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by Dr Aijaz
Ahmed, Dr Michael Jubb, Dr Rumana Chowdhury and Dr Ben Alderson
This is a substantial revision of a previous module by Dr Kate Jefferies and Dr Niruj Agrawal. The authors
acknowledge their contribution.
Last updated: May 2018
Lishman defined dementia as 'an acquired global impairment of
intellect, memory and personality but without impairment of
Young onset dementias present before the age of 65
years. They are much rarer than dementia in later life and
there is a wider differential diagnosis. Preferred current terms
for this group of conditions have moved from 'early onset' to
'young onset' or 'working age' to avoid confusion with the use of
the word 'early' for the initial stages of dementia generally.
Accurate diagnosis requires a comprehensive assessment and
investigations. It is important to identify any treatable causes of
dementia, as well as genetic conditions which may impact on
the family of the patient. Longer-term support is also vital
to help manage the cognitive, neuropsychiatric and behavioural
symptoms that often accompany these disorders.
This module looks at:
– history taking with collateral
– neuropsychological and neurological
– consideration of physical health
– further investigation with structural and
– other newer test modalities
Start the module
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