yesterday we were doing our neurology rotations ,by the way im a 4th, anyway we came across a very interesting case :
it was a female patient ,39 years of age , who was doing well until 2012 when she started to feel pain in her head ,now what is really interesting is that her mental condition started to deteriorate rapidly after so , she had hirsutism she couldn't control her urination or bowel , she couldn't even speak ,i remember she had injuries on her hands and her lips looked like they were bitten , also she had gazy eyes ,she kept moving in the bed continuously ,and she really had low mental capabilities , she couldn't talk and didn't understand ,but when our senior did a general cranial nerve examination ,she did respond when he told her to look to the right and left ,she used to be smart -that's what her father said- no one in her family had similar symptoms.
im sorry if i'm making it vague , but what i'm interested in knowing is that how can someone suddenly develop this kind of mental deterioration :s
on the DDx list we had :
1) huntington disease.
2) creutzfeld jacobs disease.
thank you very much and sorry if i didnt provide enough info as my main concern is knowing how can someone develop such mental symptoms.
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a weird case we saw yesterday
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