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Reversible mental symptoms in temporal arteritis.

J W Cochran, J H Fox, M P Kelly

    The Journal of Nervous and Mental Disease
    |June 1, 1978
    PubMed
    Summary
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    Temporal arteritis can cause mental symptoms, including memory loss. Steroid treatment resolved a patient's nonverbal memory deficit, suggesting this condition may be overlooked in dementia cases.

    Area of Science:

    • Neurology
    • Rheumatology
    • Geriatric Medicine

    Background:

    • Temporal arteritis, a form of vasculitis, frequently presents with neurological symptoms.
    • Mental status changes are recognized but often generalized, such as confusion.

    Observation:

    • A case study highlights a patient with temporal arteritis experiencing a specific deficit in nonverbal memory.
    • This cognitive impairment was objectively documented through psychological testing.

    Findings:

    • The nonverbal memory deficit demonstrated significant improvement following a course of corticosteroid therapy.
    • Focal intellectual impairment, beyond global confusion, can occur in temporal arteritis.

    Implications:

    • Temporal arteritis should be considered in the differential diagnosis for patients presenting with dementia and focal neurological signs.

    Related Experiment Videos

  • Early diagnosis, aided by erythrocyte sedimentation rate and temporal artery biopsy, is crucial for effective management and potential cognitive recovery.