VARIABLES WHICH DISTINGUISH PATIENTS FULFILLING CLINICAL CRITERIA FOR DEMENTIA WITH LEWY BODIES FROM THOSE WITH ALZHEIMER'S DISEASE
✍ Scribed by CANDIDA GRAHAM; CLIVE BALLARD; KARIM SAAD
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 105 KB
- Volume
- 12
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
✦ Synopsis
Objectives. To compare patients ful®lling clinical criteria for Lewy body dementia with those meeting clinical criteria for Alzheimer's disease.
Design. Prospective cohort study.
Setting. Psychiatric services and a memory clinic.
Sample. 124 patients with DSM-III-R dementia.
Measures. The assessment included the GMS/HAS/SDS package, the CAMCOG, the Cornell Depression scale and the Burns Symptom Checklist. Dementia was diagnosed according to DSM-III-R, NINCDS ADRDA, McKeith, Byrne, Hachinski and HAS AGECAT criteria. Results. Patients meeting McKeith et al. criteria for senile dementia of Lewy body type were signi®cantly more likely to have clouding of consciousness, signi®cant Parkinsonian symptoms and less severely impaired recent memory than patients with NINCDS ADRDA Alzheimer's disease. Each of these variables also distinguished patients meeting Byrne et al.'s criteria for dementia with Lewy bodies from those with a diagnosis of Alzheimer's disease.
Conclusions. It is suggested that one set of criteria could encompass those overlapping groups of patients. Work is needed to further develop the diagnostic criteria for Lewy body dementia. (# 1997 by John Wiley & Sons, Ltd.)