title: Dementia presenting with visual complaints.
abstract: A 78-year-old female developed memory problems after a 2-year history of persistent visual complaints. Ocular pathology did not explain the extent of her perceived visual impairment. Cognitive screening tests found prominent visuo-constructive deficits and a comprehensive dementia assessment revealed the diagnosis of Alzheimer's disease. This case describes visual complaints as the initial symptom of dementia, pre-dating memory impairment by several years. We discuss clinical signs of cerebral visual impairment and suggest a simple screening measure.
authors.affiliation: Wolfson Research Centre, Newcastle University, Campus for Ageing and Vitality, Newcastle Upon Tyne, Newcastle Upon Tyne NE4 5PL, UK.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Koutroumanos
authors.forename: Michael P
authors.initials: MP
authors.lastname: Clarke
authors.forename: Urs Peter
authors.initials: UP
authors.lastname: Mosimann