LAUSR

This letter updates the April 2016 case report about an 81-year-old patient who was in the final stages of advanced Alzheimer disease (AD) in hospice care. A neuropsychologist examined her on May 21, 2015, and concluded that she was “completely nonresponsive.” Following treatment by 4 computed tomography (CT) scans of the brain from July to August 2015, the patient made a remarkable recovery. A fifth scan on October 1 caused a setback, from which she gradually recovered. On November 20, she was judged to be no longer eligible for hospice care because her condition was sufficiently improved. Since then, she has participated in a stimulating, dementia day care program. Photos on December 4, 2015, Figures 1 and 2, demonstrate restoration of appetite and responsiveness. Recognizing that the efficacy of the CT scan treatments would likely be transitory, the patient’s spouse requested ongoing booster scans every 4 to 5 months. These started on February 24, 2016, about 21 weeks after the October 1 treatment. Dr William D. MacInnes (note 1) reexamined the patient on April 15, 2016. His progress note states: