Dement Neurocogn Disord.  2015 Jun;14(2):83-86. 10.12779/dnd.2015.14.2.83.

Posterior Cortical Atrophy with Acute Onset and Rapid Progressive Visual Symptoms: A Case Report

Affiliations
  • 1Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi, Korea.
  • 2Department of Neurology, VHS Medical Center, Seoul, Korea. astro76@naver.com

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.

Keyword

posterior cortical atrophy; rapid progression; visuo-spatial dysfunction

MeSH Terms

Atrophy*
Blindness, Cortical
Brain
Dementia
Female
Fluorodeoxyglucose F18
Gerstmann Syndrome
Humans
Judgment
Magnetic Resonance Imaging
Memory
Middle Aged
Passive Cutaneous Anaphylaxis
Positron-Emission Tomography
Fluorodeoxyglucose F18
Full Text Links
  • DND
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error