PT - JOURNAL ARTICLE AU - A. F. A. Merrison AU - T. H. Moss AU - R. Feller AU - N. J. Scolding TI - Cognitive Decline, Behavioural Disturbance and Motor Dysfunction in a Young Adult AID - 10.1046/j.1474-7766.2003.00090.x DP - 2003 Feb 01 TA - Practical Neurology PG - 36--39 VI - 3 IP - 1 4099 - http://pn.bmj.com/content/3/1/36.short 4100 - http://pn.bmj.com/content/3/1/36.full SO - Pract Neurol2003 Feb 01; 3 AB - CLINICAL HISTORY A 29-year-old-lady presented with a history of cognitive decline, behavioural disturbance and poor co-ordination. She was assessed, investigated and cared for by the community psychiatric services.She was born at term, following an uncomplicated delivery, reached early developmental milestones appropriately and attended a mainstream primary school. The first suggestion of cognitive problems was at the age of 8 years when a paediatric psychologist documented a verbal IQ of 65, performance IQ of 75 and general IQ of 66. At 10 years a school report noted visuospatial and motor difficulties but she was able to keep up with her contemporaries.She went to a secondary school for pupils with mild-to-moderate special needs. She gained no formal qualifications and subsequently participated in sheltered work. She lived with her parents and attended a day centre for disabled young adults.At the age of 29 years, her parents reported a two-year history