最近审阅: 23 十月 2020
最近更新: 24 八月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 认知波动
  • 幻视
  • 运动症状
  • 快速眼动期(REM)睡眠行为障碍

其他诊断因素

  • 对抗精神病药物高度敏感
  • 抑郁症
  • 反复跌倒和晕厥
  • 体位性低血压
  • 尿失禁
  • 便秘
  • 注意力和视空间觉异常
  • 妄想
  • 睡眠过度
  • 嗅觉减退
  • 幻听

危险因素

  • 老年
  • 男性
  • 家族性发病

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 生化检查
  • 血清促甲状腺激素 (TSH)
  • 血清维生素 B12
  • 血清叶酸
  • 血清 VDRL
  • 尿液药物筛查
  • 尿液分析
  • HIV 检测
更多 首要检查

需考虑的检查

  • 脑部 CT
  • 颅脑 MRI 扫描
  • 定量脑电图 (EEG)
  • 脑脊液 (脑脊液) 分析
  • 神经心理测验
  • 单光子发射断层扫描(SPECT)/正电子发射断层扫描(PET)
  • MIBG 心肌显像
更多 需考虑的检查

治疗流程

撰稿人

Professor of Neurology

Department of Neurology

University Hospitals Case Medical Center

Case Western Reserve University

Cleveland

OH

利益声明

AJL receives research grant support from NIH, TauRx, Eli Lilly, and Axovant, and has been a medicolegal consultant in several legal cases, but he declares that he has no competing interests related to this topic.

Dr Alan J. Lerner would like to gratefully acknowledge Dr Brian S. Appleby, Dr Ethan Gore, Dr Rajeet Shrestha, Dr Timothy Wuerz, Dr Julie Schneider, Dr Viola Fahmy, and Dr Sube Banerjee, previous contributors to this monograph. BSA, EG, RS, TW, JS, VF, and SB declare that they have no competing interests.

同行评议者展开全部内容

Assistant Professor and Clinical Neuropsychologist

Department of Neurological Sciences

Rush University Medical Center

Chicago

IL

利益声明

BB declares that he has no competing interests.

Associate Professor

Neurology, Psychiatry and Neurobiology

Director

Memory Diagnostic Center and Alzheimer Treatment Unit

Director

Education and Community Outreach

Alzheimer Disease Research Center

Washington University School of Medicine

St Louis

MO

利益声明

JEG declares that he has no competing interests.

Professor of Old Age Psychiatry

Clinical Director

Institute for Ageing and Health

Newcastle University

Newcastle

UK

利益声明

IM is the author of several references cited in this topic.

内容使用需遵循免责声明