Camsari Gamze Balci, Murray Melissa E, Graff-Radford Neill R
Department of Neurology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Department of Neuroscience, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Neurol Clin. 2016 Aug;34(3):699-716. doi: 10.1016/j.ncl.2016.04.008. Epub 2016 Jun 3.
Many dementia subtypes have more shared signs and symptoms than defining ones. We review 8 cases with 4 overlapping syndromes and demonstrate how to distinguish the cases. These include focal cortical presentations of Alzheimer's disease (AD; posterior cortical atrophy and corticobasal syndrome [CBS]), fluent aphasia (semantic dementia and logopenic aphasia), late-onset slowly progressive dementia (hippocampal sclerosis and limbic predominant AD) and rapidly progressive dementia (Creutzfeldt-Jakob disease and limbic encephalitis). Recognizing the different syndromes can help the clinician to improve their diagnostic skills, leading to improved patient outcomes by early and accurate diagnosis, prompt treatment, and appropriate counseling and guidance.
许多痴呆亚型具有更多的共同体征和症状,而非具有定义性的特征。我们回顾了8例具有4种重叠综合征的病例,并展示了如何区分这些病例。这些综合征包括阿尔茨海默病(AD)的局灶性皮质表现(后部皮质萎缩和皮质基底节综合征[CBS])、流利性失语(语义性痴呆和进行性非流畅性失语)、晚发性缓慢进展性痴呆(海马硬化和边缘叶为主型AD)以及快速进展性痴呆(克雅氏病和边缘叶脑炎)。识别不同的综合征有助于临床医生提高诊断技能,通过早期准确诊断、及时治疗以及适当的咨询和指导,改善患者的预后。