A 74yo man presents with weakness in his arm and leg from which he recovered within a few
days and short term memory loss. He has an extensor plantar response. He has similar episodes 2
years ago and became unable to identify objects and to make proper judgment. What is the
most appropriate dx?
a. Alcoholic dementia
b. Pick’s dementia
c. Huntington’s disease
d. Alzheimer’s disease
e. Vascular dementia
Ans. The key is E. Vascular dementia. [hemiparesis, memory impairment, extensor planter reflex, inability to identify objects, poor judgment are features of vascular dementia].