商品簡介
作者簡介
名人/編輯推薦
目次
Preface
Acknowledgments
Incroduction
Section Ⅰ
How to Approach Clinical Problems
Part 1.Approach to the Patient
Part 2.Approach to Clinical Problem Solving
Part 3.Approach to Reading
Section Ⅱ
Clinical Cases
Fifty—Four Case Scenarios
Section Ⅲ
Listing of Cases
Listing by Case Number
Listing by Disorder (Alphabetical)
Index
書摘/試閱
If the patient has a history of irregular stepwise decline in functioning, especially if the patient has had apparent stroke symptoms or transient ischemic events, or has known cardiovascular disease or atrial fibrillation, then multi-infarct dementia is the most likely diagnosis.This type of vascular dementia is a common cause of dementia in the United States, comprising 10% to 20% of dementia.Other patients with cerebrovascular disease, especially as a result of long-standing hypertension, can develop diffuse subcortical white matter changes seen on imaging, and an insidious rather than sudden stepwise decline in cognitive function.This condition is often referred to as Binswanger disease.
Other common causes of dementia include cognitive decline caused by longstanding alcoholism, or dementia associated with parkinsonism.Both of these underlying conditions are readily discovered by the appropriate associated medical history.
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