Potentially reversible causes of dementia

Introduction: Dementia is tragic mind-wrecking disease, defined as a multifaceted decline in cognitive function severe enough to interfere with activities of daily life. Three individual cases are presented that presented with loss of memory and altered behaviour. Even though potentially reversible...

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Main Authors:	Rathor, Mohammad Yousuf, Abdul Rani, Mohammed Fauzi, Wai, Kyaw Thun, Abdul Rashid, Mohd Amran, Akter, Seikh Farid Uddin, Musa, Ramli
Format:	Article
Language:	English
Published:	International Online Medical Council (IOMC) 2010
Subjects:	RC Internal medicine
Online Access:	http://irep.iium.edu.my/232/ http://irep.iium.edu.my/232/ http://irep.iium.edu.my/232/1/Potentially_reversible_causes_of_Dementia.pdf

id	iium-232
recordtype	eprints
spelling	iium-2322014-07-10T04:34:35Z http://irep.iium.edu.my/232/ Potentially reversible causes of dementia Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi Wai, Kyaw Thun Abdul Rashid, Mohd Amran Akter, Seikh Farid Uddin Musa, Ramli RC Internal medicine Introduction: Dementia is tragic mind-wrecking disease, defined as a multifaceted decline in cognitive function severe enough to interfere with activities of daily life. Three individual cases are presented that presented with loss of memory and altered behaviour. Even though potentially reversible dementia accounts for a relatively small portion of the total cases of dementia, the three cases presented here demonstrate that accurate and timely diagnosis may greatly improve the condition of the patients, or even restore their normal intellectual function. Case presentation: Patients 69 year old Malay male and 79 year old Chinese male were brought in to our hospital by their families with history of memory impairment and altered behaviour. The former was diagnosed as left frontoparietal meningioma with possible haemorrhage causing mass effect. The latter was diagnosed as subdural hematoma with midline shift. The former underwent craniotomy and excision of meningioma, and aspiration of an adjacent hemorrhagic cyst. The latter underwent burr-hole craniotomy with closed-system drainage. Following surgery both patients improved with Mini-Mental State Examination levels (MMSE) of 28/30 and 30/30 respectively and in their follow-up were doing well. Third patient, a 50-year-old Chinese lady, had symptoms of forgetfulness and altered behaviour for the past two years, was treated for depression and improved markedly with no more psychotic symptoms. Conclusion: Chronic subdural hematomas, meningiomas and depression are among the known reversible causes of dementia. Presenting symptoms can be subtle and clinical acumen dictates that all patients should be thoroughly investigated to rule out such possibilities. International Online Medical Council (IOMC) 2010 Article PeerReviewed application/pdf en http://irep.iium.edu.my/232/1/Potentially_reversible_causes_of_Dementia.pdf Rathor, Mohammad Yousuf and Abdul Rani, Mohammed Fauzi and Wai, Kyaw Thun and Abdul Rashid, Mohd Amran and Akter, Seikh Farid Uddin and Musa, Ramli (2010) Potentially reversible causes of dementia. International Journal of Collaborative Research on Internal Medicine & Public Health, 2 (8). pp. 258-265. ISSN 1840-4529 http://www.iomcworld.com/ijcrimph/files/v02-n08-01.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RC Internal medicine
spellingShingle	RC Internal medicine Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi Wai, Kyaw Thun Abdul Rashid, Mohd Amran Akter, Seikh Farid Uddin Musa, Ramli Potentially reversible causes of dementia
description	Introduction: Dementia is tragic mind-wrecking disease, defined as a multifaceted decline in cognitive function severe enough to interfere with activities of daily life. Three individual cases are presented that presented with loss of memory and altered behaviour. Even though potentially reversible dementia accounts for a relatively small portion of the total cases of dementia, the three cases presented here demonstrate that accurate and timely diagnosis may greatly improve the condition of the patients, or even restore their normal intellectual function. Case presentation: Patients 69 year old Malay male and 79 year old Chinese male were brought in to our hospital by their families with history of memory impairment and altered behaviour. The former was diagnosed as left frontoparietal meningioma with possible haemorrhage causing mass effect. The latter was diagnosed as subdural hematoma with midline shift. The former underwent craniotomy and excision of meningioma, and aspiration of an adjacent hemorrhagic cyst. The latter underwent burr-hole craniotomy with closed-system drainage. Following surgery both patients improved with Mini-Mental State Examination levels (MMSE) of 28/30 and 30/30 respectively and in their follow-up were doing well. Third patient, a 50-year-old Chinese lady, had symptoms of forgetfulness and altered behaviour for the past two years, was treated for depression and improved markedly with no more psychotic symptoms. Conclusion: Chronic subdural hematomas, meningiomas and depression are among the known reversible causes of dementia. Presenting symptoms can be subtle and clinical acumen dictates that all patients should be thoroughly investigated to rule out such possibilities.
format	Article
author	Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi Wai, Kyaw Thun Abdul Rashid, Mohd Amran Akter, Seikh Farid Uddin Musa, Ramli
author_facet	Rathor, Mohammad Yousuf Abdul Rani, Mohammed Fauzi Wai, Kyaw Thun Abdul Rashid, Mohd Amran Akter, Seikh Farid Uddin Musa, Ramli
author_sort	Rathor, Mohammad Yousuf
title	Potentially reversible causes of dementia
title_short	Potentially reversible causes of dementia
title_full	Potentially reversible causes of dementia
title_fullStr	Potentially reversible causes of dementia
title_full_unstemmed	Potentially reversible causes of dementia
title_sort	potentially reversible causes of dementia
publisher	International Online Medical Council (IOMC)
publishDate	2010
url	http://irep.iium.edu.my/232/ http://irep.iium.edu.my/232/ http://irep.iium.edu.my/232/1/Potentially_reversible_causes_of_Dementia.pdf
first_indexed	2023-09-18T20:07:20Z
last_indexed	2023-09-18T20:07:20Z
_version_	1777407246263648256

Potentially reversible causes of dementia

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