Young-Onset Dementia Epidemiology Applied to Neuropsychiatry Practice

被引:15
作者
Devineni, Bhargavi [1 ]
Onyike, Chiadi U. [2 ]
机构
[1] Zucker Hillside Hosp, Dept Psychiat, Geriatr Psychiat Div, Glen Oaks, NY 11004 USA
[2] Johns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Baltimore, MD 21287 USA
关键词
Young-onset dementia; Epidemiology; Risk factors; Differential diagnosis; Screening; FRONTOTEMPORAL LOBAR DEGENERATION; CLINICAL CHARACTERISTICS; HEXANUCLEOTIDE REPEAT; RISK-FACTORS; DISEASE; PREVALENCE; FREQUENCY; DIAGNOSIS; MANAGEMENT; DISORDERS;
D O I
10.1016/j.psc.2015.02.003
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
A substantial number of adults suffer young-onset dementia (YOD). The diversity of types and syndromes makes recognition and diagnosis difficult. An algorithmic approach to interpreting clinical data, informed by clinical epidemiology, integrates data pertaining to defining syndromes. Syndrome chronology and tempo, family history, and other neuropsychiatric features and neurologic signs, are used to reach a preliminary diagnosis and direct diagnostic tests and their interpretation. Screening for YOD in the psychiatric context is a rational process in which vigilance is combined with careful searches for red flags that signal a neurodegenerative etiology.
引用
收藏
页码:233 / +
页数:17
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