Question

25 y/o male with 7 months of depression, forgetfulness, weight loss, insomnia, and painful tingling in both feet and incoordination. Involuntary choreic movements of BL UE, is apathetic and monosyllabic. Labs normal. EEG mild diffuse slowing. CT/MRI normal. During admission he develops severe akinetic mutism and seizures and dies. Brain autopsy shows:

Answer 1

The symptoms described suggest the possibility of Huntington's disease, a progressive neurological disorder. Treatment can help manage the symptoms.

Step-by-step explanation:

The symptoms described in the case, including depression, forgetfulness, weight loss, insomnia, painful tingling in both feet, incoordination, involuntary movements, and apathy, suggest a neurological disorder known as Huntington's disease. This disease is characterized by progressive deterioration of brain cells, leading to various physical, cognitive, and emotional symptoms. The presence of severe akinetic mutism and seizures towards the end of the patient's life further supports the possibility of Huntington's disease. Unfortunately, there is currently no cure for Huntington's disease, but various treatment options can help manage the symptoms.