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[Reversible dementias and treatable dementias]
H Sentíes-Madrid1, B Estañol-Vidal
1Departamento de Neurología y Psiquiatría, Laboratorio de Neurofisiología Clínica, Instituto Nacional de Ciencias Médicas y de la Nutrición Salvador Zubiran, Tlalpan, México. sentiesh@yahoo.com
Identifying reversible causes of dementia is crucial for treatment. Prompt diagnosis and intervention can lead to partial recovery or prevent further cognitive decline in dementia patients.
Area of Science:
- Neurology
- Geriatrics
- Internal Medicine
Context:
- Dementia diagnosis and management.
- Importance of identifying treatable causes.
- Potential for partial recovery and slowing progression.
Purpose:
- To outline diagnostic strategies for reversible dementias.
- To highlight key investigations for identifying underlying causes.
- To emphasize the role of early intervention.
Summary:
- Approximately 15% of dementia cases are potentially reversible.
- Routine investigations include blood counts, metabolic panels, and syphilis serology.
- Specialized tests and neuroimaging (CT, MRI) are guided by clinical presentation.
Impact:
- Facilitates timely and appropriate treatment for reversible dementias.
- Improves patient outcomes through targeted interventions.
- Reduces the burden of dementia by addressing treatable etiologies.
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