Westphal K P, Palmbach M, Scheuerle A
MMW Fortschr Med. 2006 Dec 14;148(51-52):31-4.
Alzheimer's dementia can readily be diagnosed by the general practitioner on the basis of the anamnestic data provided by the patient's relatives and quantified by MMST and DemTect. The diagnosis should be confirmed by a neurologist. EEG and mapping methods reveal slowing of alpha activity, increased theta activity and reduced reactivity reflecting the postulated cholinergic deficit. Toxic effects caused by medication, and the course of the disease can be monitored by means of the EEG. Magnetic resonance tomography and cranial computed tomography are necessary.
全科医生可根据患者亲属提供的既往病史数据,并通过简易精神状态检查表(MMST)和认知功能测试(DemTect)进行量化,从而轻松诊断出阿尔茨海默病性痴呆。该诊断应由神经科医生予以确认。脑电图(EEG)及脑图谱方法显示,阿尔法波活动减慢、西塔波活动增加以及反应性降低,这反映了假定的胆碱能缺陷。药物引起的毒性作用以及疾病进程可通过脑电图进行监测。磁共振断层扫描和头颅计算机断层扫描是必要的。