International journal of geriatric psychiatry
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Int J Geriatr Psychiatry · Dec 2007
Case ReportsAIDS dementia complex and Hashimoto encephalopathy in a senescent woman.
AIDS dementia complex is one of the specific infectious dementias, which is rarely seen in senescent (>75 years of age) subjects. Hashimoto encephalopathy has been described as the cause of several neurological and psychiatric syndromes including dementia. ⋯ We report here the first case of a patient who fulfils both, the criteria for AIDS dementia complex and Hashimoto encephalopathy, yet being unresponsive to steroid therapy. Diagnostic and therapeutic implications are discussed.
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Int J Geriatr Psychiatry · Dec 2007
Do family caregivers perceive more difficulty when they look after patients with early onset dementia compared to those with late onset dementia?
To compare family caregiving situations for patients with early onset dementia (EOD) and late onset dementia (LOD), and to identify the specific problems experienced by relatives caring for EOD patients. ⋯ Our findings demonstrated that additional resources, such as care services, should be provided for sufferers of EOD, in order to allow family caregivers to cope with difficulties associated with patient behavioural problems.
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Int J Geriatr Psychiatry · Dec 2007
Conversion of amnestic Mild Cognitive Impairment to dementia of Alzheimer type is independent to memory deterioration.
Mild Cognitive Impairment defines a transitional stage between normal ageing and dementia, and reflects the clinical situation where a person has memory complaints and objective evidence of cognitive impairment but no evidence of dementia. To plan the care of patients with MCI, it is important to predict as accurately as possible potential risk factors modulating the conversion to AD. ⋯ In subjects with aMCI poor global cognitive performance at baseline, the worsening on executive functions and on functional status but not the worsening on memory functions are independently associated with the conversion to dementia of Alzheimer type at 1 year, follow-up.