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Case 28 - A Pause in the Clause

from Part 6 - Clinical Findings That Are Subtle

Published online by Cambridge University Press:  03 November 2020

Keith Josephs
Affiliation:
Mayo Clinic Alzheimer’s Disease Research Center
Federico Rodriguez-Porcel
Affiliation:
Medical University of South Carolina
Rhonna Shatz
Affiliation:
University of Cincinnati
Daniel Weintraub
Affiliation:
University of Pennsylvania
Alberto Espay
Affiliation:
University of Cincinnati
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Summary

This 65-year-old right-handed man presented with a 2-year history of memory complaints. However, he first noticed impaired word recall rather than difficulty recalling events. According to his family, he seemed to know what he wanted to say and compensated with descriptions for lost words but could not produce the intended words. This led to pauses in his speech, which his spouse tried to fill by guessing what he was trying to say. Occasionally, he would “mispronounce” words, making sound errors at a syllabic level. Within the last year, he had become more forgetful, often repeating conversations and missing appointments.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2020

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References

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