Precipitous deterioration of motor function, cognition, and behavior

  • Mireya Fernandez-Fournier
  • , David C. Perry
  • , Maria Carmela Tartaglia
  • , Mary DeMay
  • , Adam Boxer
  • , Giovanni Coppola
  • , Chadwick W. Christine
  • , Eric J. Huang
  • , William W. Seeley
  • , Bruce L. Miller
  • , Steven J. DeArmond
  • , Lea T. Grinberg
  • , Michael D. Geschwind

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish
Pages (from-to)591-596
Number of pages6
JournalJAMA Neurology
Volume74
Issue number5
DOIs
StatePublished - May 2017

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