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鉴别诊断阿尔茨海默病070413-张振馨幻灯片

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tremor?20% myoclonus?70% transient beneficial response to L-dopaРDLB Features: DementiaРAttention?Spontaneous periods of impaired alertness and concentration?昏昏欲睡但能或不能意识到他周围的环境?Several minutes to a day?检测警觉度和复杂的反应时间,检测EEGРDLB Features: DementiaРVisuospatial?视知觉功能:物体大小的辨别力, overlapping figure identification, visual counting?比AD更差: picture arrangement, block design,物体装配任务?Less severely on memory, naming abilities ?Frontal subcortical skills?More than AD, on verbal fluency, assesment of response inhibitionРDLB Features: NeuropsychiatricР行为?视幻:包括动物, 人物和情景,在病人周围活动?Misidentification delusions: Capgras syndrome?DLB vs AD Frequency : 视幻 72/38%, 妄想 70/68%, 抑郁 48/18%, 听幻 44/12%, 错误认别 40/10%?DLB vs PDD: more delu in DLB?DLB vs FTD: Less euphoria and disinhibition?DLB:行为(often present) 与认知(mild)的相关性较弱

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