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08:39
Assessing Cortical Cerebral Microinfarcts on High Resolution MR Images
Published on: November 20, 2015
Multi-infarct dementia, subcortical dementia, and hydrocephalus
1Geriatric Research, Education, and Clinical Center, Veterans Affairs Medical Center, Gainesville, FL 32608-1197.
Southern Medical Journal
|May 1, 1991
Summary
This study classifies dementia into four types, focusing on intentional dementia caused by frontal lobe dysfunction. It lists various conditions and depression that can mimic intentional dementia, aiding diagnosis and management.
Area of Science:
- Neurology
- Geriatrics
- Neuropsychology
Background:
- Dementia diagnosis aims to identify treatable causes.
- Classifying dementia aids in diagnostic evaluation.
- Intentional dementia involves frontal lobe system dysfunction.
Purpose of the Study:
- To present a classification system for dementia.
- To detail the characteristics and causes of intentional dementia.
- To discuss diagnostic and management guidelines for intentional dementia.
Main Methods:
- Classification of dementia into attentional, amnestic, cognitive, and intentional categories.
- Review of disorders affecting frontal lobe systems.
- Discussion of differential diagnoses, including depression.
Main Results:
- Intentional dementia results from dysfunction in frontal lobe components (cortex, basal ganglia, thalamus, limbic system, white matter).
- Numerous conditions can cause intentional dementia, including Binswanger's disease, Parkinson's, Huntington's, HIV, head injury, NPH, neoplasms, syphilis, vitamin B12 deficiency, and multiple sclerosis.
- Depression can present as intentional dementia.
Conclusions:
- A four-category dementia classification system can facilitate diagnosis.
- Understanding intentional dementia's causes and presentation is crucial for effective management.
- Differential diagnosis, particularly distinguishing from depression, is essential.
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