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Yıl:1999; Cilt: 36; Sayı: 2>> Özet
Nöropsikiyatri Arşivi; 1999;36(2):45-51
Demans sendromunun ayırıcı tanısı
İH Gürvit
lstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroloji Anabilim Dalı
Demans tanısının asgari koşulları, günlük yaşam aktivitelerini de bozan kognitif alana ait en az iki ayrı bozukluktur. Tüm demanslar arasında en sık rastlanan Alzheimer Hastalığı klinik sendromu için mev­cut tanı kriterleri, bozuk iki kognitif alandan birinin bellek olması koşulunu getirmektedirler. Klinik tab­lonun ortaya çıkış tarzı, seyri, hızı, nöropslkolojik profil, davranışsal ve motor alandaki belirti ve bul­guların nitelikleri, tabloya katılış zamanlamaları ve tablodaki kognitif bulgulara göre ağırlıklarının titiz­likle belirlenmesi, farklı demansiyel hastalıklar ara­sında ayırıcı tanı olanağını sağlayacaktır.
Differential Diagnosis Of Dementia Syndrome
At least, two separate impairmeints in the cognitive domain, that cause a significant decline in activities of daily living are the minimum conditions for the di­agnosis of dementia. Different diagnostic criteria currently available for the clinical syndrome of Alz­heimer Disease, which is the most prevalent among dementias, state the memory impairment as one of the two in the cognitive domain. A meticulous work­up and registration of the onset of clinical picture, its course and speed, neuropsychological profile in cog­nitive domain, the pattern of symptoms and signs in behavioral and motor domains, the timing of their participation in clinical picture, their relative weight with regards to cognitive findings would enable a dif­ferential diagnosis of different dementing diseases.

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