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Progressive Personality Changes and Hemiparesis in a Middle-aged Man

Progressive Personality Changes and Hemiparesis in a Middle-aged Man Dr. Tarsy: A 46-year-old, right-handed drawbridge operator was admitted to the Boston Veterans Administration Hospital on July 27, 1970, because of personality changes of six months' duration and mild left hemiparesis of three months' duration. Six months earlier, he had had several minor automobile accidents, which were apparently due to inattention. In addition, because of repeated errors, one month prior to admission he had been forced to resubmit reports detailing ship passages beneath the drawbridge he operated. The patient's family had noted a decline in motivation; he became irritable as well and oblivious to criticism concerning his behavior. On the day of admission, he urinated against the front wall of the hospital. There was no history of memory loss, geographic disorientation, or difficulty with speech, but he did have a three-month history of drooping of the left corner of his mouth and diminished dexterity in his left hand. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Progressive Personality Changes and Hemiparesis in a Middle-aged Man

Feldman, Robert G.; Southgate, M. Therese
JAMA , Volume 225 (2) – Jul 9, 1973
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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1973 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1973.03220290031009
Publisher site
See Article on Publisher Site

Abstract

Dr. Tarsy: A 46-year-old, right-handed drawbridge operator was admitted to the Boston Veterans Administration Hospital on July 27, 1970, because of personality changes of six months' duration and mild left hemiparesis of three months' duration. Six months earlier, he had had several minor automobile accidents, which were apparently due to inattention. In addition, because of repeated errors, one month prior to admission he had been forced to resubmit reports detailing ship passages beneath the drawbridge he operated. The patient's family had noted a decline in motivation; he became irritable as well and oblivious to criticism concerning his behavior. On the day of admission, he urinated against the front wall of the hospital. There was no history of memory loss, geographic disorientation, or difficulty with speech, but he did have a three-month history of drooping of the left corner of his mouth and diminished dexterity in his left hand.

Journal

JAMA – American Medical Association

Published: Jul 9, 1973

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