Mirrored-self misidentification in a patient with probable Alzheimer dementia

Fernandes, Catarina; Taveira, Isabel; Nzwalo, Hipólito

http://hdl.handle.net/10400.1/16805

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Authors

Fernandes, Catarina

Taveira, Isabel

Nzwalo, Hipólito

Abstract(s)

A 77-year-old-man who was a retired primary school teacher with probable Alzheimer dementia diagnosed after 2 years of progres sive short-term memory loss and predominant hippocampal atro phy onmagnetic resonance scan of the brain was brought to the out patient neurology clinic by his wife because of persistent ab normal behavior. The caretaker reported that he was frequently puzzled and astonished by his own mirror image. His medical his tory was remarkable for controlled hypertension and type 2 diabe tes. He did not have any personal or family history of psychiatric dis ease. There were no recent changes with the patient’s regular medications (rivastigmine, 9.5 mg daily transdermally; enalapril; and metformin). His wife described him as being a very quiet and relaxed person until the start of restrictions imposed by the COVID-19 pandemic, when he started with complaints of seeing a strangeman whenever he saw his face reflection in the mirror.