Alves Jorge, Petrosyan Agavni, Magalhães Rosana
Jorge Alves, Rosana Magalhães, Cognitive Rehabilitation Center, 4710-228 Braga, Portugal.
World J Clin Cases. 2014 Nov 16;2(11):661-7. doi: 10.12998/wjcc.v2.i11.661.
The natural aging process brings about some inevitable consequences, such as olfactory dysfunction, which is also frequently linked to numerous neurodegenerative disorders. Many age-related dementia, such as Alzheimer's disease, Vascular dementia, Parkinson's disease, and Frontotemporal Dementia often display olfactory dysfunction. Despite the overwhelming evidence of above mentioned facts, the symptomatic relevance and potential clinical and pre-clinical value of olfactory dysfunction remains overlooked by many clinicians and public alike. Olfactory dysfunction has strong practical implications on daily activities and, although not as prominent as in other mammals, olfaction is still an evolutionarily relevant sense involved in human survival (e.g., smelling gas; bad food). In this work, we provide a brief review of current research related to the olfactory dysfunction profiles in different types of dementia. Additionally, we present a compilation of accessible, easy to use olfaction assessment tools; and highlight future directions in terms of improving clinical diagnosis in patient care and research.
自然衰老过程会带来一些不可避免的后果,比如嗅觉功能障碍,而这也常常与多种神经退行性疾病相关联。许多与年龄相关的痴呆症,如阿尔茨海默病、血管性痴呆、帕金森病和额颞叶痴呆,往往都表现出嗅觉功能障碍。尽管有大量证据证明上述事实,但嗅觉功能障碍的症状相关性以及潜在的临床和临床前价值仍被许多临床医生和公众忽视。嗅觉功能障碍对日常活动有着重要的实际影响,并且,尽管嗅觉在人类生存中所起的作用不像在其他哺乳动物中那么突出,但它仍是一种与进化相关的感官(例如,闻煤气味;变质食物的气味)。在这项工作中,我们简要回顾了当前与不同类型痴呆症中的嗅觉功能障碍特征相关的研究。此外,我们还汇编了一些易于使用的嗅觉评估工具,并强调了在改善患者护理和研究中的临床诊断方面的未来方向。