Differential Diagnosis of Dementia
Most Common Causes of Dementia | |
Alzheimer's disease | Alcoholisma |
Vascular dementia | PDD/LBD spectrum |
Multi-infarct | Drug/medication intoxicationa |
Diffuse white matter disease (Binswanger's) | |
Less Common Causes of Dementia | |
Vitamin deficiencies Thiamine (B1): Wernicke's encephalopathya B12 (subacute combined degeneration)a Nicotinic acid (pellagra)a Endocrine and other organ failure Hypothyroidisma Adrenal insufficiency and Cushing's syndromea Hypo- and hyperparathyroidisma Renal failurea Liver failurea Pulmonary failurea Chronic infections HIV Neurosyphilisa Papovavirus (JC virus) (progressive multifocal leukoencephalopathy) Tuberculosis, fungal, and protozoala Whipple's diseasea Head trauma and diffuse brain damage Chronic traumatic encephalopathy Chronic subdural hematomaa Postanoxia Postencephalitis Normal-pressure hydrocephalusa Intracranial hypotension Neoplastic Primary brain tumora Metastatic brain tumora Paraneoplastic/autoimmune limbic encephalitisa | Toxic disorders Drug, medication, and narcotic poisoninga Heavy metal intoxicationa Organic toxins Psychiatric Depression (pseudodementia)a Schizophreniaa Conversion disordera Degenerative disorders Huntington's disease Multisystem atrophy Hereditary ataxias (some forms) Frontotemporal lobar degeneration spectrum Multiple sclerosis Adult Down's syndrome with Alzheimer's disease ALS-parkinsonism-dementia complex of Guam Prion (Creutzfeldt-Jakob and Gerstmann-Sträussler-Scheinker diseases) Miscellaneous Sarcoidosisa Vasculitisa CADASIL, etc. Acute intermittent porphyriaa Recurrent nonconvulsive seizuresa Additional conditions in children or adolescents Pantothenate kinase-associated neurodegeneration Subacute sclerosing panencephalitis Metabolic disorders (e.g., Wilson's and Leigh's diseases, leukodystrophies, lipid storage diseases, mitochondrial mutations) |
aPotentially reversible dementia.
Abbreviations: CADASIL, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy; LBD, Lewy body disease; PDD, Parkinson's disease dementia.