[Clinical and differential diagnosis of multi-infarct dementia and Alzheimer's disease].

Abstract:

:Multi-infarct dementia (MID) and dementia of the Alzheimer type (DAT) are the main syndromes in the elderly. This study aims at evaluating the possible differentiation of these syndromes on a clinical basis. The patient population consisted of demented patients hospitalized during the period April 1, 1988-September 30, 1990 at the Department of Cerebrovascular Diseases. The study included 40 patients with MID and 25 with DAT. The clinical diagnosis of dementia included medical history, neurological examination, psychiatric interview and laboratory diagnostic investigations. The severity of the dementia symptoms was rated by many rating scales and a battery of neuropsychological tests. This model of clinical procedure permitted for differential diagnosis between vascular and degenerative dementia, according to DSM-III-R criteria. Patients with multi-infarct dementia of the Alzheimer type did not differ significantly with regard to age, mean duration of cognitive impairment and level of education. In the DAT group women outnumbered men, and this was statistically significant. It should be emphasized, that a great majority of patients with cerebrovascular lesions developed early cognitive impairment, that means within the first year after stroke. In the MID group hypertension, heart disease and smoking were statistically more frequent than in the DAT group. For the preliminary evaluation the severity of cognitive impairment was quantified by Mini-Mental State and Dementia Scale. These scales showed that the degree of dementia was significantly greater in DAT patients as compared to MID patients, whereas the severity of depression assessed by Hamilton's Scale was mild and similar in both group.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Neurol Neurochir Pol

authors

Jura E

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

9-18

issue

1

eissn

0028-3843

issn

1897-4260

journal_volume

26

pub_type

杂志文章
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    doi:

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    更新日期:1990-05-01 00:00:00

  • [Perseverance tendency in patients with generalized convulsive seizures and with partial seizures with complex symptoms].

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    doi:

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    更新日期:1980-01-01 00:00:00

  • ["Malignant" middle cerebral artery territory infarction].

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    pub_type: 杂志文章,评审

    doi:

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    更新日期:2005-09-01 00:00:00

  • Severe disease exacerbations in patients with multiple sclerosis after discontinuing fingolimod.

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    doi:

    authors: Buczek M,Jagodziński Z,Góraj B

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  • [Brain perfusion disturbances in patients with vertigo -- a study with SPECT].

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    doi:

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    abstract::Motor exercise was appliced in rehabilitation of 34 epileptic children with mild degree of mental retardation. In 28 children motor performance improved considerably. The increase in frequency of epileptic fits was not observed in any of the cases. ...

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    doi:

    authors: Maksimow K,Wasylew J

    更新日期:1978-01-01 00:00:00

  • [Analysis of clinical and social features in a group of epileptics with frequent seizures].

    abstract::A group of 50 epileptics (group C) with frequent seizures refractory to treatment was studied. The control group (R) comprised 50 cases with rare seizures. It was found that despite systematic treatment (with full therapeutic doses) and frequent changes of drugs the frequency of seizures was not reduced in group C. Th...

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  • [Terminal ventriculostomy in the treatment of syringomyelia].

    abstract::Terminal ventriculostomy is one of the methods used in surgical treatment of syringomyelia. The procedure is well tolerated and may be used in cases in which atlanto-occipital decompression is too serious an operation. The author used the method in treatment of 10 patients with different stages of syringomyelia. In 5 ...

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    doi:

    authors: Bidziński J

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    doi:

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  • [Epilepsy and other convulsive states in long-term EEG monitoring].

    abstract::The authors report the results of EEG monitoring lasting many hours with cassette recording and with interpretation after reproduction on monitor screen. The Medilog 9000 System Oxford was used for that purpose. The group comprised 32 verified cases of epilepsy and 19 cases of seizures with unestablished aetiology. In...

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    doi:

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  • Cerebral vasoreactivity in hypocapnia and hypercapnia in patients with diabetes mellitus type 2 with or without arterial hypertension.

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    pub_type: 杂志文章

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    doi:

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    doi:

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  • [Spontaneous hemorrhage in brain tumors].

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    doi:

    authors: Bromowicz J

    更新日期:1983-07-01 00:00:00

  • [Electroencephalographic studies of family members of patients with juvenile myoclonic epilepsy].

    abstract::Juvenile myoclonic epilepsy (JME) is a common idiopathic generalized epilepsy (IGE); it has a clinical and probably a strong genetic relation to the other IGE forms. Generalized spike/polyspike-wave discharges (SW/PSW) are typical of all IGEs. The aim of our study was to determine the incidence of epilepsy and SW/PSW ...

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    doi:

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    更新日期:1999-03-01 00:00:00

  • [Prognostic significance of transient hyperglycemia in acute phase of ischemic stroke].

    abstract::Experimental studies of different stroke models equivocally showed that hyperglycaemia is responsible for the increase of infarct volume and mortality. Similar results were obtained in several, but not all clinical studies. The aim of the study was to assess the occurrence and prognosis of transient hyperglycaemia in ...

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    doi:

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