Abstract

We present a case of 51-year-old patient with Huntington’s Disease (HD), in whom the neurodegenerative process coincided with amnesic syndrome associated with anterior communicating artery aneurysm and the subsequent surgery. Ongoing neurodegenerative process affected the probable remission of memory impairment and executive function following surgery clipping anterior communicating artery aneurysm. Cognitive deficits reported in both diseases have common features in the form of memory impairment, executive dysfunction, and anosognosia, so disentangling the effects of neurodegenerative process and surgery is difficult. Significant part of observed psychiatric symptoms seems to have been related to the surgery, as post-surgical psychotic symptoms subsided after medication. On the other hand, significant depressive symptoms observed in the patient in recent years, seem to be associated with HD, as the progression of the disease results in increasing disability and dependency. This case demonstrates also the pharmacolological treatment in a patient with dual neurological diagnosis.

Adres: mgr Agnieszka Konkel
Oddział Neurologii, Szpital Specjalistyczny Św. Wojciecha
Copernicus Podmiot Leczniczy Sp. z o.o.
al. Jana Pawła II 50, 80-462 Gdańsk
email: agnieszka.konkel@gumed.edu.pl