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Consenso Argentino para el Diagnóstico de Demencia
Pablo M Bagnati1, Ricardo F Allegri2, Ignacio Demey3
1Investigador principal y coordinador de la Sección de Neuropsiquiatría, Servicio de Neurología Cognitiva, Fleni, Bs. As., Argentina.. pablombagnati@gmail.com.
Vertex (Buenos Aires, Argentina)
|January 13, 2026
Resumen
Este consenso proporciona una herramienta diagnóstica para médicos de atención primaria y especialistas para permitir la detección temprana de demencia. Se centra en la enfermedad de Alzheimer, diferenciándola del envejecimiento típico y describiendo algoritmos y evaluaciones diagnósticas.
Área de la Ciencia:
- Neurología
- Geriatría
- Psiquiatría
Sus antecedentes:
- El diagnóstico de demencia presenta desafíos para la atención primaria y los especialistas.
- El diagnóstico temprano y preciso de la demencia, particularmente la enfermedad de Alzheimer, es crucial.
Objetivo del estudio:
- Desarrollar un instrumento diagnóstico eficiente para la detección temprana de demencia.
- Proporcionar criterios y algoritmos diagnósticos actualizados para médicos de atención primaria y especialistas.
- Centrarse en la enfermedad de Alzheimer como la demencia más común en los países occidentales.
Principales métodos:
- Revisión de un comité de expertos de 5 meses (agosto-diciembre de 2024) con actualizaciones posteriores.
- Análisis y discusión de la evidencia actual y la información diagnóstica.
- Desarrollo de enfoques diagnósticos sistemáticos, incluyendo evaluaciones neurocognitivas, neuropsiquiátricas, de biomarcadores y funcionales.
Principales resultados:
- El documento de consenso se divide en tres partes: panorama actual de la demencia, evaluación diagnóstica sistemática y tipos de demencia con diagnóstico diferencial.
- Incluye algoritmos diagnósticos para atención primaria y especialistas.
- Detalla evaluaciones neurocognitivas, neuropsiquiátricas, de biomarcadores (laboratorio, LCR, plasma, neuroimagen, genética) y funcionales.
Conclusiones:
- El Consenso Argentino para el Diagnóstico de Demencia ofrece un enfoque estructurado para la detección temprana.
- Enfatiza la importancia de diferenciar la demencia del envejecimiento típico.
- El documento sirve como una guía integral para los médicos que manejan pacientes con demencia.
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