Arlt Sönke
Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Dialogues Clin Neurosci. 2013 Dec;15(4):465-73. doi: 10.31887/DCNS.2013.15.4/sarlt.
Although Alzheimer's disease (AD) is a common cause of memory impairment and dementia in the elderly disturbed memory function is a widespread subjective and/or objective symptom in a variety of medical conditions. The early detection and correct distinction of AD from non-AD memory impairment is critically important to detect possibly treatable and reversible underlying causes. In the context of clinical research, it is crucial to correctly distinguish between AD or non-AD memory impairment in order to build homogenous study populations for the assessment of new therapeutic possibilities. The distinction of AD from non-AD memory impairment may be difficult, especially in mildly affected patients, due to an overlap of clinical symptoms and biomarker alterations between AD and certain non-AD conditions. This review aims to describe recent aspects of the differential diagnosis of AD and non-AD related memory impairment and how these may be considered in the presence of memory deficits.
尽管阿尔茨海默病(AD)是老年人记忆障碍和痴呆的常见病因,但记忆功能紊乱在多种医疗状况下是一种普遍存在的主观和/或客观症状。将AD与非AD记忆障碍进行早期检测和正确区分,对于发现可能可治疗和可逆的潜在病因至关重要。在临床研究背景下,正确区分AD或非AD记忆障碍对于构建同质研究人群以评估新的治疗可能性至关重要。由于AD与某些非AD状况之间临床症状和生物标志物改变存在重叠,将AD与非AD记忆障碍区分开来可能很困难,尤其是在轻度受影响的患者中。本综述旨在描述AD与非AD相关记忆障碍鉴别诊断的最新情况,以及在存在记忆缺陷时如何考虑这些情况。