Neurology Exam Prep Podcast

Episode 44 - Rapidly Progressive Dementia

Apr 20, 2022
Exploring the differential considerations and neurodegenerative aspects of rapidly progressive dementia, identifying key neurobehavioral symptoms, understanding varied etiologies, diverse symptom presentations, and in-depth look into Creutzfeldt-Jakob Disease variants and pathophysiology.
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ADVICE

Specify Symptom Timing Precisely

  • Be very specific about timing when taking history for rapidly progressive dementia.
  • Ask exactly when symptoms started and how rapidly they progressed (days, weeks, months).
ADVICE

Use Routine to Clarify Deficits

  • Ask families about the patient's normal daily routine and how it has changed.
  • Use specific questions about memory, empathy, and work performance to clarify deficits.
INSIGHT

Categorize Symptoms To Localize

  • Categorize symptoms into neuropsychiatric, cortical cognitive, and brainstem/cerebellar.
  • This helps localize deficits and guides differential diagnosis in rapidly progressive dementia.
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