Case #32: HCT, 12/7/92: Calcification
of basal ganglia (globus pallidi) CC: Memory loss HX: This 77 y/o RHF presented with a
one year history of progressive memory loss. Two weeks prior
to her evaluation at UIHC she agreed to have her sister pick
her up for church at 8:15AM, Sunday morning. That Sunday she
went to pick up her sister at her sister's home and when her
sister was not there (because the sister had gone to pick up
the patient) the patient left. She later called the sister
and asked her if she(sister) had overslept. During her UIHC
evaluation she denied she knew anything about the incident.
No other complaints were brought forth by the patients
family. PMH: unremarkable. MEDS: none FHx: Father died of an MI, Mother had
DM type II. SHx: denies ETOH/illicit drug/Tobacco
use. ROS: unremarkable. EXAM: Afebrile, 80BPM, BP 158/98,
16RPM. Alert and oriented to person, place, time. Euthymic.
29/30 on Folstein's MMSE with deficit on drawing. Recalled
2/6 objects at five minutes and could not recite a list of 6
objects in 6 trials. Digit span was five forward and three
backward. CN: mild right lower facial droop only. MOTOR:
full strength throughout. SENSORY: no deficits to
PP/Vib/Prop/LT/Temp. COORD: poor RAM in LUE only. GAIT: NB
and ambulated without difficulty. STATION: no drift or
Romberg sign. REFLEXES: 3+ bilaterally with flexor plantar
responses. There were no frontal release signs. LABS: CMB, General Screen, FT4, TSH,
VDRL were all WNL. Neuropsychological Evaluation,
12/7/92: Verbal associative fluency was defective. Verbal
memory, including acquisition, and delayed recall and
recognition, was severely impaired. Visual memory, including
immediate and delayed recall was also severely impaired.
Visuoperceptual discrimination was mildly impaired, as was
2-D constructional praxis. HCT, 12/7/92: diffuse cerebral atrophy
with associative mild enlargement of the ventricles
consistent with patient's age. Calcification is seen in both
globus pallidi and this was felt to be a normal
variant.
Back
to congenital/structural Directory
Back to Neuroradiology Directory