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路易体痴呆的临床表现与鉴别诊断:综述

Clinical presentation and differential diagnosis of dementia with Lewy bodies: a review.

作者信息

Morra L F, Donovick P J

机构信息

State University of New York at Binghamton, Binghamton, NY, USA.

出版信息

Int J Geriatr Psychiatry. 2014 Jun;29(6):569-76. doi: 10.1002/gps.4039. Epub 2013 Oct 21.

Abstract

BACKGROUND

Dementia with Lewy bodies is one of the most prevalent dementia diagnoses. However, differential diagnosis between dementia with Lewy bodies, Alzheimer's disease, and Parkinson's disease with dementia can still be very difficult given the overlap in neuropathology, clinical presentation, cognitive, and neuroanatomical changes.

METHOD

A literature review of dementia with Lewy bodies, Alzheimer's disease, and Parkinson's disease with dementia was conducted using PubMed.

RESULTS AND IMPLICATIONS

Accurate diagnosis of dementia with Lewy bodies is crucial in order to more accurately predict the progression of the disease and negative side effects from pharmacological treatment. The differences and similarities between dementia with Lewy bodies, Alzheimer's disease, and Parkinson's disease with dementia are highlighted in order to aid clinicians in differential diagnosis.

摘要

背景

路易体痴呆是最常见的痴呆诊断之一。然而,鉴于路易体痴呆、阿尔茨海默病和帕金森病痴呆在神经病理学、临床表现、认知及神经解剖学变化方面存在重叠,它们之间的鉴别诊断仍然非常困难。

方法

使用PubMed对路易体痴呆、阿尔茨海默病和帕金森病痴呆进行文献综述。

结果与启示

准确诊断路易体痴呆对于更准确地预测疾病进展及药物治疗的负面副作用至关重要。文中强调了路易体痴呆、阿尔茨海默病和帕金森病痴呆之间的异同,以帮助临床医生进行鉴别诊断。

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