The Present State of an Outpatient Memory Disorders Clinic
The Department of Neurology, Nephrology and Rheumatology, Nippon Medical School
The early and differential diagnosis of senile dementia is still a problem. To encourage the early referral and identification of patients with treatable conditions, an outpatient memory disorders clinic is held at our university hospital. The most frequent cause of dementia is Alzheimer's disease, followed by vascular dementia. Alzheimer's disease and vascular dementia account for 90% of causes of dementia. In 1999 donepezil hydrochloride, an acetylcholinesterase inhibitor, was approved for inhibiting disease progression in patients with Alzheimer's disease. Since then a role of an outpatient memory disorders clinic has been more important. This paper gives an outline of the clinical findings about Alzheimer's disease and vascular dementia and describes how we diagnose various types of dementia.
日医大医会誌 2006; 2(3), 148-151
Alzheimer's disease, vascular dementia, mild cognitive impairment, single photon emission tomography, magnetic resonance imaging
Shizuki Sakamoto, Department of Internal Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan