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Central nervous system tuberculosis masquerading as primary dementia: a case report
Affiliations- 1 Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland
- 1st Department of Medicine, Flór Ferenc Hospital, Kistarcsa, Hungary
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Abstract
Primary dementias are the most common cause of memory impairment in patients above the age of 60. Hypothyroidism, depression, vitamin B12 deficiency and infectious diseases such as syphilis at times may present with memory impairment mimicking primary dementias in their clinical presentation. We present here a 64-year-old female who presented with complaints of forgetfulness, confusion, memory loss and impaired concentration for the past 3 months. Neuroimaging and computed tomography of the chest were suggestive of active tuberculosis. Anti-tubercular therapy led to resolution of enhancing lesions in the brain and abatement of memo ry deficits.
Abstract
Primary dementias are the most common cause of memory impairment in patients above the age of 60. Hypothyroidism, depression, vitamin B12 deficiency and infectious diseases such as syphilis at times may present with memory impairment mimicking primary dementias in their clinical presentation. We present here a 64-year-old female who presented with complaints of forgetfulness, confusion, memory loss and impaired concentration for the past 3 months. Neuroimaging and computed tomography of the chest were suggestive of active tuberculosis. Anti-tubercular therapy led to resolution of enhancing lesions in the brain and abatement of memo ry deficits.
Keywords
dementia, Alzheimer' s disease, infection, tuberculoma, CNS tuberculosis
About this articleTitle
Central nervous system tuberculosis masquerading as primary dementia: a case report
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
510-513
Page views
283
Article views/downloads
487
DOI
10.1016/S0028-3843(14)60321-2
Bibliographic record
Neurol Neurochir Pol 2011;45(5):510-513.
Keywords
dementia
Alzheimer's disease
infection
tuberculoma
CNS tuberculosis
Authors
Nitin K. Sethi
Prahlad K. Sethi
Josh Torgovnick
Edward Arsura
