Periodic synchronous discharges (PSD) on the electroencephalogram can be observed in diseases such as Creutzfeldt-Jakob disease, hypoxic encephalopathy and Alzheimer's disease (AD). However, in previously reported cases of AD with PSD, PSD have only been found many years after the diagnosis of AD. We recently encountered a patient with mild AD accompanied by transient PSD. To our knowledge, this is the first case report to suggest that PSD can occur in mild AD.
NobuoKKazuoHHikaruS. Manufacture of the revision of Hasegawa Dementia Scale (HDS-R). Jap J Geriatr Psychiat1991; 2: 1339–1347.
2.
American Psychiatry Association.Diagnostic and Statistical Manual of Mental Disorders. 4th ed.Washington, DC: American Psychiatry Association; 1994.
3.
HughesCPBergLDanzigerWL. A new clinical scale for the staging of dementia. Br J Psychiat1982; 140: 566–572.
4.
JacobH. Muscular twitching in Alzheimer's disease. In: WalstenholmGEWO'ConnerM, (eds.). Alzheimer's Disease and Related Conditions. London: J&A Churchill; 1970: 75.
5.
EhleALJohnsonPC. Rapidly evolving EEG changes in a case of Alzheimer disease. Ann Neurol1977; 1: 593.
6.
KurodaSHosokawaKTateishiJ. An autopsy case of presenile dementia with numerous Lewy bodies in the cerebral cortex (in Japanese). Clin Neurol1978; 18: 346–350.
7.
ImazuO. Clinical pathological evaluation of periodic synchronous discharge observed in advanced dementia of Alzheimer type (in Japanese). Nippon Ika Daigaku Zasshi1990; 57: 13–21.
8.
JohnFBAlvaroRGCheckJCLenoreB. Transient appearance of periodic EEG discharges in senile dementia. Clin Electroencephalogr1991; 22: 108–111.