Book contents
- Case Studies in Dementia
- Case Studies in Dementia
- Copyright page
- Contents
- Contributors
- Preface
- Case 1 A Young Missionary with Problems Quoting the Bible
- Case 2 Care Planning and Decision-Making through the Stages of Dementia
- Case 3 A Young Man with Memory and Walking Difficulties
- Case 4 Elderly Man Repeating Questions about Upcoming Appointments
- Case 5 A Devoted Wife with an Atypical Finding
- Case 6 A Challenging Thesis
- Case 7 The Forgetful Golfer
- Case 8 The Innapropriate Pedagogue
- Case 9 A 59-Year-Old Man with Weakness and Personality Changes
- Case 10 A Woman with Progressive Episodic Memory Loss and Personality Change
- Case 11 Left-Handed Man with Memory Complaints
- Case 12 Middle-Aged Man Concerned about His Family History
- Case 13 Man Having Trouble Reading
- Case 14 Speechless at First Sight
- Case 15 From Stuttering to Mutism
- Case 16 Middle-Aged Man Looking for Words
- Case 17 The Man Who Stopped Reading
- Case 18 A Meaningless World
- Case 19 Obsessive Mandala Drawing in Semantic Dementia
- Case 20 Forced into Retirement
- Case 21 Who Are These People in My Living Room?
- Case 22 Case of Parkinsonism That Never Had a Good Response to Levodopa
- Case 23 Common Complaints; Rare Pathology
- Case 24 Tremor, Hallucinations, and Cognitive Decline
- Case 25 Dementia Following Stroke
- Case 26 Vascular Cognitive Impairment
- Case 27 Rapidly Progressive Behavioral Changes and Cognitive Symptoms in a 29-Year-Old Woman
- Case 28 Young Woman Feeling Sick and Confused
- Case 29 A Man with Urinary Incontinence and Trouble Walking
- Case 30 Something Very Wrong Happened Very Fast
- Case 31 Siblings with a Fatal Cause of Rapidly Progressive Dementia
- Case 32 Left or Right: Which Way to Go?
- Case 33 Young Woman with Problems Concentrating
- Case 34 Concerns about the Future
- Appendix: Diagnostic Criteria
- Index
- References
Case 29 - A Man with Urinary Incontinence and Trouble Walking
Published online by Cambridge University Press: 09 January 2021
- Case Studies in Dementia
- Case Studies in Dementia
- Copyright page
- Contents
- Contributors
- Preface
- Case 1 A Young Missionary with Problems Quoting the Bible
- Case 2 Care Planning and Decision-Making through the Stages of Dementia
- Case 3 A Young Man with Memory and Walking Difficulties
- Case 4 Elderly Man Repeating Questions about Upcoming Appointments
- Case 5 A Devoted Wife with an Atypical Finding
- Case 6 A Challenging Thesis
- Case 7 The Forgetful Golfer
- Case 8 The Innapropriate Pedagogue
- Case 9 A 59-Year-Old Man with Weakness and Personality Changes
- Case 10 A Woman with Progressive Episodic Memory Loss and Personality Change
- Case 11 Left-Handed Man with Memory Complaints
- Case 12 Middle-Aged Man Concerned about His Family History
- Case 13 Man Having Trouble Reading
- Case 14 Speechless at First Sight
- Case 15 From Stuttering to Mutism
- Case 16 Middle-Aged Man Looking for Words
- Case 17 The Man Who Stopped Reading
- Case 18 A Meaningless World
- Case 19 Obsessive Mandala Drawing in Semantic Dementia
- Case 20 Forced into Retirement
- Case 21 Who Are These People in My Living Room?
- Case 22 Case of Parkinsonism That Never Had a Good Response to Levodopa
- Case 23 Common Complaints; Rare Pathology
- Case 24 Tremor, Hallucinations, and Cognitive Decline
- Case 25 Dementia Following Stroke
- Case 26 Vascular Cognitive Impairment
- Case 27 Rapidly Progressive Behavioral Changes and Cognitive Symptoms in a 29-Year-Old Woman
- Case 28 Young Woman Feeling Sick and Confused
- Case 29 A Man with Urinary Incontinence and Trouble Walking
- Case 30 Something Very Wrong Happened Very Fast
- Case 31 Siblings with a Fatal Cause of Rapidly Progressive Dementia
- Case 32 Left or Right: Which Way to Go?
- Case 33 Young Woman with Problems Concentrating
- Case 34 Concerns about the Future
- Appendix: Diagnostic Criteria
- Index
- References
Summary
A 71-year-old man was admitted for gradually difficult walking for 3 years along with memory impairment and urinary incontinence for 1 year. At first, this patient just complained of weakness while walking and dizziness. He was treated for arterial hypertension; however, no relief was obtained. He experienced more difficulties in walking and initiating steps. Besides these symptoms, his memory and thinking ability declined. His wife found that he responded slowly with personality change from a talkative and considerative gentleman to a silent man with apathy. The patient often felt urinary urgency, sometimes with incontinence. It was considered as symptoms of prostate hypertrophy. He was referred to a neurologist and MRI reported some lacunar infarctions and brain atrophy (retrospectively, lateral ventricles enlargement already existed). His Mini-Mental State Examination (MMSE) score was 18 points. Lumbar puncture (LP) was performed and cerebrospinal fluid (CSF) results were normal. The patient was diagnosed as having vascular dementia, hypertension and treated with neuroprotective agents and antihypertensives. After hospitalization, his symptoms were temporarily and partially relieved. His MMSE score was improved to 24 points when he was discharged.
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- Case Studies in DementiaCommon and Uncommon Presentations, pp. 127 - 131Publisher: Cambridge University PressPrint publication year: 2021