Background. The aim of this work was to set up a website, offering online diagnostic and therapeutic tools that physicians can use in their clinical routine work to manage patients with dementia. Methods. Imaging guidelines were organized as a flow chart that, based on the patient's clinical features, suggest the appropriate imaging procedure. Hypertextual links lead to validated tools (the Hierarchical Vascular Rating Scale and the Radial Width of the Temporal Horn), allowing brain vascular changes and brain atrophy to be objectively evaluated on CT scans. Both tools are displayed in a user-friendly format with which an index of vascular load and the age-specific percentile level of atrophy can be easily obtained. Guidelines for the drug treatment of cognitive symptoms and behavioral disturbances of different types of dementia (Alzheimer's disease, frontotemporal dementia, vascular dementia, and Lewy body dementia and other dementias with extrapyramidal signs), were also organized as flow charts, detailing specific dosage indications and evidence-based efficacy levels. Individual (mnemo-techniques, cognitive computed training, and memory training) and collective (global reactivation therapy, occupational therapy, informal reality orientation therapy, music therapy, and valorization therapy) non-pharmacologic interventions are described that can be carried out in Memory Clinics, including a description of the intervention and of the typically eligible patient. Conclusions. The practice of medicine might undergo drastic changes in the future, due to the availability of new technology. Although the way to go is not clear, this website tries to explore some possible directions in order to provide patients with updated standards of care.
|Issue number||4 SUPPL.|
|Publication status||Published - 2000|
ASJC Scopus subject areas
- Clinical Neurology