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  • Clinicopathological case: progressive somnolence and dementia in an accountant: when the shine rubs off the gold standard

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Clinicopathological conference
Clinicopathological case: progressive somnolence and dementia in an accountant: when the shine rubs off the gold standard
  1. Tim Soane1,
  2. Jonathan M Schott2,
  3. Jon Stone1,
  4. Colin Smith3,
  5. Suvankar Pal4,
  6. Richard J Davenport1
  1. 1 Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
  2. 2 Dementia Research Centre, University College London Institute of Neurology, London, UK
  3. 3 Department of Neuropathology, Western General Hospital, Edinburgh, UK
  4. 4 Forth Valley Royal Hospital, Larbert, UK
  1. Correspondence to Dr Tim Soane, Department of Clinical Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK; tsoane{at}nhs.net

Abstract

A 63-year-old accountant developed progressive somnolence, cognitive decline, gait disturbance and cerebellar dysfunction with autonomic features. This report documents the clinicopathological conference at the 39th Edinburgh Advanced Neurology Course 2017.

  • paraneoplastic
  • dementia
  • IgLON5
  • clinicopathological conference

https://doi.org/10.1136/practneurol-2018-001989

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    Footnotes

    • Contributors TS: initial draft, subsequent revisions. JMS: CPC discussant, manuscript revisions. JS: manuscript revisions. CS: CPC pathologist, manuscript revisions. RJD: overall conception, manuscript revisions.

    • Competing interests None declared.

    • Patient consent Next of kin consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed by Seth Love, Bristol, UK, and Jeremy Brown, Cambridge, UK.

    • Correction notice This article has been corrected since it was published Online First. The author name Suvankar Pal was accidentally omitted from the author list at submission.

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