Deterioro y Demencia, Orientación para médicos no especialistas. Dementia and Impairment, Directions for no specialist physicians.
Abstract
Resumen
La enfermedad de Alzheimer (EA), que se expresa como una pérdida progresiva de las funciones cognitivas comenzando por la memoria, es la más importante de las afecciones degenerativas del SNC y una de las principales causas de invalidez
en los adultos. El deterioro cognitivo leve (DCL) es una entidad que se define porque existe una pérdida discreta de la memoria y a veces otras capacidades, pero sin que exista una limitación en las actividades habituales de la persona, o sea sin que exista una demencia. Sin embargo, es muy posible que pocos años después se haga evidente una EA.
En esta revisión se comentan algunos conceptos básicos sobre las demencias; su clasificación etiológica, sus manifestaciones clÃnicas, y su manejo. Se hace especial hincapié en el apoyo psicosocial que requieren los pacientes y sus familias.
Palabras clave: Enfermedad de Alzheimer, Demencia, Deterioro Cognitivo.
Summary
Alzheimer's disease (AD), that develops with progressive loss of cognitive functions, beginning by memory, is the most important Central Nervous System (CNS) degenerative affection and one of the main causes of invalidity in adults. The mild cognitive impairment (MCI) is defined as a discreet loss of memory and sometimes others abilities. In this case, the affected is not limited in their quotidian activities, meaning that dementia does not exist. However, it is very possible that in the following years the AD becomes evident.
In the present review, some basics concepts about dementia are revised; etiologic classification, clinical manifestation and treatment, emphasizing the support that the patients and their families need.
Key words: Alzheimer's disease, Dementia, Cognitive Impairment.
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