Navigation Links
Difficulties in diagnosing dementia type
Date:5/31/2011

"It is true that we know of around 70 different types of dementia, but these findings are shocking. We believed more patients were diagnosed correctly when we began the study", say researchers Elisabet Englund and Hans Brunnstrm at Lund University.

The study included 176 patients, the vast majority from the cities of Lund and Malm. All of them have been examined at specialist geriatric psychiatry clinics during the period 1996-2006 and been diagnosed with some form of dementia. After the death of the patients, the researchers have studied their brains under a microscope and been able to establish precisely which type or types of dementia the patients suffered from.

In 49 per cent of cases, the clinical diagnosis agreed with the neuropathological. In 14 per cent of cases the diagnosis was partly in agreement, which to some extent could be explained by additional neurological damage following the clinical diagnosis. In 37 per cent of cases, an entirely different diagnosis was made after the patient's death. The highest level of correct diagnoses was in patients with frontotemporal dementia, while the accuracy of the diagnoses was somewhat lower for patients with Alzheimer's disease, vascular dementia or dementia with Lewy bodies.

"These are unexpected figures, particularly considering that these patients have been examined and diagnosed by specialists. There is currently no cure for these diseases, but we must be sure that the patient has received the correct diagnosis in order to able to prescribe the correct treatment, such as medication to slow the progression of the disease and/or treat symptoms", says Dr Hans Brunnstrm, whose doctoral thesis includes the study.

"In addition, there is a hereditary factor in these diseases and so those with a family history of dementia should be able to find out which type of dementia their relatives have. It is therefore important that the diagnosis is correct", says Associate Professor Elisabet Englund, highlighting aspects of patient examinations which need to be improved.

"We have a strong belief in having a team of specialists who make the diagnosis together. We strive to work in this way today, but there is still room for improvement."

Elisabet Englund and Hans Brunnstrm also say that the neuropathology unit, which they represent, must provide better feedback to the clinic, while knowledge about these diseases must improve within primary care and the national guidelines that exist must be known to and followed by the broad medical community.

"Many of these types of dementia are difficult to assess, but it is important that a patient who has been diagnosed with dementia and has to live with the disease for sixeight years, and in some cases up to 20 years, is carefully assessed and receives the correct diagnosis."


'/>"/>

Contact: Elisabet Englund
elisabet.englund@med.lu.se
464-617-3438
Lund University
Source:Eurekalert

Related medicine news :

1. Marriage problems predict sleep difficulties in young children
2. Marriage problems related to infants sleep difficulties
3. Widening our perceptions of reading and writing difficulties
4. Sickle Cell Disease Tied to Cognitive Difficulties
5. Diagnosing seizures in the US economy
6. International panel revises McDonald Criteria for diagnosing multiple sclerosis
7. Convenient blood test not as effective for diagnosing diabetes in children
8. Scoring system is 93 percent accurate for diagnosing Wilsons disease in pediatric patients
9. New criteria proposed for diagnosing fibromyalgia
10. Office-based ultrasound-guided FNA superior in diagnosing head and neck lesions
11. MRI: Non-invasive diagnostic tool for diagnosing testicular cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/9/2016)... ... December 09, 2016 , ... MEDI+SIGN®, ... announced today that a new solution for Emergency Departments (ED) has been added ... space in Emergency Department examination rooms, and with a simplified pallet of information ...
(Date:12/8/2016)... ... December 08, 2016 , ... After enjoying record-breaking ... registration today for its 33rd Annual Issues & Research Conference, March 2-3, ... theme of the conference is “Persistent Challenges and New Opportunities: Using Research to ...
(Date:12/8/2016)... ... December 08, 2016 , ... CURE Media Group, the ... advocacy groups, has aligned with Upstage Lung Cancer in efforts to combat lung cancer, ... Michael J. Hennessy, Jr said, “CURE Media Group is honored to team up with ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... to its innovative Unified Instance Manager architecture, meeting the needs of multichannel ... version optimizes the unattended auto-dialing system without agents, Presence Robodialer, provides greater ...
(Date:12/8/2016)... , ... December 08, 2016 , ... ... after surgery as possible. With this in mind, SIGVARIS has created a new ... blood clot) during bed rest and provide the benefits of graduated compression when ...
Breaking Medicine News(10 mins):
(Date:12/9/2016)... Mitsubishi Tanabe Pharma Corporation (Head Office: ... Dr. Masayuki Mitsuka ) has presented data that ... intravenously in 10-14 day cycles for 48 weeks experienced ... Functional Rating Scale-Revised (ALSFRS-R). The data were presented at ... Dublin, Ireland . In ...
(Date:12/9/2016)... , Dec 9, 2016 Research and Markets ... 2016-2020" report to their offering. ... The global travel vaccines market to grow ... The report covers the present scenario and the growth prospects of ... size, the report considers the revenue generated from the sales of ...
(Date:12/9/2016)...  Forge Therapeutics, Inc. today announced a strategic ... TecDAX, ISIN: DE0005664809) to advance its novel Gram-negative ... bacterial infections including those caused by drug resistant ... antibacterial target for more than the past 15 ... points has hampered its progress. Forge has been ...
Breaking Medicine Technology: