Dinsmore S T
Center for Aging, University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine, Stratford 08084-1504, USA.
J Am Osteopath Assoc. 1999 Sep;99(9 Suppl):S1-6. doi: 10.7556/jaoa.1999.99.9.s1.
This section reviews some of the more prominent alternate causes of dementia that need to be excluded when pursuing a diagnosis of Alzheimer's disease. In practice, this exclusion cannot be done with 100% precision. Consequently, the accuracy of the clinical diagnosis of Alzheimer's disease is approximately 85%. Brain biopsy, which is seldom performed in practice, is the only method of moving diagnostic accuracy to near 100%. There is yet no intervention that halts or reverses the underlying pathophysiology of Alzheimer's disease, so the invasive brain biopsy is rarely justified to confirm a diagnosis.
本节回顾了一些较为突出的痴呆症替代病因,在诊断阿尔茨海默病时需要排除这些病因。在实际操作中,这种排除无法达到100%的精确性。因此,阿尔茨海默病临床诊断的准确率约为85%。脑活检在实际中很少进行,它是唯一能将诊断准确率提高到接近100%的方法。目前尚无干预措施能阻止或逆转阿尔茨海默病的潜在病理生理过程,因此,很少有理由通过侵入性脑活检来确诊。