Clinical Diagnosis of
Dementia of the
Jeffrey L. Cummings
Dementia of the Alzheimer type (DAT) was recognized in 1907 by Alois Alzheimer to be a distinct clinical entity unlike other forms of "senility." In his description of the index case, he noted the patient's aphasia, amnesia, apraxia, paranoid delusions, and relative preservation of motor function, and at autopsy he demonstrated that she suffered from "a unique illness involving the cerebral cortex" characterized by neurofibrillary changes and "miliary foci." His initial report ended by voicing the hope that more clinical cases would be confirmed pathologically and would be isolated from the larger classifications. Thus, Alzheimer provided a clinical as well as a pathological description of the disease that came to bear his name. Since then, the clinical diagnosis of DAT has
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Publication information: Book title: Caring for Alzheimer's Patients:A Guide for Family and Healthcare Providers. Contributors: Gary D. Miner - Editor, Linda A. Winters-Miner - Editor, John P. Blass - Editor, Ralph W. Richter - Editor, Jimmie L. Valentine - Editor. Publisher: Plenum Press. Place of publication: New York. Publication year: 1989. Page number: 57.
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