Friday, 29 January 2016

Patient with a h/o Prosopagnosia, loss of memory, 3rd person Hallucinations


A 70 yr old man presents with a h/o prosopagnosia, loss of memory, 3rd person hallucinations since 1 month. On examination deep tendon reflexes are increased, mini mental state examination score is 20/30. What is the most likely diagnosis?

A. Dissociated dementia 
B. Schizophrenia
C. Depression 
D. Cortical dementia

The Answer is. (D). Cortical dementia

Loss of memory is found in dementia in old age .Though there is  3rd  person hallucination  which can also be present in dementia depression mania but history of  increase in deep tendon reflexes and MMSE score  20 or less, points towards dementia