98YO FEMALE, 1MO RAPID DECLINE IN MENTAL FUNCTION, SEEMS TO UNABLE TO EXPRESS THOUGHTS. MILD R EYE LATERAL DEVIATION, INTERMITTENT SLOW TREMOR, POOR RECENT AND REMOTE MEMORY. NO LATERALIZING SIGNS, ABLE TO CALL RELATIVES BY NAME AND EXPRESS NEEDS. HX OF LUMPECTOMY FOR BREAST CA 4 YRS AGO, PACER, A FIB, HTN MED MS & BENADRYL OCC FOR SLEEP. WAS MENTALLY SUPERNORMAL 2 MONTHS AGO, 2 COLLEGE DEGREES.
Hiiiiiat the age of 98 almost most of the brain function shows more or less kind of dysfunctions if cerebral atrophy become more prominent than it seems more sudden worsening in symptom sand she had a lot of medical history torso at age of 98 it is expected due to medical illness with HTN there are possible chance of small lacuna infarct in brain also but can be confirmed by CT scan age related senile atrophy also produces same changes so if it is fast in progression u need to consult neurologist but as per my opinion it can be possible to stop progression, but we will not reverse back all damages that she had already so supportive and only symptomatic management is possible thank u hope for the best