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Posterior Type of Alzheimer's Dementia Presenting with Homonymous Hemianopsia
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Type
Academic journal
Author
Journal
대한치매학회 Dementia and Neurocognitive Disorders(대한치매학회지) Dementia and Neurocognitive Disorders(대한치매학회지) 제16권 제4호 KCI Accredited Journals
Published
2017.1
Pages
128 - 131 (4page)

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Posterior Type of Alzheimer's Dementia Presenting with Homonymous Hemianopsia
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Background Alzheimer’s disease is a chronic neurodegenerative condition, mostly affecting the medial temporal lobe and associated neocortical structures. In this report, we present a rare clinical manifestation of this disease. Case Report A 61-year-old female with word finding difficulty and memory disturbances was diagnosed with Alzheimer’s disease. Two years later, she complained of right homonymous hemianopia without optic ataxia, ocular apraxia, and simultagnosia. No findings other than parenchymal disease were apparent in magnetic resonance imaging and laboratory tests. Conclusions In this case, in a patient initially diagnosed with Alzheimer’s dementia with progressive disease, we found only homonymous hemianopia, without signs of Balint’s syndrome or Gerstmann’s syndrome. After careful investigation showing that Alzheimer’s dementia with visual symptom was not associated with parenchymal disease, we concluded a case of atypical variant of Alzheimer’s disease.
#hemianopsia #Alzheimer's disease #posterior cortical atrophy

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Apostolova LG / 2016 / Alzheimer disease / Continuum 22 : 419 ~ 434 google schola Auerbach SH / 1981 / Pure agraphia and unilateral optic ataxia associated with a left superior parietal lobule lesion / J Neurol Neurosurg Psychiatry 44 : 430 ~ 432 google schola Benson DF / 1988 / Posterior cortical atrophy / Arch Neurol 45 : 789 ~ 793 google schola Cordano C / 2017 / Homonymous hemianopia as the first sign of posterior cortical atrophy / J Neurol Sci 373 : 38 ~ 40 google schola Crutch SJ / 2012 / Posterior cortical atrophy / Lancet Neurol 11 : 170 ~ 178 google schola

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