University educated man with childish behavior

Carregando...
Imagem de Miniatura
Citações na Scopus
3
Tipo de produção
bookPart
Data de publicação
2011
Título da Revista
ISSN da Revista
Título do Volume
Editora
CAMBRIDGE UNIVERSITY PRESS
Autores
CAIXETA, L.
Citação
Nitrini, R.; Caixeta, L.. University educated man with childish behavior. In: . Case Studies in Dementia: Common and Uncommon Presentations: CAMBRIDGE UNIVERSITY PRESS, 2011. p.193-200.
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
A 39-year-old man, a human resource executive, was seen at the outpatient clinic of the Behavioral and Cognitive Neurology Unit of the Hospital das Clínicas, a public university hospital in São Paulo, Brazil. His wife reported that about 4 years before, she noticed that he was manifesting mild behavioral and personality changes characterized by irritability, a tendency for social withdrawal, together with a more rancorous and even mean personality trait. Progressively, he gave up drinking alcohol, which he used to consume in moderate amounts, and libido became extremely reduced. Then he started to complain of difficulties in his professional activities and to manifest obsessive-compulsive behaviors such as to demand for perfectly ironed clothes or to soap his body several times during bathing. He had an acute and rapidly reversible episode of paralysis of his legs and right arm. After a few months, he had another similar episode involving only the right side of the body, including face. He was seen by physicians and after several tests the diagnosis of probable viral meningitis was undertaken. Test for HIV-1 infection was reported to be negative. He was dismissed from his job because he could not handle it any more. Ginkgo biloba and HydergineR were prescribed. His behavior deteriorated to a more childish one with frequent cries when his demands were not immediately fulfilled. Although he had had the old habit of speaking aloud about his problems, this trait became very much increased and associated with intense gesticulations. More recently, his wife also noticed a decrease of his memory. The patient complained of lack of concentration and difficulties in organizing his activities. General history University educated man with no other medical problem. © Cambridge University Press 2011.
Palavras-chave
Referências
  1. Brucki S.M.D., Nitrini R., Caramelli P., Bertolucci P.H.F., Okamoto I.H., [Suggestions for utilization of the Mini-mental state examination in Brazil], Arq Neuropsiquiatr, 61, pp. 777-781, (2003)
  2. Folstein M.F., Folstein S.E., McHugh P.R., Mini-mental state"". A practical method for grading the cognitive state of patients for the clinician, J. Psychiatr Res, 12, pp. 189-198, (1975)
  3. Grant D.A., Berg E., The Wisconsin Card Sort Test Random Layout: Directions for Administration and Scoring, (1980)
  4. Harwood D.G., Sultzer D.L., Feil D., Monserratt L., Freedman E., Mandelkern M.A., Frontal lobe hypometabolism and impaired insight in Alzheimer disease, Am J Geriatr Psychiatry, 13, pp. 934-941, (2005)
  5. Hooper H., The Hooper Visual Organization Test (VOT) Manual, (1983)
  6. Kaplan E., Goodglass H., Weintraub S., The Boston Naming Test, (1983)
  7. Knopman D.S., DeKosky S.T., Cummings J.L., Et al., Practice parameter: Diagnosis of dementia (an evidence-based review). Report of the Quality Standards Subcommittee of the American Academy of Neurology, Neurology, 56, pp. 1143-1153, (2001)
  8. Lee J.W., Wilck M., Venna N., Dementia due to neurosyphilis with persistent negative CSF VDRL, Neurology, 65, (2005)
  9. Malloy-Diniz L.F., Lasmar V.A.P., Gazinelli L.Z.R., Fuentes D., Salgado J.V., The Rey Auditory-Verbal Learning Test: Applicability for the Brazilian elderly population, Rev Bras Psiquiatr, 29, pp. 324-329, (2007)
  10. Marra C.M., Update on neurosyphilis, Curr Infect Dis Rep, 11, pp. 127-134, (2009)
  11. Mattis S., Dementia Rating Scale Professional Manual, (1988)
  12. Merritt H.H., Adams R.D., Solomon H.C., Neurosyphilis, (1946)
  13. Neary D., Snowden J.S., Gustafson L., Et al., Frontotemporal lobar degeneration: A consensus on clinical diagnostic criteria, Neurology, 51, pp. 1546-1554, (1998)
  14. Nitrini R., Caramelli P., Bottino C.M., Damasceno B.P., Brucki S.M., Anghinah R., [Diagnosis of Alzheimer’s disease in Brazil: Diagnostic criteria and auxiliary tests. Recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology], Arq Neuropsiquiatr, 63, pp. 713-719, (2005)
  15. Nitrini R., Caramelli P., Herrera Jr E., Et al., Performance of illiterate and literate nondemented elderly subjects in two tests of long-term memory, J Int Neuropsychol Soc, 10, pp. 634-638, (2004)
  16. Nitrini R., Lefevre B.H., Mathias S.C., Et al., [Neuropsychological tests of simple application for diagnosing dementia], Arq Neuropsiquiatr, 52, pp. 457-465, (1994)
  17. Nitrini R., Spina-Franca A., [Intravenous penicillin therapy in high doses in neurosyphilis:Study of 62 cases. II. Evaluation of cerebrospinal fluid], Arq Neuropsiquiatr, 45, pp. 231-241, (1987)
  18. Nitrini R., Clinical and therapeutic aspects of dementia in syphilis and Lyme disease, Dementias. Handbook of Clinical Neurology, 89, pp. 819-823, (2008)
  19. Pfeffer R.I., Kusosaki T.T., Harrah Jr C.H., Chance J.M., Filos S., Measurement of functional activities in older adults in the community, J Gerontol, 37, pp. 323-329, (1982)
  20. Porto C.S., Charchat-Fichman H., Caramelli P., Bahia V.S., Nitrini R., Brazilian version of the Mattis Dementia Rating Scale: Diagnosis of mild dementia in Alzheimer’s disease, Arq Neuropsiquiatr, 61, pp. 339-345, (2003)
  21. Reitan R.M., Correlations between the trail-making test and the Wechsler-Bellevue scale, Percept Motor Skills, 9, pp. 127-130, (1959)
  22. Rey A., L’examen clinique en psychologie, (1970)
  23. Storm-Mathisen A., Syphilis, Infections of the Nervous System, part I. Handbook of Clinical Neurology, 33, pp. 337-394, (1978)
  24. Sunderland T., Hill J.L., Mellow A.M., Et al., Clock drawing in Alzheimer’s disease: A novel measure of dementia severity, J Am Geriatr Soc, 37, pp. 725-729, (1989)
  25. Takada L.T., Caramelli P., Radanovic M., Et al., Prevalence of potentially reversible dementias in a dementia outpatient clinic of a tertiary university-affiliated hospital in Brazil, Arq Neuropsiquiatr, 61, pp. 925-929, (2003)
  26. Timermans M., Carr J., Neurosyphilis in the modern era, J Neurol Neurosurg Psychiatry, 75, pp. 1727-1730, (2004)
  27. Viskontas I.K., Miller B.L., Frontotemporal dementia, The Behavioral Neurology of Dementia, (2009)
  28. Wechsler D., Manual for the Wechsler Memory-revised, (1987)
  29. Workowski K.A., Berman S.M., Sexually transmitted diseases treatment guidelines 2006, MMWR Recomm Rep, 55, pp. 1-94, (2006)