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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:952-959 September 26, 1996 Number 13
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Case 30-1996— An 81-Year-Old Man with Progressive Disorientation, Repeated Falls, and a Fluctuating Mental State
David N. Caplan, and David N. Louis

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Presentation of Case

An 81-year-old, right-handed man was admitted to the hospital because of progressive disorientation and repeated falls.

The patient had been well until six weeks earlier, when he was believed to have been in an unwitnessed automobile accident, with swelling of the forehead. There were scratches on his car, but he could not recall details of the accident. He began to fall frequently and had episodes of slurred speech. He became unable to dress himself, prepare his own meals, or care for a grandchild. He became lost while crossing the street to visit his children's home and often failed to recognize . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. David N. Caplan's Diagnosis

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