A 74-year-old woman presents with an 18-month history of progressive short-term memory loss and difficulty learning new information. Vital signs are stable (BP 138/82, HR 72, RR 16, Temp 37°C, SpO2 98%). MRI demonstrates diffuse cortical atrophy predominantly affecting temporal and parietal lobes with preserved hippocampal volume. Mini-Cog score is 2/3. She denies visual hallucinations or parkinsonism. Which of the following is the most likely diagnosis?

  1. A)Wernicke-Korsakoff syndrome
  2. B)Alzheimer diseaseGABARITO
  3. C)Frontotemporal dementia
  4. D)Lewy body dementia
  5. E)Normal pressure hydrocephalus

Explicação

Alzheimer disease is the correct answer because it causes insidious memory-predominant dementia with impaired formation of new memories and is associated with hippocampal and temporoparietal cortical degeneration. Ver explicação completa e trilha adaptativa →

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