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British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1983 Jan 22;286(6361):277–280. doi: 10.1136/bmj.286.6361.277

Computed tomography in the investigation of dementia.

J R Bradshaw, J L Thomson, M J Campbell
PMCID: PMC1546501  PMID: 6402073

Abstract

To assess the value of computed tomography in investigating patients with dementia, 500 consecutive patients presenting with a provisional clinical diagnosis of dementia of recent onset were reviewed and the results analysed in a computer. Most patients had either cerebral atrophy or infarction, but 82 patients had a normal scan and 42 others had tumours. More than 10% of all patients, including 5% with no other symptoms or signs, had a treatable lesion. Various associated symptoms and signs were useful pointers to such a treatable lesion and clearly indicated computed tomography. Accurate diagnosis is the cornerstone of proper management, and if a few patients with treatable lesions can be identified then the benefits to all concerned may be incalculable.

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Selected References

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  1. Blessed G., Tomlinson B. E., Roth M. The association between quantitative measures of dementia and of senile change in the cerebral grey matter of elderly subjects. Br J Psychiatry. 1968 Jul;114(512):797–811. doi: 10.1192/bjp.114.512.797. [DOI] [PubMed] [Google Scholar]
  2. Fox J. H., Topel J. L., Huckman M. S. Use of computerized tomography in senile dementia. J Neurol Neurosurg Psychiatry. 1975 Oct;38(10):948–953. doi: 10.1136/jnnp.38.10.948. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Hachinski V. C., Lassen N. A., Marshall J. Multi-infarct dementia. A cause of mental deterioration in the elderly. Lancet. 1974 Jul 27;2(7874):207–210. doi: 10.1016/s0140-6736(74)91496-2. [DOI] [PubMed] [Google Scholar]
  4. Huckman M. S., Fox J., Topel J. The validity of criteria for the evaluation of cerebral atrophy by computed tomography. Radiology. 1975 Jul;116(1):85–92. doi: 10.1148/116.1.85. [DOI] [PubMed] [Google Scholar]
  5. Marsden C. D., Harrison M. J. Outcome of investigation of patients with presenile dementia. Br Med J. 1972 Apr 29;2(5808):249–252. doi: 10.1136/bmj.2.5808.249. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Millard P. H. Last scene of all. Br Med J (Clin Res Ed) 1981 Dec 12;283(6306):1559–1560. doi: 10.1136/bmj.283.6306.1559. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Roberts M. A., Caird F. I. Computerised tomography and intellectual impairment in the elderly. J Neurol Neurosurg Psychiatry. 1976 Oct;39(10):986–989. doi: 10.1136/jnnp.39.10.986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Roberts M. A., Caird F. I., Grossart K. W., Steven J. L. Computerized tomography in the diagnosis of cerebral atrophy. J Neurol Neurosurg Psychiatry. 1976 Sep;39(9):909–915. doi: 10.1136/jnnp.39.9.909. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Smith J. S., Kiloh L. G. The investigation of dementia: results in 200 consecutive admissions. Lancet. 1981 Apr 11;1(8224):824–827. doi: 10.1016/s0140-6736(81)92692-1. [DOI] [PubMed] [Google Scholar]
  10. Terry R. D. Dementia. A brief and selective review. Arch Neurol. 1976 Jan;33(1):1–4. doi: 10.1001/archneur.1976.00500010003001. [DOI] [PubMed] [Google Scholar]
  11. Wells C. E., Duncan G. W. Danger of overreliance on computerized cranial tomography. Am J Psychiatry. 1977 Jul;134(7):811–813. doi: 10.1176/ajp.134.7.811. [DOI] [PubMed] [Google Scholar]
  12. Wodarz R. Watershed infarctions and computed tomography. A topographical study in cases with stenosis or occlusion of the carotid artery. Neuroradiology. 1980;19(5):245–248. doi: 10.1007/BF00347803. [DOI] [PubMed] [Google Scholar]

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