Case 318.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 37367444.
- Also identified by DOI 10.1148/radiol.220597.
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Abstract
A 72-year-old man sought care for a cognitive deterioration over the past 5 years. There was a documented decline in his performance on the Mini-Mental State Examination (30 of 30 in 2016, 23 of 30 in 2021), with mainly episodic memory impairment. A more detailed history revealed a gait problem, paresthesia in both feet, and nocturnal urinary frequency. Clinical examination findings were suggestive of a length-dependent polyneuropathy. In addition, a right-sided Babinski sign was noted. Electromyography and a nerve conduction study corroborated a peripheral axonal sensorimotor neuropathy. MRI of the brain was performed (Figure).
Medical subject headings
- Polyneuropathies
- Cognition Disorders