Case Report: A Comprehensive Neuropsychological Assessment of a Case of Superficial Siderosis
| Autor: | Jodie R. Gawryluk, George Sicz, Andrea R Kilgour, Lesley Ritchie, Brian J. Schmidt |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Siderosis Psychometrics Hearing loss Neuropsychological Tests Audiology 03 medical and health sciences 0302 clinical medicine Cerebellum medicine Humans Dementia 030212 general & internal medicine Neuropsychological assessment Gait Disorders Neurologic medicine.diagnostic_test business.industry Neuropsychology General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Superficial siderosis Psychiatry and Mental health Clinical Psychology Neuropsychology and Physiological Psychology Cerebellar cognitive affective syndrome Female Sensorineural hearing loss medicine.symptom Cognition Disorders business 030217 neurology & neurosurgery Brain Stem |
| Zdroj: | Archives of Clinical Neuropsychology. 32:483-490 |
| ISSN: | 1873-5843 0887-6177 |
| DOI: | 10.1093/arclin/acx012 |
| Popis: | Objective Superficial siderosis (SS) is a neurodegenerative condition due to the long-term effects of hemosiderin deposition on the surface of the brain, cerebellum, brainstem, and spinal cord. SS symptoms include sensorineural hearing loss, ataxia and upper motor neuron signs. SS was diagnostically evasive until magnetic resonance imaging (MRI) became available. As the detection of SS improved, case studies have become more prevalent. To our knowledge, however, this is the first report of SS detailing a comprehensive neuropsychological assessment. Method The current study presents a right-handed female in her early 60s, with a university level of education, who was diagnosed with SS. Results Her neuropsychological profile showed impairment across multiple domains, including memory and executive function, with consistent behavioral findings. The results from a comprehensive neuropsychological assessment include dementia and a cerebellar cognitive affective syndrome. Conclusions Neuropsychological evaluation of a patient with new cognitive impairment in combination with unexplained hearing loss, gait disorder, or myelopathy should lead to a referral for MRI that includes techniques sensitive for iron deposition, in order to rule out SS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|