There were noteworthy correlations between clinical result and Time 1 performances on a temporal orientation questionnaire, the Revised Visual Retention Test, and the Block Design subtest of the Wechsler Adult Intelligence Scale—Revised (WAIS—R). They state that a suitable weighting of these measures in neuropsychological judgment may assist in the differential diagnosis of dementia and pseudo dementia. Important to our present case is that the utilization of some tests could not solve the necessity to reach novelty and multidimensional nature of the discriminating tasks that may account for this effect.

This case, as one of my Neurologist colleague called, was a hard one to understand.

We find it interesting to share these data because, from time to time, some patients came to us, we provide all knowledge and technological help in order to identify what is happening with the patient, but, even though, it seems not being enough.

This case stresses the necessity of interdisciplinary work in clinical evaluation and treatment.
The patient continues to come to sessions of Neuropsychological and Psychotherapeutic help (in a family centered way), and soon, we will deliver data from the reassessment of this strange case of neuropsychiatry marked reality.


References

Bulbena, A. & Berrios, G.E. (1986). Pseudodementia: facts and figures. The British Journal of Psychiatry. 148, 87-94.
Jones, R.D., Tranel, D., Benton, A. & Paulsen, J. (1992). Differentiating dementia from "pseudodementia" early in the clinical course: Utility of neuropsychological tests. Neuropsychology. 6(1, Jan), 13-21.
Nussbaum, P.D. (1994). Pseudodementia: A slow death. Neuropsychology Review. 4 (2, June), 71-90.