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Revue médicale suisse · Feb 2007
Review[The differential diagnosis of cognitive disorders in general practice: dementia and delirium].
- Armin von Gunten, Christophe Büla, Stéphane David, Friedrich Stiefel, and Alexandre Berney.
- Service universitaire de psychiatrie de l'âge avancé, Département de psychiatrie, CHUV, Prilly. armin.von-gunten@chuv.ch
- Rev Med Suisse. 2007 Feb 14;3(98):389-90, 392, 394-5.
AbstractCognitive deficits are frequently encountered in primary care settings, in particular in the elderly. Screening of these deficits is recommended and aims at identifying subjects who are likely to benefit from treatment. In the event of either positive screening or cognitive complaint, further somatic, cognitive, psychopathological, and functional assessment should be performed and possible consequences on family caregivers sought. Laboratory tests and neuro-imaging are often necessary. This multi-dimensional assessment may require the expertise of a memory clinic to distinguish normal aging, mild cognitive impairment, and to identify the different organic and functional aetiologies of the dementia syndrome and delirium.
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