Common Pitfalls in Cognitive and Behavioral Neurology: A Case-Based Approach

Diseases Discussed in the Book ix
Preface xi
Acknowledgements xiii
List of Abbreviations xiv
Part 1 Missing the Diagnosis
Altogether
Case 1 It’s Just Old Age 1
Case 2 Cognitive Decline Is Only Part of the
Story 4
Case 3 “I Keep Repeating Things to Him” 7
Case 4 No Need to Worry: Your
Neuropsychological Evaluation Was
Normal 9
Case 5 “Memory Is So Good She Will Never
Get Dementia” 12
Part 2 Misidentifying the Impaired
Cognitive Domain
Case 6 “The Thing about Remembering
Names of Things” 17
Case 7 Remembering That We Forget versus
Forgetting Altogether 20
Case 8 “This Is Not Like Him” 24
Case 9 “She Just Does Not Want to Do
Things” 27
Case 10 Looking without Seeing 30
PART 3 Missing Important Clues
in the History
Case 11 The Stroke of Clarity 35
Case 12 Losing One’s Mind without
Knowing? 38
Case 13 The Disease Has Caught Up with
Her 40
Case 14 Recognizing the Right Signs of
Memory Impairment 42
Case 15 Talking about Family Matters 45
Part 4 Failure of Pattern Recognition
Case 16 Too Many Behavioral Problems for
Alzheimer Disease? 49
Case 17 Look below the Surface
(EEG) 52
Case 18 “Too Young to Be Here” 57
Contributed by Dr. Marcelo
Kauffman and Dr. Sergio
Rodriguez Quiroga, Buenos
Aires, Argentina
Case 19 Fluctuating Anxiety 62
Case 20 Not Recognizing the Impostor 64
Part 5 Difficult-to-Characterize
Cognitive/Behavioral Disorders
Case 21 Difficulty with Language: When Is It
Not Aphasia? 67
Case 22 Frontal, Parietal, or Neither? 71
Case 23 Cognitive Impairment
as an Unexpected Guest 75
Case 24 Punch Drunk 78
Case 25 Remembering without
Knowing 80
Part 6 Clinical Findings That
Are Subtle
Case 26 Something Does Not Look
Right 83
Case 27 Moving without Thinking 87
Case 28 A Pause in the Clause 89
Case 29 Seeing beyond Alzheimer
Disease 93
Case 30 “That Is Not How I Feel” 96
vii
Part 7 Misinterpreting Test Results
Case 31 Does a Positive Amyloid Scan Always
Mean Alzheimer Disease? 99
Case 32 Herpes Encephalitis
Recurrence? 103
Case 33 Refractory “VGKC
Encephalopathy” 104
Case 34 sCJD with Negative 14-3-3? 107
Case 35 You Have Been Diagnosed
with Alzheimer Disease; Is
That It? 110
Part 8 Attributing Findings to a Known
or Suspected Disorder
Case 36 “I Have Snored All My Life
and It Never Affected My
Work” 113
Case 37 Starting Early 115
Case 38 “I Have Been Taking the Same
Medications for Years” 119
Case 39 Cognitive Impairment and Blood
Pressure Fluctuations 122
Contributed by Dr. David Riley,
Cleveland, Ohio, USA
Case 40 Corticobasal: The Syndrome versus
the Pathology 126
Part 9 Missing Radiographic Clues
Case 41 Another Case of Vascular Cognitive
Impairment? 129
Contributed by Dr. Jorge Guy
Ortiz Garcia and Dr. Jose Biller,
Maywood, Illinois, USA
Case 42 Pseudoatrophic Pattern in
Hydrocephalus 133
Case 43 Parkinsonism, Ataxia, and Cognitive
Impairment after Radiation
Therapy 137
Case 44 It’s Not Alzheimer Disease; Now
What? 141
Case 45 Getting the Full Picture 144
Part 10 Management Misadventures
Case 46 I Don’t Know When to Stop 149
Case 47 Is It Still Helping? 153
Case 48 Caring for the Caregiver 155
Case 49 Better Safe than Sorry? 158
Case 50 Great Expectations 161
Case 51 Nothing Can Be Done 164
Index 169
The colour plate section can be found between
pp. 98 and 99.