Case Report

Posterior Cortical Atrophy With Interesting Presentation: Case Reports

Abstract

Posterior Cortical Atrophy (PCA) is a rare neuropsychiatric syndrome characterized by the dominancy of visuospatial impairments due to bilateral parieto-occipital divesting with the most common pathological changes presented in typical Alzheimer’s Disease (AD). We reported 3 cases with similar diagnoses and interesting manifestations in this study. Gradual onset and progression of visual deficits without underlying ophthalmologic disease accompanied by intact memory and fluent speech and also the presence of simultagnosia, optic ataxia, oculomotor apraxia, dyscalculia, finger agnosia, and environmental disorientation, and the absence of any history of related diseases; all of them strongly suggesting posterior cortical atrophy.

[1] Crutch SJ, Lehmann M, Schott JM, Rabinovici GD, Rossor MN, Fox NC. Posterior cortical atrophy. The Lancet Neurology. 2012; 11(2):170-8. [DOI:10.1016/S1474-4422(11)70289-7]
[2] McMonagle P, Deering F, Berliner Y, Kertesz A. The cognitive pro- file of posterior cortical atrophy. Neurology. 2006; 66(3):331-8. [DOI:10.1212/01.wnl.0000196477.78548.db] [PMID]
[3] Snowden JS, Stopford CL, Julien CL, Thompson JC, Davidson Y, Gibbons L, et al. Cognitive phenotypes in Alzheimer’s disease and genetic risk. Cortex. 2007; 43(7):835-45. [DOI:10.1016/S0010- 9452(08)70683-X] [PMID]
[4] Mendez MF, Ghajarania M, Perryman KM. Posterior cortical atro- phy: Clinical characteristics and differences compared to Alzhei- mer’s disease. Dementia and Geriatric Cognitive Disorders. 2002; 14(1):33-40. [DOI:10.1159/000058331] [PMID]
[5] Tang-Wai DF, Graff-Radford NR, Boeve BF, Dickson DW, Parisi JE, Crook R, et al. Clinical, genetic, and neuropathologic characteris- tics of posterior cortical atrophy. Neurology. 2004; 63(7):1168-74. [DOI:10.1212/01.WNL.0000140289.18472.15] [PMID]
[6] Isella V, Villa G, Mapelli C, Ferri F, Appollonio IM, Ferrarese C. 2014. The neuropsychiatric profile of posterior cortical atrophy. Journal of Geriatric Psychiatry and Neurology. 2015; 28(2):136-44. [DOI:10.1177/0891988714554713] [PMID]
[7] Campbell JJ, Ngo G. Risperidone treatment of complex hallucina- tions in a patient with posterior cortical atrophy. The Journal of Neuropsychiatry and Clinical Neurosciences. 2008; 20(3):378-9. [DOI:10.1176/jnp.2008.20.3.378] [PMID]
[8] Josephs KA, Whitwell JL, Boeve BF, Knopman DS, Tang-Wai DF, Dru- bach DA, et al. Visual hallucinations in posterior cortical atrophy. Archives of Neurology. 2006; 63(10):1427-32. [DOI:10.1001/arch- neur.63.10.1427] [PMID] [PMCID]
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IssueVol 6 No 5 (2021): September-October QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/crcp.v6i5.8381
Keywords
Agnosia Atrophy Alzheimer disease Dementia

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How to Cite
1.
Aghamollaii V, Fathollahzadeh Noor S, Bidaki R, Agah E. Posterior Cortical Atrophy With Interesting Presentation: Case Reports. CRCP. 2022;6(5):205-209.