This 65-year-old right-handed man presented with worsening “memory” problems for the past 5 years. He first noticed increasing difficulties with performing previously well-known and simple repairs at home, such as changing a light switch. A neuropsychological evaluation was reportedly normal. More recently, his family noticed declining skills in driving and use of appliances. In addition, performance of other tasks, such as preparing coffee, was affected by pauses and unnecessary steps. More recently, he was forgetful about recent events and unintentionally repetitive. There were no word-finding or navigation difficulties. On exam, he did not appear to be concerned about his impairments and inappropriately joked about them. His speech was fluent with occasional word-finding difficulties. He displayed optic ataxia and oculomotor apraxia, as well as simultanagnosia.