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EDITORIAL COMMENTARY |
| Dementia |
Imperial College School of Medicine, Paterson Centre, 20 South Wharf Road, London W2 1PD
Correspondence to:
Correspondence to:
J Warner;
j.warner@ic.ac.uk
Keywords: infarction; stroke; CT; dementia; diagnosis
| The first 150 words of the full text of this article appear below. |
Quis custodiet ipsos Custodes (who is to guard the guards themselves?).1 What is the link between this rather pithy observation by a first century AD Roman poet and current research on diagnosing dementia? Read on!
The paper by Tian et al (this issue, pp 433438)2 explores the clinical utility of predictive testing of individuals with early cognitive problems. The hinterland between normal cognition and dementia is a nosological and terminological minefield. The problem is that before people develop full-blown dementia, they often pass through a stage of "pre-dementia", referred to in Tian et als article as "questionable dementia". Mild cognitive impairment, benign senescent forgetfulness, and age associated memory impairment are other, subtly different re-workings of the same phenomenon. In Tian et als paper, questionable dementia is defined as either the presence of subjective memory impairment affecting social or occupational functioning, but in the absence of impairment
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J. Neurol. Neurosurg. Psychiatry 2003 74: 433-438.
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J. Warner Clinicians' guide to evaluating diagnostic and screening tests in psychiatry Advan. Psychiatr. Treat., November 1, 2004; 10(6): 446 - 454. [Abstract] [Full Text] [PDF] |
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