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Lexical Decision Task for Studying Written Word Recognition in Adults with and without Dementia or Mild Cognitive Impairment
Published on: June 25, 2019
[51-Year-old Patient With Word Finding Difficulties]
Nathalie Mayor1,2, Moritz Strickler1, Susanna Frigerio3
1Klinik für Akutgeriatrie, Kantonsspital Olten, Olten.
Insights
This case study highlights semantic dementia, a rare neurodegenerative condition. Early word-finding difficulties and memory issues, initially mistaken for depression, were key diagnostic clues.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- A 51-year-old patient presented with progressive word-finding difficulties.
- Initial symptoms were attributed to co-existing depression, showing temporary improvement with treatment.
- Subtle abnormalities in naming and verbal memory were noted on the CERAD test battery.
Purpose of the Study:
- To present a challenging case of semantic dementia diagnosis.
- To illustrate the diagnostic process for semantic dementia.
- To differentiate semantic dementia from depression-induced cognitive impairment.
Main Methods:
- Clinical presentation and patient history.
- Neuropsychological testing (CERAD battery).
- Magnetic Resonance (MR) tomography and Fluorodeoxyglucose-Positron Emission Tomography (FDG-PET).
Main Results:
- MR tomography revealed right hippocampal hypotrophy.
- FDG-PET and handedness assessment were crucial for diagnosis.
- The patient was ultimately diagnosed with semantic dementia.
Conclusions:
- Semantic dementia can present insidiously with symptoms mimicking depression.
- A combination of advanced neuroimaging and detailed neuropsychological assessment is vital for accurate diagnosis.
- Early and accurate diagnosis of semantic dementia is critical for patient management.
Introduction:
A 51-year-old patient presented to the Memory Clinic with difficulty finding words that had been increasing over the course of months. This could not be objectified in the anamnesis interview, but the CERAD test battery revealed slight abnormalities in naming and verbal memory. MR tomography showed discrete hippocampal hypotrophy on the right. Because depression existed at the same time, the symptoms were associated with this, especially since the symptoms also improved with treatment of the depression. Only further MR tomographic imaging and FDG-PET, as well as questioning of handedness, finally led to the diagnosis of semantic dementia.
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