Clinical classification of dementias

The diagnosis of dementia disorders can be made in several steps. The symptomatology, severity and course of the illness must be considered. Memory disturbances must be present. Ante-mortem classification of dementias is based on known or assumed etiology. The final step is the post-mortem diagnosis. Of the primary dementias, Alzheimer-type dementia is the most important group. Accumulating data indicate that this form can be divided into subgroups. The concept of multi-infarct dementia (MID) should not be used synonymously with vascular dementia, which is a broader concept. Vascular dementias can also be divided into subgroups. Dementia is an advanced stage of a brain disorder. It seems important to identify brain disorders before they have reached the advanced level of dementia. A name for such disorders is dysmentia.