The patient comes to the #neuropsychiatry clinic with a diagnosis of "major #depression" of recent onset. Instead, what we observe is #apathy and a #dysexecutive syndrome. What else should we be looking for in this case, at the clinical level?
A 25 year old man comes to the emergency room with an acute history of hallucinations, persecutory delusions, aggresive behavior, psychomotor agitation. The mental status examination shows severe cognitive dysfunction. This is the brain image. Thoughts?
46 year old woman with progressive cognitive impairment and parkinsonism diagnosed with MS and given mayzent. What is the real diagnosis? Hint: The finding on panel G was persistent on multiple MRI scans. Hint #2: This condition rarely involves the spine.
The Case of the Pleasant Surprise:
A 52 year old seeks a 3rd opinion for diagnosis of ALS
➡️ Progressive arm weakness over 7 years
➡️ Atrophy and fasciculations in upper limbs only
➡️ Brisk finger flexor and lower limb reflexes
MRI has good news. What is it, #neurotwitter?