NeurocasePub Date : 2025-02-01Epub Date: 2024-12-10DOI: 10.1080/13554794.2024.2440548
Tianxu Xia, Clara Li, Ayuko Iverson, Jessica Spat-Lemus, Amy Woroch, Georges Naasan
{"title":"Behavioral variant frontotemporal dementia with pathogenic variant in <i>MAPT</i> presenting as dementia with Lewy body disease.","authors":"Tianxu Xia, Clara Li, Ayuko Iverson, Jessica Spat-Lemus, Amy Woroch, Georges Naasan","doi":"10.1080/13554794.2024.2440548","DOIUrl":"10.1080/13554794.2024.2440548","url":null,"abstract":"<p><p>A 75-year-old Chinese American man presented to behavioral neurology clinic for a second opinion of dementia with Lewy body disease (DLB). The clinical manifestations met the criteria for a probable DLB diagnosis. Yet, in-depth evaluation unveiled clinical history, family history, and neuroimaging evidences that suggested a diagnosis of behavioral variant frontotemporal dementia (FTD). A heterozygous pathogenic variant in the microtubule-associated protein Tau (<i>MAPT</i>) was identified through genetic testing and confirmed the diagnosis of autosomal dominant <i>MAPT</i>-related FTD. This case is the first reported instance of <i>MAPT</i>-related FTD presenting with well-formed visual hallucinations in an elderly Chinese American.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"23-28"},"PeriodicalIF":0.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12082706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808440","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 : 2025-02-01Epub Date: 2024-12-24DOI: 10.1080/13554794.2024.2436207
Nicola M J Edelstyn, Elisa Di Rosa, Swathi Prabhu, Femi Oyebode
{"title":"Cotard's: a controlled single case study of putative perceptual, cognitive and psychological risk factors.","authors":"Nicola M J Edelstyn, Elisa Di Rosa, Swathi Prabhu, Femi Oyebode","doi":"10.1080/13554794.2024.2436207","DOIUrl":"10.1080/13554794.2024.2436207","url":null,"abstract":"<p><p>This case study explores the psychological and neuropsychological traits of a 55-year-old woman, D.R., who has Cotard's, believing her torso has dissolved and food bypasses her legs. Her delusion emerged amid major depressive disorder with psychotic features, following prodromal symptoms like body distortion and somatosensory abnormalities. A neuropsychological assessment during remission revealed low-level visual perceptual deficits in an otherwise intact cognitive profile. Subtle distortions in bodily signals and specific attribution styles were identified as vulnerability factors, suggesting that the delusion may emerge when already strained information processing systems are further challenged. This relates to models of delusion formation.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"1-10"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883549","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 : 2025-02-01Epub Date: 2024-12-12DOI: 10.1080/13554794.2024.2439022
João Gama Marques, Josef Finsterer
{"title":"Schizophrenia misdiagnosis after dysmorphophobia in a patient with macrocephaly.","authors":"João Gama Marques, Josef Finsterer","doi":"10.1080/13554794.2024.2439022","DOIUrl":"10.1080/13554794.2024.2439022","url":null,"abstract":"","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"49-51"},"PeriodicalIF":0.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814789","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}
{"title":"Visuoperceptual rehabilitation with repetitive transcranial magnetic stimulation in chronic cortical blindness: a case report.","authors":"Ozden Erkan Ogul, Suat Yılmaz, Ozge Arıca Duz, Fevzi Senturk, Lutfu Hanoglu","doi":"10.1080/13554794.2024.2437195","DOIUrl":"10.1080/13554794.2024.2437195","url":null,"abstract":"<p><p>This study aims to reveal the effect of visuoperceptual rehabilitation combined with neuromodulation on visual impairment recovery in chronic cortical blindness. A 71-year-old patient with cortical blindness was assessed using perimetry, pattern electroretinogram (pERG), Canadian Occupational Performance Measurement (COPM), and Montreal Cognitive Assessment (MoCA) at baseline and after treatment. After 12 rTMS sessions and 50 visual perceptual rehabilitation sessions, perimetry, pERG, COPM, and MoCA significantly improved the visual field and daily functioning. Both COPM-MoCA scores exceeded clinical significance. The results indicate that combining vision therapy with rTMS may improve vision field, daily function, and satisfaction in a chronic blindness case.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"226-233"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787482","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 : 2024-12-01Epub Date: 2024-12-10DOI: 10.1080/13554794.2024.2438413
Bronte Ficek-Tani, Samantha Tun, Alexander Frolov, Emily Sharp, Carolyn A Fredericks
{"title":"A professional musician with progressive visuospatial concerns: a case study and review of musical alexia.","authors":"Bronte Ficek-Tani, Samantha Tun, Alexander Frolov, Emily Sharp, Carolyn A Fredericks","doi":"10.1080/13554794.2024.2438413","DOIUrl":"10.1080/13554794.2024.2438413","url":null,"abstract":"<p><p>This case report presents the story of Mr. S, a professional orchestral musician with declining musical sight-reading ability, followed by progressive visuospatial and language deficits. Our novel musical assessment battery revealed deficits in music-reading (musical alexia) and music-writing (musical agraphia), with spared auditory perception and expression. Taken with neuropsychological testing, clinical history, and imaging, we conclude that his symptoms evolved from musical alexia to a multidomain, neurodegenerative process centered in the dominant inferior parietal lobe and temporoparietal junction. We suspect a primary TDP-opathy with comorbid preclinical Alzheimer's disease. Mr. S's case highlights musical symptoms as meaningful, early indicators of neurodegeneration.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"214-225"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802866","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 : 2024-12-01Epub Date: 2024-11-28DOI: 10.1080/13554794.2024.2436211
Ali Tarık Altunç, İrem Yıldırım, Alperen Kılıç, Burç Çağrı Poyraz, Güneş Kızıltan, Şenol Turan
{"title":"Lamotrigine as a preventive agent against recurrent catatonia in adult-onset Niemann-Pick Type-C disease: a case report.","authors":"Ali Tarık Altunç, İrem Yıldırım, Alperen Kılıç, Burç Çağrı Poyraz, Güneş Kızıltan, Şenol Turan","doi":"10.1080/13554794.2024.2436211","DOIUrl":"10.1080/13554794.2024.2436211","url":null,"abstract":"<p><p>Niemann-Pick Type-C (NPC) disease, an autosomal recessive lysosomal storage disorder, is associated with a spectrum of neuropsychiatric manifestations, including catatonia, which may not respond to conventional treatment. Here we report the case of a patient with adult-type NPC disease who developed catatonia and experienced recurrent catatonic episodes after the administration of antipsychotics required to treat active psychotic symptoms. Despite unsuccessful attempts with lorazepam, clozapine, and memantine to treat the catatonic symptoms, the patient showed improvement with electroconvulsive therapy (ECT). Catatonia recurred shortly after ECT discontinuation and improved with resuming ECT and adding lorazepam. However, catatonia recurred when the ECT frequency was reduced. We were able to resolve the catatonia with a combination of ECT and lorazepam. However, when we reduced the frequency of ECT sessions, the catatonia recurred despite continued lorazepam treatment. Remarkably, the addition of lamotrigine to the patient's treatment resulted in complete remission with no further recurrence of catatonia for 8 months. Our case highlights lamotrigine's mood-stabilizing effect and possible anti-NMDA effect in treating and preventing recurrent catatonia.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"238-240"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741165","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 : 2024-12-01Epub Date: 2024-12-04DOI: 10.1080/13554794.2024.2436214
Abhishek Wadhwa, Carol Vidal, Yasmina Saade, Nadia Zaim
{"title":"Alternative treatment in adolescent with anti-NMDA receptor encephalitis catatonia.","authors":"Abhishek Wadhwa, Carol Vidal, Yasmina Saade, Nadia Zaim","doi":"10.1080/13554794.2024.2436214","DOIUrl":"10.1080/13554794.2024.2436214","url":null,"abstract":"<p><p>A 12-year-old adolescent diagnosed with Anti-N-Methyl-D-Aspartate receptor encephalitis (ANMDAE) with catatonia was successfully treated with a course of zolpidem after inadequate response and lack of tolerance to first-line treatments, including benzodiazepines and electroconvulsive therapy (ECT). ANMDAE is an immune-mediated disease comprising a complex neuro-psychiatric clinical presentation that can range from memory deficits, seizures, and psychosis, to malignant catatonia. Catatonia is a psychomotor disorder that can increase the risk of medical complications. Current catatonia treatment guidelines include the use of benzodiazepines followed by ECT. Benzodiazepines are highly effective to treat catatonia in adults, with lower remission rates in children and adolescents. However, there are no defined guidelines if a patient fails to respond to the aforementioned treatments. Other treatment options may include zolpidem. To our knowledge, there is little literature on the treatment of catatonia with zolpidem in adolescents with underlying neurological conditions such as ANMDAE. This brief report highlights the importance of early recognition and treatment of ANMDAE with catatonia. It also underscores the lack of treatment guidelines for adolescents treated with immunotherapy presenting catatonia refractory to treatment with benzodiazepines and ECT. Zolpidem may be an alternative treatment for catatonia for patients not responding or tolerating benzodiazepines or ECT.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"234-237"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12032622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773779","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 : 2024-12-01Epub Date: 2024-12-05DOI: 10.1080/13554794.2024.2436216
Antonio Sérgio, Andrea Silveira de Souza, Valeska Marinho
{"title":"The history of lobotomy as a neuropsychiatric intervention in Brazil - a case report of a geriatric patient.","authors":"Antonio Sérgio, Andrea Silveira de Souza, Valeska Marinho","doi":"10.1080/13554794.2024.2436216","DOIUrl":"10.1080/13554794.2024.2436216","url":null,"abstract":"<p><p>Lobotomy was a widespread neurosurgical procedure in the first half of the 20th century. It was used as a treatment for various mental disorders. The development of psychosurgeries in Brazil, their indications, effects, consequences, advancements, as well as the social context of the population subjected to it are revised herein. Also, an illustrative case report of an elderly Brazilian bipolar disorder patient who underwent this procedure in the 1940's is described in this paper. The article promotes a critical debate around the ethical and social implications of this practice, contributing to the understanding and reflection on the history of psychiatry, neuroscience, and research ethics.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"209-213"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787481","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 : 2024-12-01Epub Date: 2024-12-04DOI: 10.1080/13554794.2024.2436220
Benjamin Cadle, Ian Mutchnick, Samir Karia, Rebecca Stilp, Fábio A Nascimento, Cemal Karakas
{"title":"Déjà-vu sensation induced by cortical stimulation of the posterior cingulate cortex.","authors":"Benjamin Cadle, Ian Mutchnick, Samir Karia, Rebecca Stilp, Fábio A Nascimento, Cemal Karakas","doi":"10.1080/13554794.2024.2436220","DOIUrl":"10.1080/13554794.2024.2436220","url":null,"abstract":"<p><p>We report a case of a 19-year-old woman with drug-resistant focal epilepsy whose typical seizure semiology involved sensations of déjà-vu. She underwent intracranial stimulation, leading to déjà-vu upon stimulation of the posterior cingulate cortex (PCC). Most reports of induced déjà-vu and epilepsy-associated déjà-vu emphasize networks including temporal lobe, especially the rhinal cortices, as the generator of this phenomenon. However, evidence from healthy individuals and those with confirmed cingulate epilepsy suggests that the PCC may play a role in some experiences of déjà-vu or other dreamy state phenomena. This case adds to the body of evidence suggesting a role for the PCC in déjà-vu. It also highlights the importance of including the PCC in intracranial investigations of some suspected temporal lobe epilepsies.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"241-245"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781691","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 : 2024-12-01Epub Date: 2024-11-30DOI: 10.1080/13554794.2024.2436218
Suleyman Emre Fidan, Suleyman Emre Kocyigit
{"title":"A case of mimicking normal pressure hydrocephalus in a female older patient: co-existence of probable Alzheimer's dementia and colpocephaly.","authors":"Suleyman Emre Fidan, Suleyman Emre Kocyigit","doi":"10.1080/13554794.2024.2436218","DOIUrl":"10.1080/13554794.2024.2436218","url":null,"abstract":"<p><p>Colpocephaly, a cause of hydrocephalus, is characterized by disproportionately enlarged occipital horns of the lateral ventricles. It is rarely seen in the older adults. Few cases were reported as colpocephaly in elderly individuals in the literature. However, it has not been reported as idiopathic normal pressure hydrocephalus-like clinical presentation in older adults. To the best of our knowledge, the co-existence of colpocephaly and Alzheimer's disease has not been reported previously. In these respects, it is the first case in the literature.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"246-249"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773717","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}