To describe a case of primary Whipple disease (WD) of the brain, which may manifest as an amnesic syndrome.
A 46-year-old woman developed primary WD of the brain. The onset was characterized by a short-term amnesic syndrome for several months before the onset of generalized tonic-clonic seizures. Her amnesia was stable throughout her illness.
Our patient had impairment of verbal and visual memory tasks with reduced learning. Her amnesic syndrome was secondary to asymmetric bilateral hippocampal atrophy with gliosis involving the mesial temporal structures—all secondary to primary WD of the brain.
WD may present as an amnesic syndrome and needs to be thought of as a treatable cause of cognitive dysfunction in young adults.
*Department of Health, Neurosciences Unit, Mount Claremont
†Neurodegenerative Disorders Research
‡Perth Radiological Clinic, Subiaco, Western Australia, Australia
Reprints: Peter K. Panegyres, PhD, FRACP, Neurodegenerative Disorders Research, 185 York Street, Subiaco, Western Australia 6008, Australia (e-mail: firstname.lastname@example.org).
Received for publication May 22, 2009
accepted August 30, 2009