Reisberg B, Burns A, Brodaty H, Eastwood R, Rossor M, Sartorius N, Winblad B
Aging and Dementia Research Center, New York University Medical Center, New York, USA.
Int Psychogeriatr. 1997;9 Suppl 1:11-38. doi: 10.1017/s1041610297004675.
Current knowledge with respect to the diagnosis of Alzheimer's disease (AD) is reviewed. There is agreement that AD is a characteristic clinicopathologic entity that is amenable to diagnosis. The diagnosis of AD should no longer be considered one of exclusion. Rather, the diagnostic process is one of recognition of the characteristic features of AD and of conditions that can have an impact on presentation or mimic aspects of the clinicopathologic picture. The present availability of improved prognosis, management, and treatment strategies makes the proper, and state-of-the-art, diagnosis of AD a clinical imperative in all medical settings. Concurrently, information regarding the relevance and applicability of current diagnostic procedures in diverse cultural settings must continue to accrue.
本文综述了目前关于阿尔茨海默病(AD)诊断的知识。人们一致认为,AD是一种具有特征性的临床病理实体,易于诊断。AD的诊断不应再被视为排除性诊断。相反,诊断过程是识别AD的特征性特征以及可能影响临床表现或模仿临床病理表现的情况。目前改善预后、管理和治疗策略的可用性使得在所有医疗环境中对AD进行恰当且符合最新技术水平的诊断成为临床必需。同时,关于当前诊断程序在不同文化背景下的相关性和适用性的信息必须不断积累。