Résumé
Le diagnostic des syndromes démentiels et de la maladie d’Alzheimer en particulier subit actuellement une mutation conceptuelle importante liée à l’avènement puis à la mise en pratique progressive de nouvelles techniques de diagnostic paraclinique. Ces techniques permettent d’identifier des « biomarqueurs » d’affections neurodégénératives lentement progressives dont le diagnostic était basé antérieurement sur des arguments essentiellement cliniques et neuropsychologiques; la paraclinique n’était alors utilisée que pour exclure d’autres causes, d’ailleurs plus rares, de démence. Ce changement de paradigme s’accompagne d’un effort de systématisation sous la forme de listes de critères orientant le diagnostic en termes de probabilité. Après une première version remontant à 1984 [1], ces critères viennent d’être révisés par l’influent groupe d’experts du National Institute on Aging (NIA)- Alzheimer’s Association workgroups on diagnostic guidelines for Alzheimer’s disease (ci-après NIA-AA workgroups) (cf. [7], p. 253 et seq.).
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Démonet, JF. (2013). Diagnostic de la maladie d’Alzheimer. In: Traité sur la maladie d’Alzheimer. Springer, Paris. https://doi.org/10.1007/978-2-8178-0443-9_1
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DOI: https://doi.org/10.1007/978-2-8178-0443-9_1
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