EPA-1359 – Clinical, neuropsychological and imaging features of vascular dementia - 01/08/14
Doi : 10.1016/S0924-9338(14)78571-2
Résumé |
Purpose of the study |
- | The clinical and neuropsychological estimation of vascular dementia. |
- | Highlighting the clinical and neuropsychological and CT correlations depending on the degree of evolution in disease severity. |
- | Assessing the possibility of establishing prior positive diagnosis, differential diagnosis, evolution and prognosis. |
Material and methods |
32 patients aged from 47 to 74 years (17 female and 15 males) diagnosed with vascular dementia were included. For diagnosis patients were examined clinically and neuropsychological, and CT.
Results |
According Mini Mental Score:
- | 17 patients: 16–23 items |
- | 11 patients: 6–15 items |
- | 4 patients: <6 items |
Ischemic Score Hachinsky:
- | 7 patients: <8 points |
- | 15 patients: 8–11 points |
- | 6 patients: 11–14 points |
- | 4 patients: >18 points |
Hamilton Depression Scale:
- | 11 patients: <7 points |
- | 10 patients: 7–9 points |
- | 8 patients: 10–12 points |
- | 2 patients: >12 points. |
Evolutionary studies of vascular dementia were correlated with psychometric assessments and anatomical gap size revealed by brain CT.
Differential diagnosis was made with Alzheimer's disease.
Conclusions |
- | In the onset and evolution of vascular dementia on the neurological examination predominant presence of signs of outbreak |
- | Neuropsychological changes are manifested by cognitive symptoms |
- | The direct link to increase the neuropsychological symptoms, depending on the severity of cerebral atrophy and volume of ischemic site on brain CT. |
- | Clinical, neuropsychological tests and CT revealed that early positive diagnosis, differential diagnosis, progress and prognosis. |
© 2014
Elsevier Masson SAS. Tous droits réservés.
Vol 29 - N° S1
P. 1 - 2014 Retour au numéro
Article précédent
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