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Jornal Brasileiro de Psiquiatria

versão impressa ISSN 0047-2085versão On-line ISSN 1982-0208

Resumo

MARTINELLI, José Eduardo  e  CECATO, Juliana Francisca. Primary lung tumor simulating Alzheimer's disease: case report. J. bras. psiquiatr. [online]. 2016, vol.65, n.1, pp.110-115. ISSN 0047-2085.  http://dx.doi.org/10.1590/0047-2085000000111.

We report a 61-year-old man case who presented a multiform glioblastoma located at the left side of the temporal-occiptal gyrus that reached the hippocampus cranially and the temporal horn of the left lateral ventriculus. There were no neurological signs and symptoms and the clinical picture reminded the Alzheimer’s dementia. Memory impairment and behavioral alterations were observed during three months. Other causes of rapid progressive dementia were initially discarded and the magnetic resonance revealed a tumoral etiology for the neuropsychiatric symptoms. A battery of neuropsychometric tests were applied, with a score similar to AD. Due to the extensive edema’s area, dexamethasone was introduced with complete reversal of the neuropsychiatric initial symptoms and the repetition of the neuropsychological battery showed a noticeable improvement in all the tests. A conervative treatment was chosen, after needle biopsy, evolving to death in five months.

Palavras-chave : Elderly; brain neoplasms; differential diagnosis; treatment.

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