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Vascular Dementia and Dementia of Alzheimer-Type Cognition

Vascular Dementia and Dementia of Alzheimer-Type Cognition Abstract To the Editor. —The article by Aharon-Peretz and coworkers1 in the July 1988 issue of the Archives, comparing the ventricular size and leuko-araiosis in multi-infarct and degenerative dementias, is of utmost interest to me.I wonder what kind of modification of the method used by Albert et al2 has been made. I cannot find any explanation of such low index values for multiinfarct dementia, with respect to ours.3 Considering the modifications of the method, an additional group of ageand sex-matched controls would have been more suitable for the purpose.However, the crucial point concerning this study refers, in my opinion, to 4 of 31 patients suffering from multiinfarct dementia, with a negative computed tomographic scan.O'Brien4 rightly pointed out that Hachinski's score divides patients into two subgroups: a large-infarct group and everything else. The modified ischemic score5 lends support to the diagnosis of large, and even References 1. Aharon-Peretz J, Cummings JL, Hill MA. Vascular dementia and dementia of the Alzheimer type cognition: ventricular size and leukoaraiosis . Arch Neurol . 1988;45:719-721.Crossref 2. Albert ML, Naeser MA, Levinen HL, Garvey AJ. Ventricular size in patients with presenile dementia of the Alzheimer type . Arch Neurol . 1984;41:1258-1263.Crossref 3. Loeb C, Gandolfo C, Bino G. Intellectual impairment and cerebral lesions in multiple cerebral infarcts . Stroke . 1988;19:560-565.Crossref 4. O'Brien M. Vascular dementia is underdiagnosed . Arch Neurol . 1988;45:797-798.Crossref 5. Loeb C, Gandolfo C. Diagnostic evaluation of degenerative and vascular dementia . Stroke . 1983;14:399-401.Crossref 6. Loeb C. Clinical criteria for the diagnosis of vascular dementia . Eur Neurol . 1988;28:87-92.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Vascular Dementia and Dementia of Alzheimer-Type Cognition

Archives of Neurology , Volume 46 (8) – Aug 1, 1989

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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1989.00520440019006
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —The article by Aharon-Peretz and coworkers1 in the July 1988 issue of the Archives, comparing the ventricular size and leuko-araiosis in multi-infarct and degenerative dementias, is of utmost interest to me.I wonder what kind of modification of the method used by Albert et al2 has been made. I cannot find any explanation of such low index values for multiinfarct dementia, with respect to ours.3 Considering the modifications of the method, an additional group of ageand sex-matched controls would have been more suitable for the purpose.However, the crucial point concerning this study refers, in my opinion, to 4 of 31 patients suffering from multiinfarct dementia, with a negative computed tomographic scan.O'Brien4 rightly pointed out that Hachinski's score divides patients into two subgroups: a large-infarct group and everything else. The modified ischemic score5 lends support to the diagnosis of large, and even References 1. Aharon-Peretz J, Cummings JL, Hill MA. Vascular dementia and dementia of the Alzheimer type cognition: ventricular size and leukoaraiosis . Arch Neurol . 1988;45:719-721.Crossref 2. Albert ML, Naeser MA, Levinen HL, Garvey AJ. Ventricular size in patients with presenile dementia of the Alzheimer type . Arch Neurol . 1984;41:1258-1263.Crossref 3. Loeb C, Gandolfo C, Bino G. Intellectual impairment and cerebral lesions in multiple cerebral infarcts . Stroke . 1988;19:560-565.Crossref 4. O'Brien M. Vascular dementia is underdiagnosed . Arch Neurol . 1988;45:797-798.Crossref 5. Loeb C, Gandolfo C. Diagnostic evaluation of degenerative and vascular dementia . Stroke . 1983;14:399-401.Crossref 6. Loeb C. Clinical criteria for the diagnosis of vascular dementia . Eur Neurol . 1988;28:87-92.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Aug 1, 1989

References