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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 337:549-556 August 21, 1997 Number 8
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Case 26-1997— A 64-Year-Old Man with Progressive Dementia, Seizures, and Unstable Gait
Joseph H. Friedman, and M. Joe Ma

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Presentation of Case

A 64-year-old man was admitted to the Memory Disorders Clinic because of progressive dementia, seizures, and an unstable gait.

Nine years before admission he was noted to repeat questions after having received the answers. Five years later he had a grand mal seizure, and treatment with phenytoin sodium was begun. One year before admission, electroconvulsive therapy was administered for severe depression. His gait became unsteady, and he fell three or four times daily, usually backward. His movements slowed, and he dragged his right leg while walking. He expressed fear that someone was going to break into his house. His eating . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Joseph H. Friedman's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References




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