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[71例早老期及老年期痴呆患者的病因与病理]

[Etiology and pathology of 71 dementia patients during presenile and senile periods].

作者信息

Tong Q

出版信息

Zhonghua Yi Xue Za Zhi. 1990 Aug;70(8):431-3, 30.

PMID:2174280
Abstract

Etiological and pathological findings in 71 patients with dementia during presenile and senile periods were reported. According to the etiological findings these were divided into: vascular dementia (41), Alzheimer's disease (13), Pick's disease (1), Parkinsonian dementia (5), progressive supranuclear palsy (1), Huntington's disease (2), syphilitic general paralysis (2), chronic epidural hematomas (2), normal pressure hydrocephalus (1), brain tumor (1), cerebral cysticercosis cellulosae (1), hypoparathyroidism (1), and 1 case of dementia after stereotactic operations for parkinsonism. In this series, vascular dementia and Alzheimer's disease were obviously more frequent. The authors think that it might be difficult to differentiate cortical from subcortical dementia in every demented patient. They also suggest that the term arteriosclerotic dementia should cease to be used.

摘要

报告了71例早老和老年期痴呆患者的病因及病理 findings。根据病因 findings,这些病例分为:血管性痴呆(41例)、阿尔茨海默病(13例)、匹克病(1例)、帕金森病痴呆(5例)、进行性核上性麻痹(1例)、亨廷顿病(2例)、梅毒性全身麻痹(2例)、慢性硬膜外血肿(2例)、正常压力脑积水(1例)、脑肿瘤(1例)、脑囊尾蚴病(1例)、甲状旁腺功能减退(1例),以及1例帕金森病立体定向手术后的痴呆病例。在这个系列中,血管性痴呆和阿尔茨海默病明显更为常见。作者认为,可能难以在每例痴呆患者中区分皮质性痴呆和皮质下痴呆。他们还建议停止使用“动脉硬化性痴呆”这一术语。

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