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[Argyrophilic grain disease: synergistic component of dementia?]
D Wallon1, C Sommervogel, A Laquerrière
1Service de Neurologie, Université de Rouen, CHU Charles-Nicolle, 1 Rue de Germont, 76031 Rouen Cedex, France. david.wallon@gmail.com
Introduction:
Argyrophilic grain disease (AGD) is one cause of neurodegenerative dementia with a variable clinical spectrum. A neuropathology study is required for diagnosis.
Case Report:
We report the case of a 68-year-old patient presenting with cognitive decline associating with frontal dysfunction and parkinsonism. Death occurred two years after onset. The neuropathology study revealed a status criblosus in the basal ganglia, neurofibrillary tangles and AGD.
Discussion:
We suggest that AGD could explain the atypical course of this dementia considering the fast cognitive decline, the clinical expression and the topography of the lesions.
Conclusion:
This case illustrates the possible synergistic deleterious effect of this pathology on other causes of dementia.
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