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Case 30 - Something Very Wrong Happened Very Fast

Published online by Cambridge University Press:  09 January 2021

Pedro Rosa-Neto
Affiliation:
McGill University, Montréal
Serge Gauthier
Affiliation:
McGill University, Montréal
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Summary

Mr. C, a 75-year-old man, noticed difficulty remembering names and adding numbers after wakening while on vacation. Although these problems were quite subtle, his wife was puzzled because he seemed to have no difficulty the day before. One week later, he noted that “something was wrong” but could not describe the changes in detail. He felt that his balance was “not right” and experienced difficulty keeping track of his golf scores. Over the next few months, he developed word-finding problems and had difficulty expressing himself. He was very forgetful, had trouble problem solving, was distractible, and was unable to do simple calculations. Whereas he had previously been very reserved, he started talking with others in a more open way than he would normally have done. He continued to complain of balance problems and started to notice changes in his handwriting.

Type
Chapter
Information
Case Studies in Dementia
Common and Uncommon Presentations
, pp. 132 - 135
Publisher: Cambridge University Press
Print publication year: 2021

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References

Puoti, G, Bizzi, A, Forloni, G, et al. Sporadic human prion disease: molecular insights and diagnosis. Lancet Neurol. 2012;11:618628.CrossRefGoogle ScholarPubMed
Paterson, RW, Torres-Chae, CC, Kuo, AL, et al. Differential diagnosis of Jakob-Creutzfeldt disease. Arch Neurol. 2012;69(12):15781582.CrossRefGoogle ScholarPubMed
Rabinovici, GD, Wang, PN, Levin, J, et al. First symptom in sporadic Creutzfeldt–Jakob disease. Neurology. 2006;66(2):286287.CrossRefGoogle ScholarPubMed
Huyard, C. What, if anything, is specific about having a rare disorder? Patients’ judgements on being ill and being rare. Health Expect. 2009;12(4):361370.CrossRefGoogle ScholarPubMed

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