An Elusive Diagnosis - Posterior Cortical Atrophy: OAJBS Publishers
An Elusive Diagnosis - Posterior Cortical Atrophy by Asia Filatov* in Open Access Journal of Biomedical Science (OAJBS)
Posterior
Cortical Atrophy (PCA) is a neurodegenerative syndrome characterized by
progressive apraxia, dyslexia and most strikingly, loss of visual perceptual
and visuospatial ability. In most cases, neurodegeneration of the occipital,
parietal, and posterior temporal cortices occur as a consequence of the Visual
Variant of Alzheimer disease (AD). Less frequent etiologies include
Corticobasal Degeneration, Dementia with Lewy bodies (DLB), and the Heidenhain
variant of prion disease. It is unknown what predisposes these conditions to
present as PCA. Given its rarity and variable presentations, misdiagnosis is
common. We present a case of a 60-year-old woman with PCA who was initially
undiagnosed. She measurably improved on donepezil and memantine suggesting AD
as its pathogenesis.
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