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关键的诊断性认知障碍和痴呆亚型有哪些,以及如何整合所有的诊断数据来做出诊断?

What Are the Key Diagnostic Cognitive Impairment and Dementia Subtypes and How to Integrate all of the Diagnostic Data to Establish a Diagnosis?

机构信息

Cognitive Neurology Unit, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Brookline, MA 02215, USA.

Cognitive Neurology Unit, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Brookline, MA 02215, USA.

出版信息

Clin Geriatr Med. 2023 Feb;39(1):77-90. doi: 10.1016/j.cger.2022.08.002.

Abstract

Diagnosis of dementia requires a detailed history, physical examination, imaging, and sometimes neuropsychological testing or ancillary tests. Mild cognitive impairment is defined as an objective impairment in cognitive performance but preserved ability to do activities of daily living. Dementia is diagnosed once impairment in activities of daily living develops. Common types of dementia covered here include mild cognitive impairment, Alzheimer's disease, Lewy body dementia, frontotemporal dementia, the primary progressive aphasias, and vascular dementia.

摘要

痴呆的诊断需要详细的病史、体格检查、影像学检查,有时还需要神经心理学测试或辅助检查。轻度认知障碍定义为认知表现的客观损害,但日常生活活动能力保存。一旦日常生活活动能力受损,即诊断为痴呆。此处涵盖的常见类型痴呆包括轻度认知障碍、阿尔茨海默病、路易体痴呆、额颞叶痴呆、原发性进行性失语症和血管性痴呆。

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