Tracking the source of a train hobbyist’s memory loss

A patient passes the time making fishing sinkers and model steam engines, but his hobbies ultimately expose the cause of his mysterious memory loss

This article has been allocated 0.5 EA by the RACGP and ACRRM for the 2026-2028 triennium.

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Andy, a 52-year-old laboratory manager, presents with a six-month history of worsening memory and short-term recall problems. He also reports dizziness and occasional left leg weakness.

At his worst, he has needed frequent reminders from his wife, Jen, to complete day-to-day tasks, and his work has been so significantly impacted that he has had to take time off.