痴呆的诊断

文摘

基于54精神错乱病人连续解剖在匹兹堡大学的,我们研究了临床医生在预测病理诊断的准确性。39例(72.2%)有阿尔茨海默氏症,而15(27.7%)其他中枢神经系统疾病(四multi-infarct痴呆;三个克雅二氏症;两个丘脑皮层下神经胶质过多症;三个帕金森病;一个进行性核上的麻痹;亨廷顿氏病;和一个非保密)。两个神经病学家独立审查每个病人的临床记录病人的身份的没有知识或临床或病理诊断;每个临床医生达到临床诊断基于标准来源于那些NINCDS / ADRDA。 In 34 (63%) cases both clinicians were correct, in nine (17%) one was correct, and in 11 (20%) neither was correct. These results show that in patients with a clinical diagnosis of dementia, the etiology cannot be accurately predicted during life.