Diagnosing early cognitive decline-When, how and for whom?

被引:21
作者
Allan, Charlotte L. [1 ]
Behrman, Sophie [2 ]
Ebmeier, Klaus P. [2 ]
Valkanova, Vyara [2 ]
机构
[1] Northumberland Tyne & Wear NHS Fdn Trust, Ctr Hlth Elderly, Newcastle Upon Tyne, Tyne & Wear, England
[2] Univ Oxford, Warneford Hosp, Dept Psychiat, Oxford OX3 7JX, England
基金
英国医学研究理事会;
关键词
Mild cognitive impairment; Dementia; Assessment; Neuropsychology; Neuroimaging; Treatment; Driving; SMALL VESSEL DISEASE; MILD NEUROCOGNITIVE DISORDER; ALZHEIMERS-DISEASE; IMPAIRMENT; DEMENTIA; METAANALYSIS; PET; ASSOCIATION; PREVALENCE; INTERVENTIONS;
D O I
10.1016/j.maturitas.2016.11.018
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Mild cognitive impairment (MCI) is a term used to describe cognitive impairment in one or more cognitive domains that is greater than any expected age-related changes, but not of the magnitude to warrant a diagnosis of dementia. This review considers how early cognitive decline is diagnosed, focusing on the use of neuropsychological tests and neuroimaging, as well as the differential diagnosis. Potential treatments, including secondary prevention, post-diagnostic support and self-help are discussed. Finally, medico-legal matters such as driving, lasting power of attorney and employment are outlined. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:103 / 108
页数:6
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