KMID : 0869220220260010046
|
|
Journal of Korean Geriatric Psychiatry 2022 Volume.26 No. 1 p.46 ~ p.51
|
|
Reversible Dementia With Rapid Recovery to Normal Cognition: A Case Report
|
|
Byeon Gi-Hwan
Byeon Gi-Hwan Jang Jae-Won Jhoo Jin-Hyeong
|
|
Abstract
|
|
|
We report the case of a 54-year-old female who was diagnosed with clinical dementia and recovered to normal cognition in only 11 days through appropriate intervention. The patient was on a complicated regimen of psychiatric medications for underlying depression and panic disorder. The patient noted increased deterioration in executive function gradual memory impairment starting in early 2020. As a result of the neuroimaging, prominent neurodegeneration and in vivo brain pathology were not observed. During outpatient clinic follow-up, severe obstructive sleep apnea (OSA) was confirmed. Based on the diagnostic results, a clinical impression was made for reversible dementia due to psychiatric drugs and OSA. During hospitalization for 10 days, the patient¡¯s regimen of psychiatric medications with anticholinergic effects was changed, and long-acting benzodiazepines were reduced. The patient also underwent continuous positive airway pressure titration to ameliorate OSA. The patient reported subjective cognitive improvement and a comprehensive neuropsychiatric test performed at discharge later showed a normal range in all cognitive domains, and the patient¡¯s activity of daily living evaluated at the outpatient clinic after discharge had recovered.
|
|
KEYWORD
|
|
Dementia, Etiology, Obstructive sleep apnea
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|