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Conclusion: Place of Cognitive Screening Instruments: Test Characteristics and Suspected Diagnosis

  • Andrew J. Larner
Chapter

Abstract

Many cognitive screening instruments have been described in the literature over the past 40 years and find use around the world, but this superabundance may be bewildering for the clinician approaching a patient with cognitive complaints. Appropriate test selection may depend on a variety of factors related to the particular clinical situation, including, but not limited to, the time available to undertake cognitive assessment (e.g., primary or secondary care settings), requirement to test general or specific cognitive functions, and the availability of informants. Although many neurological and general medical disorders of varying etiology (neurodegenerative, vascular, inflammatory, endocrine, structural, infective, psychiatric) may cause cognitive impairment, most cognitive disorders in specialist ­settings result from a relatively small number of conditions, such as Alzheimer’s disease, vascular dementia/vascular cognitive impairment, Parkinson’s disease dementia and dementia with Lewy bodies (DLB), and frontotemporal lobar degeneration syndromes. Clinical suspicion of these entities based on clinical history and physical examination may determine which cognitive screening instruments are best used, as in the investigation of other neurological disorders.

Keywords

Cognitive screening instruments Test characteristics Alzheimer’s disease Vascular cognitive impairment Parkinson’s disease dementia Frontotemporal lobar degenerations 

Notes

Acknowledgements

Thanks to Anne-Marie Cagliarini for a critical reading of and helpful suggestions related to this chapter.

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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Andrew J. Larner
    • 1
  1. 1.Cognitive Function Clinic, Walton Centre for Neurology and NeurosurgeryLiverpoolUK

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