EVALUACIÓN NEUROPSICOLÓGICA EN LA ENFERMEDAD DE ALZHEIMER: MEMORIA EPISÓDICA Y SEMÃNTICA. NEUROPSYCHOLOGICAL ASSESSMENT IN THE ALZHEIMER DISEASE: EPISODIC AND SEMANTIC MEMORY.
Abstract
Resumen
Este trabajo tiene como objetivo realizar una revisión del proceso de evaluación neuropsicológica en pacientes con Alzheimer (EA), especÃficamente la referida a la memoria episódica y semántica. La enfermedad de Alzheimer es la principal forma de demencia. Es uno de los problemas sanitarios, sociales y culturales más importantes en actualidad. El diagnóstico y la diferenciación entre el envejecimiento normal y patológico son dificultosos en los primeros momentos, por lo tanto, la evaluación neuropsicológica cumple un papel fundamental. Los criterios utilizados actualmente son los del DSM IV (American Psychiatric Association, 1994) y los del NINCDS-ADRDA (Instituto Nacional para los Desórdenes Neurológicos, de la Comunicación y el Accidente Cerebro Vascular y la Asociación para la Enfermedad de Alzheimer y Desórdenes Relacionados) (McKhann G, Drachman D, Folstein M, y col., 1984), y exigen que el diagnóstico de EA probable se corrobore por evaluación neuropsicológica, además de la evaluación clÃnica y otros estudios. A partir de la división de la memoria a largo plazo en semántica y episódica, se crearon pruebas especÃficas para su evaluación neuropsicológica en distintas patologÃas, incluyendo la EA. De esta manera, se realizó una importante contribución a la detección temprana del deterioro de la memoria que es caracterÃstico de la enfermedad.
Palabras claves: evaluación neuropsicológica- Alzheimer- memoria semánticaepisódica.
Abstract
This paper aims to review the neuropsychological evaluation process in Alzheimer (EA) patients, specifically that related to episodic and semantic memory. Alzheimer-style dementia is the main form of dementia, and is nowadays one of the most important social, cultural and health-related problems. Diagnosis and differentiation from normal aging are difficult in the initial stages, and so neuropsychological evaluation is key. The criteria currently utilized are those of the DSM IV (American Psychiatric Association, 1994) and of the NINCDS-ADRDA (Instituto Nacional para los Desórdenes Neurológicos, de la Comunicación y el Accidente Cerebro Vascular y la Asociación para la Enfermedad de Alzheimer y Desórdenes Relacionados) (McKhann G, Drachman D, Folstein M, y col., 1984), and they require that the diagnosis of probable EA be confirmed by neuropsychological evaluation in addition to clinical evaluation and other studies. After the division of long term memory into semantic and episodic memory was made, specific tests were created for their neuropsychological evaluation in different pathologies, including EA. An important contribution to the early detection of memory deterioration typical of such illness was thus made.
Keywords: neuropsychological evaluation, Alzheimer, semantic and episodic memory.
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