The several faces of dementia syndrome: How to diagnose clinically? [Abstract in English]

AIMS: This review describes the clinical aspects related to different dementia syndromes, aiming to become common in the medical field, the knowledge of the nuances that permeate the differential diagnosis of these disorders. DATA SOURCE: A review of literature published up to October 2009 was condu...

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Bibliographic Details
Authors: Tieppo Fornari, Luís Henrique, Pacheco Garcia, Larissa, Schembida de Oliveira, Brigida, Lisboa Fernandez, Liana
Format: article
Status:Published version
Publication Date:2010
Country:Brasil
Institution:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
Repository:Scientia Medica (Porto Alegre. Online)
Language:Portuguese
English
OAI Identifier:oai:ojs.revistaseletronicas.pucrs.br:article/5824
Online Access:https://revistaseletronicas.pucrs.br/scientiamedica/article/view/5824
Access Level:Open access
Keyword:DEMENTIA/diagnosis
ALZHEIMER DISEASE
DEMENTIA
VASCULAR
FRONTOTEMPORAL DEMENTIA
LEWY BODY DISEASE
DIAGNOSIS
DIFFERENTIAL.
DEMÊNCIA/diagnóstico
DOENÇA DE ALZHEIMER
DEMÊNCIA VASCULAR
DEMÊNCIA FRONTOTEMPORAL
DOENÇA POR CORPOS DE LEWY
DIAGNÓSTICO DIFERENCIAL.
Description
Summary:AIMS: This review describes the clinical aspects related to different dementia syndromes, aiming to become common in the medical field, the knowledge of the nuances that permeate the differential diagnosis of these disorders. DATA SOURCE: A review of literature published up to October 2009 was conducted on Medline, Ovid, and Scopus databases, as well as on textbooks. Articles that focused on the pathogenesis and pathology were not prioritized, given the objectives of this study. SUMMARY OF THE FINDINGS: This article reviews some aspects of reversible and irreversible dementia syndromes, such as Alzheimer’s disease and Vascular Disease, focusing on the clinic and diagnostic features that make them distinct entities. CONCLUSIONS: The literature suggests that the diagnostic process of dementia syndromes is based mainly on clinical practice, prioritizing a rigorous assessment of mental status. However, neuroimaging evaluation and laboratory tests have considerable input in determining the underlying cause of dementia, revealing peculiarities that can guide the differential diagnosis. The diagnosis of different etiologies is important to the prognosis and the specific therapeutic approach.