Dementia presenting with visual complaints | Zendy

Nikolaos Koutroumanos | Zendy; Michael W. Clarke | Zendy; Urs P. Mosimann | Zendy

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Dementia presenting with visual complaints

Author(s) -

Nikolaos Koutroumanos,

Michael W. Clarke,

Urs P. Mosimann

Publication year - 2009

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr.08.2008.0730

Subject(s) - dementia , medicine , cognitive impairment , memory impairment , visual impairment , disease , cognition , neurology , psychiatry , pediatrics , audiology , pathology

A 78-year-old female developed memory problems after a 2-year history of persistent visual complaints. Ocular pathology did not explain the extent of her perceived visual impairment. Cognitive screening tests found prominent visuo-constructive deficits and a comprehensive dementia assessment revealed the diagnosis of Alzheimer's disease. This case describes visual complaints as the initial symptom of dementia, pre-dating memory impairment by several years. We discuss clinical signs of cerebral visual impairment and suggest a simple screening measure.

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