A Neurologist's Practical Approach to Cognitive Impairment.

A Neurologist's Practical Approach to Cognitive Impairment.
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DOI:
10.1055/s-0041-1726354
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发表时间:
2021-12
影响因子:
2.7
通讯作者:
Graff-Radford N
Graff-Radford N
中科院分区:
医学3区
文献类型:
--
作者:
Tipton PW;Day GS;Graff-Radford N

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预计到2050年,痴呆症的全球患病率将增加两倍。这场即将到来的医疗危机导致公众对认知障碍的认识和普遍关注达到了新的高度。随后,临床医生看到越来越多的人表现出认知问题。重要的是,临床医生满足这些问题的战略,促进准确的诊断。我们已经图解并描述了一种治疗认知障碍的实用方法。通过算法方法,我们确定认知障碍的存在和严重程度,系统地评估功能域,并使用这些信息来确定评估的下一步。我们还讨论了当认知障碍与运动异常或快速进展相关时如何进行。
The global prevalence of dementia is expected to triple by the year 2050. This impending healthcare crisis has led to new heights of public awareness and general concern regarding cognitive impairment. Subsequently, clinicians are seeing more and more people presenting with cognitive concerns. It is important that clinicians meet these concerns with a strategy promoting accurate diagnoses. We have diagramed and described a practical approach to cognitive impairment. Through an algorithmic approach, we determine the presence and severity of cognitive impairment, systematically evaluate domains of function, and use this information to determine the next steps in evaluation. We also discuss how to proceed when cognitive impairment is associated with motor abnormalities or rapid progression.
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