Posterior Cortical Atrophy with Acute Onset and Rapid Progressive Visual Symptoms: A Case Report.
10.12779/dnd.2015.14.2.83
- Author:
Jaejeong JOO
1
;
Sul Ki LEE
;
In Ha HWANG
;
Kyum Il KWON
;
Byoung June AHN
;
Youngsoon YANG
Author Information
1. Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi, Korea.
- Publication Type:Case Report
- Keywords:
posterior cortical atrophy;
rapid progression;
visuo-spatial dysfunction
- MeSH:
Atrophy*;
Blindness, Cortical;
Brain;
Dementia;
Female;
Fluorodeoxyglucose F18;
Gerstmann Syndrome;
Humans;
Judgment;
Magnetic Resonance Imaging;
Memory;
Middle Aged;
Passive Cutaneous Anaphylaxis;
Positron-Emission Tomography
- From:Dementia and Neurocognitive Disorders
2015;14(2):83-86
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Posterior cortical atrophy (PCA) is characterized by slowly progressive early onset dementia with cortical visual dysfunction and disproportionate atrophy of the posterior cortex. CASE REPORT: A 55-year-old right-handed woman developed visuo-spatial impairments that progressed rapidly into cortical blindness over the following 3 months. Neuro-psychological evaluation revealed Gerstmann syndrome and severe constructional impairments with all components of Balint syndrome. However, her memory, insight, and judgment were preserved. Her brain MRI was normal. However, 18F fluorodeoxyglucose positron emission tomography revealed a marked hypometabolism in the bilateral parieto-occipital region. CONCLUSIONS: Although rapid progression of visuo-spatial dysfunction without memory impairment occurred, we considered PCA as well.
