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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
How old is he?Does he have any other existing medical conditions?
Any family history of any neurological condition?
ok.Given these symptoms you will need to get thorough neurological evaluation.Change in personality, reclusiveness, are signs of frontal cognitive function change.Change in vision, insomnia, and urinary retention also can be due to the degenerative changes in the brain.Progressive supranuclear palsy can run in the families although uncommon.Normal pressure hydrocephalus, multiple sclerosis are other possibilities as well.Please see a neurologist, also get a MRI scan of the brain with contrast.Best wishes
There is a good chance since degenerative neurological disorders like supranuclear palsy are rare in occurrence.