TY - JOUR T1 - Dementia presenting with visual complaints JF - BMJ Case Reports DO - 10.1136/bcr.08.2008.0730 VL - 2009 SP - bcr0820080730 AU - Nikolaos Koutroumanos AU - Michael P Clarke AU - Urs Peter Mosimann Y1 - 2009/01/01 UR - http://casereports.bmj.com/content/2009/bcr.08.2008.0730.abstract N2 - 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. ER -