Abstract
72-year-old gentleman, previously relatively fit, former soldier was admitted for 1 week history of poor balance, instability and gait difficulties. He also mentioned intermittent pins and needles in his legs. There was a past history of chronic lumbar spine issues (including surgery/laminectomy L4, L5 in the past) and longstanding foot drop on the left. He said that “his legs can not bear him” now. He was seen 6 weeks before current admission by psychiatrist with conclusion of mild cognitive decline, possibly related to early Alzheimer’s dementia and he was started on Donepezil. Psychiatrist requested CT scan of his brain which was reported normal (6 weeks before current admission).
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Further Reading
Lindsay KW, Bone I, Fuller G. Neurology and neurosurgery illustrated e-book. St.Louis: Elsevier Health Sciences; 2010.
Nadgir R, Yousem DM. Neuroradiology: the requisites. Philadephia: Elsevier Health Sciences; 2016.
van den Doel EM. Balzac’s “Pierette”. An early description of chronic subdural hematoma. Arch Neurol. 1986;43:1291–2.
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Dolezal, O. (2019). Dementia and “Something Else”. In: Clinical Cases in Neurology. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-16628-1_3
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DOI: https://doi.org/10.1007/978-3-030-16628-1_3
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