Zusammenfassung
Derzeit existiert kein vollständiges und valides System zur Diagnostik der Demenzen.
Die Leitlinien des Berufsverbandes der Allgemeinärzte, der Canadian Medical Association
und der European Federation of Medical Societies werden vorgestellt und diskutiert.
Während die Feststellung des Vorliegens einer Demenz und die Abgrenzung einer Depression
einfach sind, bestehen besondere Probleme in der Differenzialdiagnostik der Demenzen
untereinander und in der Frühdiagnostik. Es erscheint erforderlich, die einzelnen
Konsenskriterien aufeinander abzustimmen und Kriterien für die Differenzialdiagnose
festzulegen. Liquoruntersuchungen und MR-Techniken erlauben in naher Zukunft möglicherweise
eine positive Diagnose des M. Alzheimer.
Consensus Criteria on Diagnosis in Patients with Dementia
At present, there is no valid diagnostic system that can be used for the diagnosis
of dementia and its underlying causes. The consensus criteria of the German Association
of Medical Practicioners, the Canadian Medical Association and the European Federation
of Medical Societies are described. While the detection of the presence of dementia
and the differential diagnosis towards depression seem relatively easy, there are
considerable difficulties in the differential diagnosis among the dementias and in
early diagnosis. It is deemed necessary to relate the various diagnostic consensus
criteria towards each other and establish consensus for differential diagnosis. CSF
analysis and new MR techniques may allow a positive diagnosis of Alzheimer's disease
in the near future.
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Prof. Dr. Claus-W. Wallesch
Klinik und Poliklinik für Neurologie der Otto-von-Guericke-Universität
Leipziger Straße 44
39120 Magdeburg
