What causes sudden rapid decline in mental function in an aged person?
Patient: 98YO FEMALE, 1MO RAPID DECLINE IN MENTAL FUNCTION, SEEMS TO UNABLE TO EXPRESS THOUGHTS. MILD R EYE LATERAL DEVIATION, INTERMITTENT SLOW TREMOR, POOR RECENT AND REMOTE MEMORY. NO LATERALIZING SIGNS, ABLE TO CALL RELATIVES BY NAME AND EXPRESS NEEDS. HX OF LUMPECTOMY FOR BREAST CA 4 YRS AGO, PACER, A FIB, HTN MED MS & BENADRYL OCC FOR SLEEP. WAS MENTALLY SUPERNORMAL 2 MONTHS AGO, 2 COLLEGE DEGREES. Doctor: hiiiiiat the age of 98 almost most of the brain function shows more or less kind of dysfunctionsif cerebral atrophy become more prominent than it seems more sudden worsening in symptomsand she had a lot of medical history tooso at age of 98 it is expecteddue to medical illness with HTN there are possible chance of small lacunar infract in brain also but can be confirm by CT scanage related senile atrophy also produces same changesso if it is fast in progression u need to consult neurologistbut as per my opinion it can be possible to stop progression but we will not reverse back all damages that she had alreadyso supportive and only symptomatic management is possiblethank u hope for the best