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Case Report
Dementia and Neurocognitive Disorders 2015: 14: 2: 83-86

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Posterior Cortical Atrophy with Acute Onset and Rapid Progressive Visual Symptoms: A Case Report
JaeJeong Joo,1 Sul-Ki Lee,2 In Ha Hwang,2 Kyum-Il Kwon,1 Byoung June Ahn,1 YoungSoon Yang2
1Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi, Korea 2Department of Neurology, VHS Medical Center, Seoul, Korea
Posterior Cortical Atrophy with Acute Onset and Rapid Progressive Visual Symptoms: A Case Report
JaeJeong Joo,1 Sul-Ki Lee,2 In Ha Hwang,2 Kyum-Il Kwon,1 Byoung June Ahn,1 YoungSoon Yang2
1Department of Neurology, Soonchunhyang University Gumi Hospital, Gumi, Korea 2Department of Neurology, VHS Medical Center, Seoul, Korea
Background : Posterior cortical atrophy (PCA) is characterized by slowly progressive early onset dementia with cortical visual dysfunction and disproportionate atrophy of the posterior cortex.

Case Report : A 55-year-old right-handed woman developed visuo-spatial impairments that progressed rapidly into cortical blindness over the following 3 months. Neuro-psychological evaluation revealed Gerstmann syndrome and severe constructional impairments with all components of Balint syndrome. However, her memory, insight, and judgment were preserved. Her brain MRI was normal. However, 18F fluorodeoxyglucose positron emission tomography revealed a marked hypometabolism in the bilateral parieto-occipital region.

Conclusions : Although rapid progression of visuo-spatial dysfunction without memory impairment occurred, we considered PCA as well.
Key Words: posterior cortical atrophy, rapid progression, visuo-spatial dysfunction.
대한치매학회지 (Dementia and Neurocognitive Disorders)