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Case 1 - Subjective cognitive complaint

Published online by Cambridge University Press:  16 May 2011

Serge Gauthier
Affiliation:
McGill University, Montréal
Pedro Rosa-Neto
Affiliation:
McGill University, Montréal
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Summary

This chapter talks about a 70-year-old woman who consulted for a severe cognitive complaint encompassing numerous domains. MRI showed no focal atrophy especially of the hippocampal regions. The initial diagnostic impression was a subjective cognitive complaint with an attention disorder of probable psychogenic origin. Subjective cognitive complaint (SCC) is frequent in normal aging with a prevalence of 50% after 55 years of age. Episodic memory is the capacity to recall personal events that can be identified in time or in space. Memory disorders in everyday life can result from attention disorders, retrieval difficulties as well as genuine memory deficit due to Alzheimer's disease. The best way to disentangle the diagnostic problem is to assess memory by objective tests that may control for attention and that can facilitate the retrieval. This is the case of the Free and Cued Selected Recall Test (FCSRT).
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Chapter
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Case Studies in Dementia
Common and Uncommon Presentations
, pp. 6 - 12
Publisher: Cambridge University Press
Print publication year: 2011

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