Transcription of CLINICAL REVIEW Dementia - bmj.com
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CLINICAL REVIEW Dementia - bmj.com
CLINICAL REVIEWD ementiaAlistair Burns,1,2 Steve Iliffe3 Dementiaisaclinicalsyndromecharacterised byaclusterof symptoms and signs manifested by difficulties inmemory, disturbances in language, psychological andpsychiatricchanges,andimpairmentsinac tivitiesofdailyliving. Alzheimer s disease is a specific disease entity andis the commonest cause of Dementia . In this, the first oftwo articles, we will REVIEW the CLINICAL and serviceimplications of Dementia syndrome; the second willconcentrate on Alzheimer is the burden of disease?About 12 million people worldwide have Dementia ,and thistotalis likelyto increaseto25 millionby UKreport2estimated that about 637 000people in the UK have Dementia syndrome and theannual cost of their care is 17bn ( ; $ ),which is more than heart disease ( 4bn), stroke ( 3bn),and cancer ( 2bn).
assessment, preferably by an old age psychiatrist. 9 The second step comprises the exclusion of potentially reversible conditions (such as normal pressure hydro-cephalus) and the confirmation of the dementia pathol-ogy via detailed neurocognitive assessment and, if ... dementia CLINICAL REVIEW ...
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