TY - JOUR T1 - Oculopharyngeal muscular dystrophy (OPMD) and dementia in a 75-year-old female JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2019-230521 VL - 12 IS - 9 SP - e230521 AU - Mhairi Kathryn Nisbet AU - Louise Marshall Y1 - 2019/09/01 UR - http://casereports.bmj.com/content/12/9/e230521.abstract N2 - Oculopharyngeal muscular dystrophy (OPMD) is a relatively rare, adult-onset disorder characterised by proximal limb weakness, progressive eyelid drooping and swallowing difficulties. Preliminary research suggests there could be a link between OPMD and dementia; however, the current literature is relatively limited and inconsistent. This case study describes a 75-year-old female with OPMD, presenting to an older adults community mental health team with memory problems and word finding difficulties. A neuropsychological assessment was carried out. The results of her assessment were difficult to interpret; she demonstrated impairments in most cognitive domains tested and her presentation did not appear to reflect any typical dementia profile. It was thought she was most likely presenting with a dementia; however, the exact aetiology remains unclear. The dementia could be a result of OPMD, vascular changes or both. This report emphasises the need for further research into the possible causal link between OPMD and dementia/cognitive decline. ER -