on Chronic traumatic encephalopathy

Figure 23.1 McKee’s four stages of CTE tau pathology and associated clinical features. The left column depicts 50 μm coronal tissue sections with CP-13 immunostain which labels phosphorylated tau with…

read more

Amnestic mild cognitive impairment

Mar 16, 2017 by in NEUROLOGY Comments Off on Amnestic mild cognitive impairment

Figure 15.1 Algorithm for the diagnosis of mild cognitive impairment. To illustrate diagnosis according to Figure 15.1: an initial clinical and cognitive evaluation may show that the patient has experienced…

read more

The Lewy body dementias

Mar 16, 2017 by in NEUROLOGY Comments Off on The Lewy body dementias

Figure 18.1 Lewy-related pathology (LRP). Lewy body inclusion (arrow) in a pigmented neuron of the substantia nigra (A, hematoxylin and eosin). Immunohistochemical staining of Lewy body inclusions (arrow heads) and…

read more

Primary progressive aphasia

Mar 16, 2017 by in NEUROLOGY Comments Off on Primary progressive aphasia

Figure 10.1 Atrophy maps in PPA subtypes [7, 11]. Only the left hemisphere is shown. Areas in red and yellow show peak atrophy sites when patient groups of a given…

read more

Delirium masquerading as dementia

Mar 16, 2017 by in NEUROLOGY Comments Off on Delirium masquerading as dementia

Urine analysis and cultureChest radiographElectrocardiogramFurther evaluation guided by initial evaluationBrain imaging with magnetic resonance with contrast (preferred) or computed tomographySerum ammoniaErythrocyte sedimentation rateBlood culturesLumbar puncture (if suspicion of meningitis, should…

read more

Cognitive disorders of the very old

Mar 16, 2017 by in NEUROLOGY Comments Off on Cognitive disorders of the very old

Figure 25.1 Overlap in neuropathology among dementia and non-dementia cases in the 90+ Study. Corrada et al., Curr Alzheimer Res. 2012 July 1; 9(6): 709–17. (Reproduced with permission [47].) This…

read more

Treatment of Alzheimer’s disease

Mar 16, 2017 by in NEUROLOGY Comments Off on Treatment of Alzheimer’s disease

astheniaNausea, vomiting, diarrhea, depression, headache, anxiety, application site reaction All three medications have shown efficacy through randomized, double-blind placebo-controlled trials (RCTs) with varying durations from 3 to 12 months. Compared…

read more

Early clinical features of the parkinsonian-related dementias

Mar 16, 2017 by in NEUROLOGY Comments Off on Early clinical features of the parkinsonian-related dementias

7 [1–14]f4.5 [3–10]gTypical clinical featuresCognitive featureMCI: any subtype, executive dysfunction, visuospatial dysfunction, verbal blocking, misidentification errors, impaired attention, variable memory impairmentMCI-PD, executive dysfunction, visuospatial dysfunction, impaired attentionMCI-SD executive, MCI-SD language…

read more
Get Clinical Tree app for offline access