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Article
September 1988

Does Reversible Dementia Exist and Is It Reversible?

Author Affiliations

Department of Psychiatry and Behavioral Sciences The Johns Hopkins Hospital 600 N Wolfe St Baltimore, MD 21205

Arch Intern Med. 1988;148(9):1905. doi:10.1001/archinte.1988.00380090007001
Abstract

The last 20 years have witnessed a dramatic change in the way cognitive impairment, particularly dementia, has been seen. Once thought to be a normal aspect of the aging process, the dementias are now perceived to be diseases caused by a variety of etiologies, a minority of which are currently treatable. As reviewed by Barry and Moskowitz1 in this issue of the Archives, studies of reversible dementia have been important because they have brought the issue of potential reversibility to the clinician's attention. However, as Barry and Moskowitz1 emphasize, many of the studies of so-called reversible dementia have significant methodologic flaws that leave many unanswered questions. Should every patient who presents with dementia undergo the same extensive battery of tests? If so, specifically which tests should be ordered? Even when potentially curable causes of the dementia are found, how often does the cognitive disorder

See also p 1914.

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