Suhonen Jaana, Pirttilä Tuula, Erkinjuntti Timo, Koponen Hannu, Makkonen Markku, Puurunen Marja, Raivio Minna, Rinne Juha, Rosenvall Ari, Strandberg Timo, Vanninen Ritva, Vataja Risto
Duodecim. 2010;126(18):2167-8.
Any complaints from a patient about their memory should be examined. Diagnosis is based on international criteria. The basic evaluation consists of the medical history, clinical evaluation, cognitive tests and brain imaging, especially using MRI. When a diagnosis of Alzheimer's disease, AD with cerebrovascular disease or with Lewy Body disease, or Dementia associated with Parkinson's disease or LBD is made, evidence based medical therapy is indicated as part of comprehensive care. An acetylcholinesterase inhibitor or memantine can be used. These drugs are ineffective in the case of frontotemporal degenerations. For severe behavioural disorders, other psychoactive medications can be applied.
任何患者关于其记忆力的投诉都应予以检查。诊断基于国际标准。基本评估包括病史、临床评估、认知测试和脑部成像,尤其是使用磁共振成像(MRI)。当诊断为阿尔茨海默病、伴有脑血管病或路易体病的阿尔茨海默病、或与帕金森病或路易体病相关的痴呆症时,循证医学治疗是综合护理的一部分。可使用乙酰胆碱酯酶抑制剂或美金刚。这些药物对额颞叶变性无效。对于严重的行为障碍,可应用其他精神活性药物。