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Tsunenori Saito, MD; Tomoyuki Mizuno, MD, PhD; Tomoji Watanabe, MD, PhD; Masayoshi Ida, MD, PhD; Hirofumi Nakase, MD, PhD

Arch Neurol. 2008;65(3):416.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 62-year-old man was referred to us because of a recent onset of dementia. He had been experiencing a progressive spastic paraparesis since he was aged 41 years. He kept working until he retired at age 61 years. His colleagues and family had not noticed his mental deterioration. After retirement, he spoke less and less and became forgetful. At referral, his spontaneity was decreased but he had no difficulty answering questions from a doctor. His volition progressively declined and swallowing disturbance appeared. Seven months after referral, he was admitted to our hospital because of an aspiration pneumonia. He uttered a word or two when urged. Obvious akinesia was present. His lower extremities were spastic. Bilateral forced grasping and sucking response were observed. He could write his name but the ability was . . . [Full Text of this Article]

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