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Titolo:
Assessment of suspected dementia
Autore:
Chertkow, H; Bergman, H; Schipper, HM; Gauthier, S; Bouchard, R; Fontaine, S; Clarfield, AM;
Indirizzi:
Lady Davis Inst Med Res, Bloomfield Ctr Studies Aging, Montreal, PQ H3T 1E2, Canada Lady Davis Inst Med Res Montreal PQ Canada H3T 1E2 al, PQ H3T 1E2, Canada McGill Univ, Jewish Gen Hosp, SMBD, Dept Clin Neurosci, Montreal, PQ H3T 1E2, Canada McGill Univ Montreal PQ Canada H3T 1E2 osci, Montreal, PQ H3T 1E2, Canada McGill Univ, Jewish Gen Hosp, SMBD, Dept Med, Montreal, PQ H3T 1E2, CanadaMcGill Univ Montreal PQ Canada H3T 1E2 Med, Montreal, PQ H3T 1E2, Canada McGill Univ, Dept Med, Div Geriatr Med, Montreal, PQ, Canada McGill Univ Montreal PQ Canada ed, Div Geriatr Med, Montreal, PQ, Canada McGill Univ, Jewish Gen Hosp, SMBD, Dept Med,Div Geriatr Med, Montreal, PQH3T 1E2, Canada McGill Univ Montreal PQ Canada H3T 1E2 r Med, Montreal, PQH3T 1E2, Canada Inst Univ Geriatr Montreal, Res Ctr, Montreal, PQ, Canada Inst Univ Geriatr Montreal Montreal PQ Canada Ctr, Montreal, PQ, Canada McGill Univ, McGill Ctr Studies Aging, Montreal, PQ, Canada McGill Univ Montreal PQ Canada l Ctr Studies Aging, Montreal, PQ, Canada Univ Laval, Montreal, PQ, Canada Univ Laval Montreal PQ CanadaUniv Laval, Montreal, PQ, Canada McGill Univ, Montreal Neurol Hosp, Dept Radiol Neurol & Neurosurg, Montreal, PQ, Canada McGill Univ Montreal PQ Canada Neurol & Neurosurg, Montreal, PQ, Canada Sarah Herzog Hosp, Jerusalem, Israel Sarah Herzog Hosp Jerusalem IsraelSarah Herzog Hosp, Jerusalem, Israel
Titolo Testata:
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES
, volume: 28, anno: 2001, supplemento:, 1
pagine: S28 - S41
SICI:
0317-1671(200102)28:<S28:AOSD>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
MILD COGNITIVE IMPAIRMENT; MINI-MENTAL-STATE; PROBABLE ALZHEIMERS-DISEASE; CREUTZFELDT-JAKOB-DISEASE; TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES; VARIANT FRONTOTEMPORAL DEMENTIA; PROGRESSIVE SUPRANUCLEAR PALSY; EMISSION COMPUTED-TOMOGRAPHY; CLINICAL DIAGNOSTIC-CRITERIA; FRONTAL-LOBE DEGENERATION;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
162
Recensione:
Indirizzi per estratti:
Indirizzo: Chertkow, H Lady Davis Inst Med Res, Bloomfield Ctr Studies Aging, 3755 Cote Ste Catherine Rd, Montreal, PQ H3T 1E2, Canada Lady Davis Inst Med Res 3755 Cote Ste Catherine Rd Montreal PQ Canada H3T 1E2
Citazione:
H. Chertkow et al., "Assessment of suspected dementia", CAN J NEUR, 28, 2001, pp. S28-S41

Abstract

At the Second Canadian Consensus Conference on Dementia (CCCD) (February, 1998), a group of neurologists, geriatricians, and psychiatrists met to consider guidelines for evaluation of dementia in Canada. This review paper formed a background paper for their discussion of dementia diagnosis. These experts from across the country concluded that diagnosis of suspected dementia cases continued to rest on skilled clinical assessment. Mental status exam, preferably in some quantifiable form, has become an essential part of the assessment. Selected laboratory tests are advisable in all cases (CBC, TSH, electrolytes, calcium, and glucose), but the CCCD continued to advise that CT scanning was mandatory only in selected cases where clinical findings pointed to another possibility besides Alzheimer's disease. The growing list of other diagnostic measures with potential usefulness in diagnosis of Alzheimer's disease or dementia in general was reviewed. but the evidence was judged as insufficient to support routine use of these tests by physicians. As new treatments for Alzheimer's disease become available, neurologists face new diagnostic challenges - differentiating Mild Cognitive Impairment, Frontotemporal dementias and Mixed dementias, and Lewy Body Dementia. Guidelines to aid in differential diagnosis are presented.

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Documento generato il 19/01/20 alle ore 00:23:47