Precipitous Deterioration of Motor Function, Cognition, and Behavior.

Fernández-Fournier, Mireya; Perry, David C; Tartaglia, Maria Carmela; de May, Mary; Boxer, Adam; Coppola, Giovanni; Christine, Chadwick W; Huang, Eric J et al. · JAMA Neurol · 2017

case_report · Level V

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Abstract

A 72-year-old woman developed new-onset depression, sustained an unexplained fall, and started walking cautiously. After 1 year, her depression resolved but she developed a dry cough. One year later, she experienced a more rapid decline in her gait with parkinsonism, visual difficulties with restricted vertical gaze, slowed horizontal and vertical saccades, dysphagia, apathy, and progressive cognitive decline, which led to her death 2 years later. The differential diagnosis, neuroimaging, and pathological findings are discussed, as well as their public health implications.

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