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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 340:1269-1277 April 22, 1999 Number 16
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Case 12-1999— A 67-Year-Old Man with Three Years of Dementia
David A. Drachman, and Kathy L. Newell

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Presentation of Case

A 67-year-old, right-handed man was admitted to the hospital because of increasing dementia.

Three years before admission, the patient's cognitive function began to decline. One year later, a neurologist diagnosed progressive dementia with parkinsonism.

During the two months before admission, the patient became agitated, and trazodone was prescribed. His family noted transient periods when he stared into space and did not respond to his surroundings. He fell several times, with apparent loss of consciousness but no obvious injury.

One week before admission, the patient punched his wife because she would not let him drive. Soon thereafter, he began to look . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. David A. Drachman's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References


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