Abstract
Potentially reversible dementias comprise a heterogeneous group of physical and psychiatric conditions that may be identified in approximately 10% of patients presenting with symptoms of dementia. There is evidence that the prevalence has fallen in the last twenty years. Depressive illness, structural brain lesions and normal pressure hydrocephalus account for more than half the cases and recently identified causes include the autoimmune encephalopathies. Reversible dementias tend to be more common in younger patients (under 70 years of age). Treatment of the underlying condition should be vigorously pursued although complete reversal of cognitive impairment is rare, occurring in less than 10% of identified cases. Care protocols for the assessment of patients presenting with memory disorders should include as basic minimum a full blood count, serum electrolytes and calcium, thyroid, liver and kidney function, random glucose, vitamin B12 and folate levels, and brain neuro-imaging (either magnetic resonance or computed tomography).
| Original language | English (US) |
|---|---|
| Title of host publication | Principles and Practice of Geriatric Psychiatry: Third Edition |
| Publisher | John Wiley and Sons |
| Pages | 410-414 |
| Number of pages | 5 |
| ISBN (Print) | 9780470747230 |
| DOIs | |
| State | Published - Dec 2 2010 |
| Externally published | Yes |
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Keywords
- Aged memory disorders memory clinics
- Dementia pseudodementia
- Reversible
- Treatable
ASJC Scopus subject areas
- Medicine(all)
Cite this
Ethics of Dementia Care. / Klein, Eran; Karlawish, Jason.
Principles and Practice of Geriatric Psychiatry: Third Edition. John Wiley and Sons, 2010. p. 410-414.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Ethics of Dementia Care
AU - Klein, Eran
AU - Karlawish, Jason
PY - 2010/12/2
Y1 - 2010/12/2
N2 - Potentially reversible dementias comprise a heterogeneous group of physical and psychiatric conditions that may be identified in approximately 10% of patients presenting with symptoms of dementia. There is evidence that the prevalence has fallen in the last twenty years. Depressive illness, structural brain lesions and normal pressure hydrocephalus account for more than half the cases and recently identified causes include the autoimmune encephalopathies. Reversible dementias tend to be more common in younger patients (under 70 years of age). Treatment of the underlying condition should be vigorously pursued although complete reversal of cognitive impairment is rare, occurring in less than 10% of identified cases. Care protocols for the assessment of patients presenting with memory disorders should include as basic minimum a full blood count, serum electrolytes and calcium, thyroid, liver and kidney function, random glucose, vitamin B12 and folate levels, and brain neuro-imaging (either magnetic resonance or computed tomography).
AB - Potentially reversible dementias comprise a heterogeneous group of physical and psychiatric conditions that may be identified in approximately 10% of patients presenting with symptoms of dementia. There is evidence that the prevalence has fallen in the last twenty years. Depressive illness, structural brain lesions and normal pressure hydrocephalus account for more than half the cases and recently identified causes include the autoimmune encephalopathies. Reversible dementias tend to be more common in younger patients (under 70 years of age). Treatment of the underlying condition should be vigorously pursued although complete reversal of cognitive impairment is rare, occurring in less than 10% of identified cases. Care protocols for the assessment of patients presenting with memory disorders should include as basic minimum a full blood count, serum electrolytes and calcium, thyroid, liver and kidney function, random glucose, vitamin B12 and folate levels, and brain neuro-imaging (either magnetic resonance or computed tomography).
KW - Aged memory disorders memory clinics
KW - Dementia pseudodementia
KW - Reversible
KW - Treatable
UR - http://www.scopus.com/inward/record.url?scp=84885717267&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84885717267&partnerID=8YFLogxK
U2 - 10.1002/9780470669600.ch65
DO - 10.1002/9780470669600.ch65
M3 - Chapter
AN - SCOPUS:84885717267
SN - 9780470747230
SP - 410
EP - 414
BT - Principles and Practice of Geriatric Psychiatry: Third Edition
PB - John Wiley and Sons
ER -