Clinical/scientific notes

摘要

A 35-year-old man developed progressive memory problems and personality changes over the course of 6 months. This amnesia culminated in overt functional impairment as he began getting lost in familiar places and paid his rent multiple times in one day. He then displayed increased aggression and was admitted to hospital after assaulting a family member.At admission he was found to have right-sided 10th, 11th, and 12th cranial nerve palsies and left-sided supra-clavicular lymphadenopathy. He was emotionally labile. His Montreal Cognitive Assessment (MoCA) score was 16/30.