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A 42-year-old woman with subacute reversible dementia: A cautionary tale
A 42-year-old woman presented with a 6-month history of diffuse headache of moderate intensity and gradual onset of generalized weakness, imbalance, apathy, memory decline, hypophonia, dysphagia, constipation and urinary incontinence. Clinical examination revealed several elements of a frontal lobe...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Medical Association Of Malawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812000/ https://www.ncbi.nlm.nih.gov/pubmed/29872518 http://dx.doi.org/10.4314/mmj.v29i3.7 |
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author | Kamtchum-Tatuene, Joseph Kamwezi, Richard Nyalubwe, Thokozani Banda, Josephine P Mwangalika, Gloria Matandika, Ian Hemmila, Ulla Tisell, Magnus Koponen, Susanna Benjamin, Laura A Kamalo, Patrick |
author_facet | Kamtchum-Tatuene, Joseph Kamwezi, Richard Nyalubwe, Thokozani Banda, Josephine P Mwangalika, Gloria Matandika, Ian Hemmila, Ulla Tisell, Magnus Koponen, Susanna Benjamin, Laura A Kamalo, Patrick |
author_sort | Kamtchum-Tatuene, Joseph |
collection | PubMed |
description | A 42-year-old woman presented with a 6-month history of diffuse headache of moderate intensity and gradual onset of generalized weakness, imbalance, apathy, memory decline, hypophonia, dysphagia, constipation and urinary incontinence. Clinical examination revealed several elements of a frontal lobe dysfunction including apathy with motor impersistence, presence of primitive reflexes, generalized hyperreflexia with bilateral Hoffman sign and ankle clonus. The biological workup was unremarkable and a brain computed tomography scan identified a giant olfactory groove meningioma. A prompt neurosurgical intervention helped to reverse the symptoms. This case illustrates the benefits of actively looking for treatable conditions in young patients presenting with acute or subacute dementia and emphasizes the pivotal role of early brain imaging. |
format | Online Article Text |
id | pubmed-5812000 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Medical Association Of Malawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-58120002018-06-05 A 42-year-old woman with subacute reversible dementia: A cautionary tale Kamtchum-Tatuene, Joseph Kamwezi, Richard Nyalubwe, Thokozani Banda, Josephine P Mwangalika, Gloria Matandika, Ian Hemmila, Ulla Tisell, Magnus Koponen, Susanna Benjamin, Laura A Kamalo, Patrick Malawi Med J Case Report A 42-year-old woman presented with a 6-month history of diffuse headache of moderate intensity and gradual onset of generalized weakness, imbalance, apathy, memory decline, hypophonia, dysphagia, constipation and urinary incontinence. Clinical examination revealed several elements of a frontal lobe dysfunction including apathy with motor impersistence, presence of primitive reflexes, generalized hyperreflexia with bilateral Hoffman sign and ankle clonus. The biological workup was unremarkable and a brain computed tomography scan identified a giant olfactory groove meningioma. A prompt neurosurgical intervention helped to reverse the symptoms. This case illustrates the benefits of actively looking for treatable conditions in young patients presenting with acute or subacute dementia and emphasizes the pivotal role of early brain imaging. The Medical Association Of Malawi 2017-09 /pmc/articles/PMC5812000/ /pubmed/29872518 http://dx.doi.org/10.4314/mmj.v29i3.7 Text en 2017 The College of Medicine and the Medical Association of Malawi © 2017 The College of Medicine and the Medical Association of Malawi. This work is licensed under the Creative Commons Attribution 4.0 International License. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Report Kamtchum-Tatuene, Joseph Kamwezi, Richard Nyalubwe, Thokozani Banda, Josephine P Mwangalika, Gloria Matandika, Ian Hemmila, Ulla Tisell, Magnus Koponen, Susanna Benjamin, Laura A Kamalo, Patrick A 42-year-old woman with subacute reversible dementia: A cautionary tale |
title | A 42-year-old woman with subacute reversible dementia: A cautionary tale |
title_full | A 42-year-old woman with subacute reversible dementia: A cautionary tale |
title_fullStr | A 42-year-old woman with subacute reversible dementia: A cautionary tale |
title_full_unstemmed | A 42-year-old woman with subacute reversible dementia: A cautionary tale |
title_short | A 42-year-old woman with subacute reversible dementia: A cautionary tale |
title_sort | 42-year-old woman with subacute reversible dementia: a cautionary tale |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5812000/ https://www.ncbi.nlm.nih.gov/pubmed/29872518 http://dx.doi.org/10.4314/mmj.v29i3.7 |
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