John Walker wrote.......... >Alzheimer's disease (AD) is not the only illness that causes >progressive dementia. Other less common degenerative diseases of the >brain may also produce intellectual decline. Alzheimer's disease may >sometimes coexist with other conditions to give an atypical >presentation. When memory loss or disorientation is associated with >extrapyramidal signs (EPS) such as muscle stiffness, slowness of >movement, postural instability, gait imbalance, and tremor, special >attention is needed to rule out conditions other than AD. A precise >diagnosis is essential for proper management of care and planning for >the future........... Another condition that mimics PD and can have EPS is normal pressure hydrocephalus (NPS), also known as adult onset hydrocephalus. A CT scan or an MRI should be part of the diagnostic procedure to rule out NPH. Peace, John