NeurocasePub Date : 2024-02-01Epub Date: 2024-05-03DOI: 10.1080/13554794.2024.2349327
Augusto J Mendes, Alberto Lema, José Miguel Soares, Adriana Sampaio, Jorge Leite, Sandra Carvalho
{"title":"Functional neuroimaging and behavioral correlates of multisite tDCS as an add-on to language training in a person with post-stroke non-fluent aphasia: a year-long case study.","authors":"Augusto J Mendes, Alberto Lema, José Miguel Soares, Adriana Sampaio, Jorge Leite, Sandra Carvalho","doi":"10.1080/13554794.2024.2349327","DOIUrl":"10.1080/13554794.2024.2349327","url":null,"abstract":"<p><p>Mary, who experienced non-fluent aphasia as a result of an ischemic stroke, received 10 years of personalized language training (LT), resulting in transient enhancements in speech and comprehension. To enhance these effects, multisite transcranial Direct Current Stimulation (tDCS) was added to her LT regimen for 15 sessions. Assessment using the Reliable Change Index showed that this combination improved her left inferior frontal connectivity and speech production for two months and significantly improved comprehension after one month. The results indicate that using multisite transcranial direct current stimulation (tDCS) can improve the effectiveness of language therapy (LT) for individuals with non-fluent aphasia.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"8-17"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2024-02-01Epub Date: 2024-05-11DOI: 10.1080/13554794.2024.2350104
Yanan Sun, Vincent Oxenham, Chi Yhun Lo, Jessica Walsh, William L Martens, Phillip Cremer, William Forde Thompson
{"title":"Acquired amusia after a right middle cerebral artery infarction - a case study.","authors":"Yanan Sun, Vincent Oxenham, Chi Yhun Lo, Jessica Walsh, William L Martens, Phillip Cremer, William Forde Thompson","doi":"10.1080/13554794.2024.2350104","DOIUrl":"10.1080/13554794.2024.2350104","url":null,"abstract":"<p><p>A 62-year-old musician-MM-developed amusia after a right middle-cerebral-artery infarction. Initially, MM showed melodic deficits while discriminating pitch-related differences in melodies, musical memory problems, and impaired sensitivity to tonal structures, but normal pitch discrimination and spectral resolution thresholds, and normal cognitive and language abilities. His rhythmic processing was intact when pitch variations were removed. After 3 months, MM showed a large improvement in his sensitivity to tonality, but persistent melodic deficits and a decline in perceiving the metric structure of rhythmic sequences. We also found visual cues aided melodic processing, which is novel and beneficial for future rehabilitation practice.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"18-28"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2024-02-01Epub Date: 2024-05-17DOI: 10.1080/13554794.2024.2348223
Dror Shir, Nick Corriveau-Lecavalier, Jonathan Graff-Radford, Mary M Machulda, David S Knopman, Ronald C Petersen, Aivi T Nguyen, Dennis W Dickson, David T Jones
{"title":"Case report: pre-symptomatic clinical and metabolic profile in posterior cortical atrophy and dementia with Lewy bodies.","authors":"Dror Shir, Nick Corriveau-Lecavalier, Jonathan Graff-Radford, Mary M Machulda, David S Knopman, Ronald C Petersen, Aivi T Nguyen, Dennis W Dickson, David T Jones","doi":"10.1080/13554794.2024.2348223","DOIUrl":"10.1080/13554794.2024.2348223","url":null,"abstract":"<p><p>A research participant was monitored over nearly two decades at Mayo Clinic, undergoing annual neurologic assessments, neuropsychological tests, and multimodal imaging. Initially, he was cognitively normal but developed symptoms consistent with Posterior Cortical Atrophy (PCA) during the study. Early tests indicated mild, yet normal-range declines in language and visuospatial skills. FDG-PET scans revealed increased metabolism in posterior brain regions long before symptoms appeared. Advanced analysis using a novel in-house machine-learning tool predicted concurrent Alzheimer's disease and dementia with Lewy bodies. Autopsy confirmed a mixed neurodegenerative condition with significant Alzheimer's pathology and dense neocortical Lewy bodies. This case underscores the value of longitudinal imaging in predicting complex neurodegenerative diseases, offering vital insights into the early neurocognitive changes associated with PCA and dementia with Lewy bodies.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"1-7"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11243756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2024-02-01Epub Date: 2024-05-17DOI: 10.1080/13554794.2024.2353392
Maryam Niksolat, Mahisa Mokhtari, Leila Kamalzadeh, Somaye Nabi
{"title":"Fahr's disease with neuropsychiatric symptoms and intermittent course: a case report.","authors":"Maryam Niksolat, Mahisa Mokhtari, Leila Kamalzadeh, Somaye Nabi","doi":"10.1080/13554794.2024.2353392","DOIUrl":"10.1080/13554794.2024.2353392","url":null,"abstract":"<p><p>Fahr's disease is a rare neurodegenerative disorder with brain calcifications and neuropsychiatric symptoms. It can have variable phenotypic expression and intermittent symptomatology, making diagnosis challenging. In this report, we describe a young female patient presenting with symptoms of psychosis and confusion, which could be indicative of a delirium superimposed on the cerebral vulnerability associated with Fahr's disease. Notably, about two years prior, she experienced multiple episodes of tonic-clonic seizures that spontaneously resolved without pharmacological intervention. She had no previous psychiatric history. Following comprehensive investigations, other organic causes were ruled out, and Fahr's disease was diagnosed based on bilateral symmetrical brain calcifications seen on a head CT scan. Her treatment regimen encompassed antipsychotics and anticonvulsants. This case highlights the importance of considering Fahr's disease as a differential diagnosis in patients with new-onset neuropsychiatric symptoms. The case also explores the atypical early onset and intermittent nature of symptoms in the absence of a positive family history, highlighting the complexity of Fahr's disease. A multidisciplinary approach and regular follow-up are crucial for optimizing patient care and monitoring disease progression. Further research is needed to enhance our understanding of Fahr's disease and develop standardized treatment strategies for this rare condition.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"48-53"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2024-02-01Epub Date: 2024-05-16DOI: 10.1080/13554794.2024.2353936
Yasuhisa Sakurai, Masashi Hamada, Hiroshi Takuma
{"title":"Frontal allographic agraphia in a patient with behavioral variant frontotemporal dementia.","authors":"Yasuhisa Sakurai, Masashi Hamada, Hiroshi Takuma","doi":"10.1080/13554794.2024.2353936","DOIUrl":"10.1080/13554794.2024.2353936","url":null,"abstract":"<p><p>We report a patient with behavioral variant frontotemporal dementia who developed agraphia, irritability, perseverative and stereotyped behavior, and dietary changes. MRI revealed bilateral frontal convexity atrophy. Neuropsychological examination showed fluent aphasia with perseverative allographic agraphia, mild semantic impairment, and dysexecutive syndrome. Allographic agraphia featured unidirectional conversion from <i>hiragana</i> (cursive form of Japanese phonograms) and <i>kanji</i> (Japanese morphograms) to <i>katakana</i> (square form of Japanese phonograms), as opposed to mutual (bidirectional) conversion between <i>hiragana</i> and <i>katakana</i> in parieto-occipital gyri lesions. Furthermore, all letters of the word were converted and this whole-word conversion may be characteristic of perseverative behavior in frontotemporal dementia.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"32-38"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2024-02-01Epub Date: 2024-05-17DOI: 10.1080/13554794.2024.2354540
Peter S Pressman, Danelle J Carter, Eliana Marisa Ramos, Joie Molden, Kaitlin Smith, Francesca Dino, Corey McMillan, David Irwin, Katya Rascovsky, Nupur Ghoshal, Marguerite Knudtson, Rosa Rademakers, Daniel Geschwind, Tania Gendron, Leonard Petrucelli, Hilary Heuer, Bradley F Boeve, Sami Barmada, Adam Boxer, Maria Luisa Gorno Tempini, Howard J Rosen
{"title":"Symptomatic progression of frontotemporal dementia with the <i>TARDBP</i> I383V variant.","authors":"Peter S Pressman, Danelle J Carter, Eliana Marisa Ramos, Joie Molden, Kaitlin Smith, Francesca Dino, Corey McMillan, David Irwin, Katya Rascovsky, Nupur Ghoshal, Marguerite Knudtson, Rosa Rademakers, Daniel Geschwind, Tania Gendron, Leonard Petrucelli, Hilary Heuer, Bradley F Boeve, Sami Barmada, Adam Boxer, Maria Luisa Gorno Tempini, Howard J Rosen","doi":"10.1080/13554794.2024.2354540","DOIUrl":"10.1080/13554794.2024.2354540","url":null,"abstract":"<p><p>We present a longitudinal description of a man with the <i>TARDBP</i> I383V variant of frontotemporal dementia (FTD). His progressive changes in behavior and language resulted in a diagnosis of the right temporal variant of FTD, also called the semantic behavioral variant (sbvFTD). We also present data from a small series of patients with the <i>TARDBP</i> I383V variant who were enrolled in a nationwide FTD research collaboration (ALLFTD). These data support slowly progressive loss of semantic function. While semantic dementia is infrequently considered genetic, the <i>TARDBP</i> I383V variant seems to be an exception. Longitudinal analyses in larger samples are warranted.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"39-47"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2024-02-01Epub Date: 2024-05-09DOI: 10.1080/13554794.2024.2353125
Sung Ho Jang, Hyeok Gyu Kwon
{"title":"Akinetic mutism and gait disturbance in a patient with delayed post-hypoxic leukoencephalopathy.","authors":"Sung Ho Jang, Hyeok Gyu Kwon","doi":"10.1080/13554794.2024.2353125","DOIUrl":"10.1080/13554794.2024.2353125","url":null,"abstract":"<p><p>We report on a patient with delayed post-hypoxic leukoencephalopathy (DPHL) who showed akinetic mutism and gait disturbance, neural injuries that were demonstrated on diffusion tensor tractography (DTT). A patient was exposed to carbon monoxide (CO) and rapidly recovered; however, two weeks after onset, he began to show cognitive impairment and gait disturbance. At six weeks after CO exposure, he showed akinetic mutism and gait inability. DTT at 6-weeks post-exposure showed discontinuations in neural connectivities of the caudate nucleus to the medial prefrontal and orbitofrontal cortex in both hemispheres. In addition, the corticoreticulospinal tract revealed severe thinning in both hemispheres.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"29-31"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2023-12-01Epub Date: 2024-05-03DOI: 10.1080/13554794.2024.2348762
Wen-Ting Yang, Fu-Qiang Tang
{"title":"Isolated bilateral fornix anterior columns infarction with acute amnesia and fiber tracts damage, a case report.","authors":"Wen-Ting Yang, Fu-Qiang Tang","doi":"10.1080/13554794.2024.2348762","DOIUrl":"10.1080/13554794.2024.2348762","url":null,"abstract":"<p><p>Isolated fornix anterior column infarction has rarely been described and is difficult to assess accurately using conventional magnetic resonance imaging (MRI). We report the case of a 75-year-old female who experienced acute anterograde amnesia. MRI performed within 24 h after amnesia onset showed an isolated infarction of the bilateral anterior columns of the fornix on diffusion-weighted imaging (DWI). Her symptoms persisted for up to 50 days, and diffusion tensor imaging (DTI) showed disruption of the fiber tracts of the fornix. when acute amnesia syndrome onset, fornix anterior column infarction should be considered, and optimized DWI and DTI methods are needed to study the fornix in vivo in future research.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"186-190"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2023-12-01Epub Date: 2024-05-04DOI: 10.1080/13554794.2024.2346982
Ana Clara de Oliveira, Marcos Benchimol, Ilana Benchimol, Leila Chimelli, Ricardo de Oliveira-Souza
{"title":"Delayed recovery from ataxic dementia following liposuction.","authors":"Ana Clara de Oliveira, Marcos Benchimol, Ilana Benchimol, Leila Chimelli, Ricardo de Oliveira-Souza","doi":"10.1080/13554794.2024.2346982","DOIUrl":"10.1080/13554794.2024.2346982","url":null,"abstract":"<p><p>A 19-year-old student developed hypoventilation and cyanosis at the end of a cosmetic liposuction procedure. She was awake, but severely abulic, disoriented, and unable to stand and walk due to severe locomotor ataxia. Neuropsychological evaluation showed psychomotor slowness, and deficits in memory encoding and retrieval, and on executive, and visuospatial and visuoperceptual tests; oral comprehension and constructional praxis were spared. ¹H-MRS showed a reduction of NAA. A year later, her cognitive and neurological exam, and NAA returned to normal, and she resumed her normal life. The severity of the acute manifestations of hypoxic encephalopathy not always entail a poor prognosis.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"174-179"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NeurocasePub Date : 2023-12-01Epub Date: 2024-04-27DOI: 10.1080/13554794.2024.2348228
Tiffany Grezmak, Kamini Krishnan
{"title":"Factors that can influence neurocognitive performance: a case study in a controlled environment.","authors":"Tiffany Grezmak, Kamini Krishnan","doi":"10.1080/13554794.2024.2348228","DOIUrl":"10.1080/13554794.2024.2348228","url":null,"abstract":"<p><p>This is a case study of a patient in her 50s who presents with severe malnutrition, alcohol dependence, and untreated Bipolar Affective Disorder. She was hospitalized multiple times and placed in a group home 1 year after symptom onset. Cognitive and functional improvements are observed over a 6-year period, as demonstrated by 3 comprehensive neuropsychological evaluations. Residing in a monitored and structured environment for 6 years, with stability in psychiatric medications, monitored nutrition and abstinence from alcohol are attributed to this improvement. This study provides unique evidence of the impact of balanced nutrition and improvements in psychiatric symptoms on cognition.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"180-185"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}