Chapter

It’s Never Too Late, or Is It?

William Novak

in A Case a Week: Sleep Disorders from the Cleveland Clinic

Published on behalf of Oxford University Press

Published in print September 2010 | ISBN: 9780195377729
Published online April 2013 | e-ISBN: 9780199322985 | DOI: http://dx.doi.org/10.1093/med/9780195377729.003.0052
It’s Never Too Late, or Is It?

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Case 50 introduces an 88-year-old man with a known history of mild to moderate cognitive impairment following a fall resulting in a closed head injury 6 months prior, and after a move to assisted living, presented to the sleep clinic with complaints of significantly worsening cognitive function and nocturnal hallucinations. He has a history of hypertension (well-controlled on medications) and nocturia (2 to 3 times nightly). He never used tobacco and drank only an occasional alcoholic beverage on holidays. He was taking an acetylcholine-esterase inhibitor as prescribed by his primary care physician.

Chapter.  1504 words. 

Subjects: Neurology ; Sleep Medicine

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