[Medical evaluation of dementia]
Related Experiment Video
Updated: Aug 14, 2026

The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
Published on: October 13, 2016
1Stadtärztlicher Dienst Zürich.
Abstract:
A careful medical evaluation of each dementia patient from any age group is necessary. Dementia targeted questioning of the patients and their relatives should be accompanied by a quantitative dementia rating like the NOSGER-scale. The essential neuropsychological evaluation should be followed by a nosological differential diagnosis including a row of laboratory tests. Brain imaging is necessary only if one of the Dietch-criteria is met. Pharmaco-therapy should be considered for non-cognitive symptoms of dementia and a cholinergic therapy in cases of Alzheimer's disease. Considering the axiome of dementia: one dementia = two in need of help, the care-giver burden has to be eased by proposing sets of medico-social interventions, optimally at a family conference.
Related Concept Videos
Nursing Evaluation
Section...
Alzheimer's Disease: Overview
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...
Alzheimer's Disease: Treatment
Dementia
The progression of dementia is generally gradual.
Alzheimer Disease l: Introduction
Dementia l: Introduction

