TY - JOUR T1 - Cognitive Decline, Behavioural Disturbance and Motor Dysfunction in a Young Adult JF - Practical Neurology JO - Pract Neurol SP - 36 LP - 39 DO - 10.1046/j.1474-7766.2003.00090.x VL - 3 IS - 1 AU - A. F. A. Merrison AU - T. H. Moss AU - R. Feller AU - N. J. Scolding Y1 - 2003/02/01 UR - http://pn.bmj.com/content/3/1/36.abstract N2 - 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 ER -