Smith J S, Kiloh L G
Lancet. 1981 Apr 11;1(8224):824-7. doi: 10.1016/s0140-6736(81)92692-1.
200 patients admitted consecutively to the Neuropsychiatric Institute, Sydney, with the provisional diagnosis of dementia were investigated. The diagnosis was confirmed in 164 patients, 16 patients had a chronic organic brain syndrome not characterised by intellectual deterioration, and 20 patients had pseudodementing functional illnesses. A potentially reversible cause of the dementia was found in 13 patients: these comprised 11.5% of the demented patients aged 45 to 64 years and 3.8% of the demented patients aged 64 years and older. It is recommended that all patients with a provisional diagnosis of dementia be investigated early in the course of their illnesses in anticipation of the finding of a reversible dementia or a treatable pseudodementing illness.
对连续入住悉尼神经精神病研究所、初步诊断为痴呆症的200名患者进行了调查。确诊为痴呆症的患者有164名,16名患者患有非以智力衰退为特征的慢性器质性脑综合征,20名患者患有假性痴呆功能性疾病。在13名患者中发现了痴呆症的潜在可逆病因:这些患者占45至64岁痴呆患者的11.5%,占64岁及以上痴呆患者的3.8%。建议对所有初步诊断为痴呆症的患者在病程早期进行调查,以期发现可逆性痴呆或可治疗的假性痴呆疾病。