Chapter 2

The multidisciplinary evaluation of the atypical dementia patient

Michael D. Geschwind

Michael D. Geschwind

University of California, San Francisco, San Francisco, CA, USA

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Caroline Racine Belkoura

Caroline Racine Belkoura

University of California, San Francisco, San Francisco, CA, USA

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First published: 22 January 2016

Summary

This chapter presents an approach to assessing a patient with dementia, particularly those with non-AD or atypical dementias. We provide a multidisciplinary format used in our own clinic for assessing patients with cognitive impairment due to a wide variety of etiologies, with emphasis on cognitive, behavioral, and other neurological domains that often are affected with non-AD dementias, including frontal-executive, language, visuospatial, and motor functions. We stress the importance of key aspects of the history, such as identifying the very first symptom(s) and neurological exam, as well as recommend specific tools for testing various cognitive and behavioral domains. Throughout the chapter, clues to diagnosis of atypical dementias are provided. Lastly, various laboratory and imaging tests that might be helpful in diagnosing atypical dementias are discussed.

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