An elderly patient with Alzheimer's disease, normal pressure hydrocephalus and traumatic brain injury: presented with behavioral symptoms similar to behavioral variant frontotemporal dementia

Traumatic brain injury (TBI) is nondegenerative insult to brain from external mechanical forces. It may cause cognitive impairment, psychological problems in the long period. Besides traumatic brain injury also induces neuroinflammation and neurodegeneration process, and increases risk of dementia....

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Bibliographic Details
Published in:International journal of neuroscience 2019-06, Vol.129 (6), p.623-626
Main Authors: Ates Bulut, Esra, Karabay, Nuri, Soysal, Pinar, Isik, Ahmet Turan
Format: Article
Language:English
Subjects:
Aged
Alzheimer Disease - complications
Alzheimer Disease - diagnosis
Alzheimer Disease - diagnostic imaging
Behavioral Symptoms - diagnosis
Behavioral Symptoms - diagnostic imaging
Brain Injuries, Traumatic - complications
Brain Injuries, Traumatic - diagnosis
Brain Injuries, Traumatic - diagnostic imaging
Diagnosis, Differential
Frontotemporal Dementia - diagnosis
Frontotemporal Dementia - diagnostic imaging
Humans
Hydrocephalus, Normal Pressure - complications
Hydrocephalus, Normal Pressure - diagnosis
Hydrocephalus, Normal Pressure - diagnostic imaging
Male
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Summary:Traumatic brain injury (TBI) is nondegenerative insult to brain from external mechanical forces. It may cause cognitive impairment, psychological problems in the long period. Besides traumatic brain injury also induces neuroinflammation and neurodegeneration process, and increases risk of dementia. It may cause various psychiatric complications such as depression, posttraumatic stress disorder, generalized anxiety disorder, and other cognitive and behavioral sequela according to site of involvement in the brain. We report a patient who has behavioral symptoms, amnesia and gait apraxy after TBI. Patient's symptoms were similar to behavioral variant Frontotemporal Dementia (bv FTD). After detailed neurocognitive and radiologic evaluation he was diagnosed with Normal Pressure Hydrocephalus (NPH), and Alzheimer's Disease (AD) following TBI. Comprehensive geriatric assessment, including detailed radiological examinations, if it is necessary, is recommended for the optimum management of elderly patients with cognitive and psychosocial problems in order to avoid misdiagnosis and inappropriate treatment.
ISSN:0020-7454
1563-5279
1543-5245
DOI:10.1080/00207454.2018.1552690