05-23-2010, 07:30 AM
A 64 year old man is brought to see you by his wife because of increasing memory problems and confusion over three months. He has become gradually more Iistless and apathetic, with a significant change in personality. She has noted that he has had increasing difficulty with recalling recent events. The patient does not complain of memory problems, but has complained of bilateral
headache over the past two months. He has drunk four bottles of beer every day for twenty years~ although his drinking has decreased over the Iast two months. His gait is slightly unsteady and wide=based. What is the most Iikely diagnosis?
a) Chronic bilateral subdural hematoma
b) Glioma involving both frontal Iobes
c) Azheimer's disease
d) Hypothyroidism
e) Lewy=body dementia
headache over the past two months. He has drunk four bottles of beer every day for twenty years~ although his drinking has decreased over the Iast two months. His gait is slightly unsteady and wide=based. What is the most Iikely diagnosis?
a) Chronic bilateral subdural hematoma
b) Glioma involving both frontal Iobes
c) Azheimer's disease
d) Hypothyroidism
e) Lewy=body dementia