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The Man Who Keeps Passing the Dementia Test (That’s Not the Win He Thinks It Is) Donald Trump has taken a cognitive test three times. Three. Other presidents: zero. He brings this up constantly. With pride. The way a golden retriever brings you a sock. The test exists to catch early dementia. It checks whether your brain is still broadly attached to reality. One of the questions involves identifying animals from a picture. An elephant. A giraffe. A cow. A gorilla. A lion. He got them right. All of them. It wasn’t easy, he’ll tell you. Don’t let anyone say it was easy. He wants you to know this.​​​​​​​​​​​​​​​​ Think about that for a moment. The most powerful man on earth is standing in front of cameras, chest out, informing the world that he correctly identified a lion. And the world is not laughing. Some of it is trembling.​​​​​​​​​​​​​​​​ No previous president felt the need to announce this. Because correctly identifying a lion has never, in the history of the republic, been considered a prerequisite for nuclear launch codes. It is the kind of achievement usually celebrated at a five-year-old’s birthday party.​​​​​​​​​​​​​​​​ Trump doesn’t see it that way. To him, three perfect scores is a record. A legacy. A cognitive achievement no other president has come close to — mainly because no other president was ever asked. The doctors gave him the test to check whether something was slipping. He took it as a trophy.​​​​​​​​​​​​​​​​ Follow Gandalv Gandalv

Gandalv

83,107 görüntüleme • 4 ay önce

Would you call a crab walk gait a functional neurological disorder? Not so fast. If you encounter someone walk with tiny, sideways shuffling steps, kinda like a crab, it could be a clue. In a striking case just published by Fraiman and colleagues, a crab walk-like helped to uncover a rare but important white matter brain disease called CSF1R-related leukoencephalopathy. Key Points: - A short-stepped laterally swaying crab-like gait may be an early sign of a higher-level gait disorder. - This disorder could originate from the brain’s motor planning centers, and not muscles or nerves. - These gait patterns may signal frontal lobe dysfunction, especially when strength, sensation and coordination remain intact. - When paired w/ behavioral symptoms and frontal white matter changes on MRI, this gait pattern may point to CSF1R-related leukoencephalopathy. - This syndrome is an underrecognized adult-onset leukodystrophy. My take: My mentor used to teach that a great neurologist always walked their patients to the examination room and in many cases he/she would clinch the diagnosis even before the door was shut and the vital signs collected. Here are 5 points that resonated w/ me about this case. 1- A strange walk might be a warning sign. Don't jump to a functional diagnosis if you see a sideways walk. 2- The brain can be the source of walking challenges even when the legs are strong. 3- White matter diseases can show up as a funny walk. Memory and speech challenges may emerge later. 4-Don’t ignore personality or speech changes. Disinhibition, apathy or trouble finding words acould point to a deeper brain condition. 5- A brain MRI and genetic test can unlock the mystery. #parkinson Parkinson's Foundation Norman Fixel Institute for Neurological Diseases

Michael Okun

11,129 görüntüleme • 1 yıl önce