Vol. 5 nº 4 - Oct/Nov/Dec de 2011
Views & Reviews Páginas: 288 a 296

Differential diagnosis between dementia and psychiatric disorders: Diagnostic criteria and supplementary exams. Recommendations of the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology

Authors Cássio M.C. Bottino1; Analuiza Camozzato de Pádua2; Jerusa Smid3; Renata Areza-Fegyveres4; Tânia Novaretti5; Valeria S. Bahia6; Working Group on Alzheimer's Disease and Vascular dementia of the Brazilian Academy of Neurology

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keywords: dementia, Alzheimer's disease, depression, alcohol, psychoactive drug, guidelines, consensus, Brazil.

ABSTRACT:
In 2005, the Scientific Department of Cognitive Neurology and Aging of the Brazilian Academy of Neurology published recommendations for the diagnosis of Alzheimer's disease These recommendations were updated following a review of evidence retrieved from national and international studies held on PUBMED, SCIELO and LILACS medical databases. The main aims of this review article are as follows: 1) to present the evidence found on Brazilian (LILACS, SCIELO) and International (MEDLINE) databases from articles published up to May 2011, on the differential diagnosis of these psychiatric disorders and dementia, with special focus on Dementia due to Alzheimer's and vascular dementia, including a review of supplementary exams which may facilitate the diagnostic process; and 2) to propose recommendations for use by clinicians and researchers involved in diagnosing patients with dementia. Differential diagnosis between dementia and other neuropsychiatric disorders should always include assessments for depression, delirium, and use of psychoactive substances, as well as investigate the use of benzodiazepines, anti-epileptics and pattern of alcohol consumption.

 

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