TY - JOUR T1 - Delirium episode as a sign of undetected dementia among community dwelling elderly subjects JF - Journal of Neurology, Neurosurgery & Psychiatry JO - J Neurol Neurosurg Psychiatry SP - 821 LP - 821 DO - 10.1136/jnnp.70.6.821 VL - 70 IS - 6 AU - D MEAGHER Y1 - 2001/06/01 UR - http://jnnp.bmj.com/content/70/6/821.19.abstract N2 - Rahkonen et al 1 examine the complex issue of outcome after an episode of delirium and, in particular, whether an episode acts as an indicator of undetected dementia. Poor cognitive outcomes, including dementia, are well recognised after delirium but it is unclear whether delirium is merely a marker for dementia or if an episode contributes to the development of enduring cognitive impairment, possibly by a neurotoxic or kindling-type mechansm. Patients with mild cognitive impairment were not excluded at the outset but it is clear that there was a relation between mini mental state examination (MMSE) scores immediately after resolution of DSM IIIR … Dr T Rahkonen ER -