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Modified Hachinski Score For Vascular Dementia
Jun 15, 2010
•
Mark Morgan
categories:
Cardiovascular
Geriatrics & Longevity
Modified Hachinski Score
Calculates the likelihood dementia is due to vascular causes.
Findings:
false
TRUE
<-- Abrupt onset
false
TRUE
<-- Stepwise progression
false
TRUE
<-- Fluctuating course
false
TRUE
<-- Nocturnal confusion
false
TRUE
<-- Relative preservation of personality
false
TRUE
<-- Depression
false
TRUE
<-- Somatic complaints
false
TRUE
<-- Emotional incontinence
false
TRUE
<-- History of hypertension
false
TRUE
<-- History of stroke
false
TRUE
<-- Focal neurologic signs
false
TRUE
<-- Focal neurologic symptoms
Score:
Score
score=(abrupt)+(stepwise)+(fluctuating)+(nocturnal)+(personality)+(depression)+(somatic)+(emotional)+(hypertension)+(stroke)+(neuroSigns)+(neuroSymps)
/18 Interpretation:
Interpretation
score=(abrupt)+(stepwise)+(fluctuating)+(nocturnal)+(personality)+(depression)+(somatic)+(emotional)+(hypertension)+(stroke)+(neuroSigns)+(neuroSymps);score>6?'Dementia likely due to vascular causes':score>4?'Inconclusive':'Dementia not likely due to vascular causes'
display/hide references
references:
#1
Rosen WG, Terry RD, Field PA, et al. Pathological verification of ischemic score in differentiation of dementias. Ann Neurol 1980;7:486–8.
#2
Early Diagnosis of Dementia, Am Fam Physician. 2001 Feb 15;63(4):703-714.
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