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REVIEW ARTICLE
Year : 2016  |  Volume : 3  |  Issue : 1  |  Page : 21-28

Differential diagnosis for cognitive decline in elderly


Department of Psychiatry, Institute of Human Behaviour and Allied Sciences, New Delhi, India

Correspondence Address:
Shailesh Jha
Department of Psychiatry, Institute of Human Behaviour and Allied Sciences, New Delhi - 110 095
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2348-9995.181911

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Cognitive decline has a spectrum of presentations, which manifest from normality as part of senility to the established form of various neurodegenerative illnesses causing dementia. Understanding these various differential diagnoses is of great clinical significance as they have different management and interventional strategies. The neuropsychological deficits which are identified should follow known neuropathological disease patterns that helps in distinguishing different types of cognitive impairment to established dementia. It is important to look at different cognitive impairment in elderly with core diagnostic sense to define severity, type of cognitive impairments, identifying patients need for accommodation or adaptation, associated risks, effectiveness of therapies and predict mortality. This would help clinicians to identify and plan management based on individual needs in cases with variable cognitive impairment.


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