Abstract

Data from 30 patients with presenile dementia are reported regarding history, clinical findings with special assessment of mental status; electroencephalography; and cerebral blood flow for ten patients with histological Alzheimer disease, five patients with other histological findings, ten patients with clinically suspected Alzheimer disease, and five patients with communicating hydrocephalus following meningeal irritation. Cerebrospinal fluid (CSF) dynamics were evaluated by pneumoencephalography, iodinated serum albumin (RISA) cisternography, and CSF infusion. Pneumoencephalography and cisternography were misleading. The CSF infusion test with fewer false positives was also not diagnostic by itself, thus emphasizing that diagnosis ultimately depends on histology. Ventriculosystemic shunting was beneficial chiefly in patients with communicating hydrocephalus consequent to postmeningeal irritation.

Keywords

DementiaMedicinePsychologyInternal medicineDisease

MeSH Terms

AgedBlood PressureCerebral VentriculographyCerebrospinal Fluid ProteinsCerebrospinal Fluid ShuntsCerebrovascular DisordersDementiaDiagnosisDifferentialElectroencephalographyFemaleHumansHydrocephalusHydrocephalusNormal PressureIntelligenceIntelligence TestsIntracranial PressureMaleMiddle AgedPneumoencephalographyRadionuclide ImagingSerum AlbuminRadio-Iodinated

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Publication Info

Year
1973
Type
article
Volume
29
Issue
5
Pages
299-299
Citations
317
Access
Closed

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317
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Cite This

Jay M. Coblentz (1973). Presenile Dementia. Archives of Neurology , 29 (5) , 299-299. https://doi.org/10.1001/archneur.1973.00490290039003

Identifiers

DOI
10.1001/archneur.1973.00490290039003
PMID
4542729

Data Quality

Data completeness: 81%