Meder J F, Henry-Feugeas M C, Oppenheim C, Naggara O, Frédy D
Département d'Imagerie Morphologique et Fonctionnelle, Hôpital Sainte-Anne, 1, rue Cabanis, 75674 Paris.
J Radiol. 2003 Nov;84(11 Pt 2):1819-28.
This article summarizes the role of imaging in the evaluation of cognitive disorders of the elderly. The primary goal of imaging is to exclude potentially reversible dementia due to intracranial lesions such as tumor, subdural hematoma or normal pressure hydrocephalus. The value of neuroimaging in the diagnosis of degenerative disorders is then discussed: Alzheimer's disease, frontotemporal dementias, dementia with Lewy bodies, dementia associated with parkinsonian syndromes, vascular dementias and mild cognitive impairment.
本文总结了影像学在评估老年人认知障碍中的作用。影像学的主要目标是排除由颅内病变(如肿瘤、硬膜下血肿或正常压力脑积水)引起的潜在可逆性痴呆。然后讨论了神经影像学在退行性疾病诊断中的价值:阿尔茨海默病、额颞叶痴呆、路易体痴呆、与帕金森综合征相关的痴呆、血管性痴呆和轻度认知障碍。