Evaluation of a Short Mental Test for the Diagnosis of Dementia

Treves, T. A.; Ragolsky, Micha; Gelernter, Ilana; Korczyn, Amos D.

doi:10.1159/000107127

Cited by 15 publications

(15 citation statements)

References 17 publications

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“…Risk factors for stroke, mode of onset and progression o f the motor disability, response to L-dopa, as well as other clinical features were recorded at the time o f examination and analyzed. The mental state was evaluated using the Mini-Mental test in its Hebrew version [9]. A score below 85% was recorded as evidence o f dementia.…”

Section: Methodsmentioning

confidence: 99%

Basal Ganglia Lacunes and Parkinsonism

et al. 1994

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''Arteriosclerotic'' parkinsonism is still a subject of debate. The aim of this study was to investigate whether parkinsonism associated with basal ganglia lacunes possesses peculiar clinical features and a clinical course which enables its distinction from idiopathic Parkinson''s disease (IPD). 106 consecutive ambulatory patients with the clinical diagnosis of parkinsonism were referred for CT examination. Patients in whom isolated basal ganglia lacunes were found were interviewed and examined, and their clinical characteristics were compared to those of patients suffering from IPD without lacunes (controls). In 20 patients, isolated basal ganglia lacunes were detected; all had risk factors for stroke (significantly more than controls) and 7 of them had had clinically diagnosed strokes. The extrapyramidal disability evolved slowly in all. The clinical picture was indistinguishable from IPD in individual patients. However, tremor was significantly less frequent in this group. Lower body parkinsonism was not observed. Extrapyramidal signs were frequently asymmetrical (55%), with no consistent relationship to the side of the lacune. Asymmetrical pyramidal signs were present in 30% of those with unilateral lacunes, always on the appropriate side. Only 1 patient was an L-dopa nonresponder. Patients with parkinsonism associated with basal ganglia lacunes showed tremor less frequently than other IPD patients; otherwise, clinical features and course of the disease were indistinguishable from IPD. In these cases, parkinsonism and basal ganglia lacunes might have occurred independently of each other and tremor might have been prevented by ischemic events.

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Section: Methodsmentioning

confidence: 99%

Basal Ganglia Lacunes and Parkinsonism

et al. 1994

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“…All patients underwent routine physical and neuro logical examinations; none had clinical evidence for SLE [ 17], Partic ular attention was paid to the presence of risk factors for stroke. The mental status was examined using a standardized Hebrew version of the Short Mental Test [18] and expressed as percentages (dementia requiring a score below 80%). Hachinski ischemic scores were also recorded [19].…”

Section: Methodsmentioning

confidence: 99%

The Lupus Anticoagulant and Dementia in Non-SLE Patients

Inzelberg

Bornstein

Reider

et al. 1992

Dement Geriatr Cogn Disord

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The syndrome of circulating anticoagulants in patients without evidence of systemic lupus erythematosus (SLE) has lately become a focus of interest. The clinical features, neuroimaging findings and clinical course of 12 such patients, who presented with neurological symptoms, were analyzed. None of the patients fulfilled the American Rheumatism Association (ARA) criteria of SLE. During a follow-up period of up to 5 years, 9 patients (75%) deteriorated mentally. In 5, cerebrovascular lesions were observed clinically and/or neuroradiologically. Four patients showed slowly progressive mental decline without focal deficits on clinical examination or on CT and MR studies of the brain, except for a small cortical infarct in one case. All patients had radiological evidence of cortical atrophy. Thus, dementia may be a prominent feature among patients with the lupus anticoagulant. Possible underlying mechanisms, such as multi-infarct state, as well as an autoimmune process affecting specifically CNS structures, are discussed.

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“…Because proverb interpretation has been widely studied in healthy controls (e.g. Baez, Mendoza, Reyes, Matallana, & Montanes, 2009;Chapman & Thompson, 1998;Elmore & Gorham, 1957;Heinik & Aharon-Peretz, 1993;Lafleche & Albert, 1995;Santos, Sougey, & Alchieri, 2009;Santos et al 2008;Treves, Ragolsky, Gelernter, & Korczyn, 1990), and the normative data provided by the D-KEFS allow us to compare performances on proverb interpretation in disease groups relative to healthy controls, we did not find a need to recruit healthy controls for the purposes of this study.…”

Section: Procedures and Measuresmentioning

confidence: 99%