Dementia: Diagnosis and evaluation

K. C. Fleming, A. C. Adams, Ronald Carl Petersen

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objective: To describe an approach to the diagnosis of dementia based on effective assessment methods. Design: We reviewed the literature and summarized the available diagnostic and prognostic studies of dementia that may be useful to the primary-care physician. Results: Although controversy exists about certain aspects of the diagnostic workup, exclusion of potentially reversible causes of dementia is essential. Laboratory studies (for example, for detection of underlying metabolic abnormalities) and neoroimaging of the brain may be useful. The pattern of onset and the temporal course of the disease may suggest a cause and help direct the investigation. Functional losses can substantially impair the patient's ability to live independently. Conclusion: Dementia can be mistakenly considered as part of the normal aging process, and diagnosis necessitates a thorough, although not exhaustive, approach. Early identification of dementing illnesses improves the outcome for reversible disease and may also enhance the management of incurable dementias.

Original languageEnglish (US)
Pages (from-to)1093-1107
Number of pages15
JournalMayo Clinic Proceedings
Volume70
Issue number11
StatePublished - 1995

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Dementia
Aptitude
Primary Care Physicians
Brain

ASJC Scopus subject areas

  • Medicine(all)

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Fleming, K. C., Adams, A. C., & Petersen, R. C. (1995). Dementia: Diagnosis and evaluation. Mayo Clinic Proceedings, 70(11), 1093-1107.

Dementia : Diagnosis and evaluation. / Fleming, K. C.; Adams, A. C.; Petersen, Ronald Carl.

In: Mayo Clinic Proceedings, Vol. 70, No. 11, 1995, p. 1093-1107.

Research output: Contribution to journalArticle

Fleming, KC, Adams, AC & Petersen, RC 1995, 'Dementia: Diagnosis and evaluation', Mayo Clinic Proceedings, vol. 70, no. 11, pp. 1093-1107.
Fleming KC, Adams AC, Petersen RC. Dementia: Diagnosis and evaluation. Mayo Clinic Proceedings. 1995;70(11):1093-1107.
Fleming, K. C. ; Adams, A. C. ; Petersen, Ronald Carl. / Dementia : Diagnosis and evaluation. In: Mayo Clinic Proceedings. 1995 ; Vol. 70, No. 11. pp. 1093-1107.
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