As there are numerous subtypes of dementia, it can be difficult to distinguish between the subtypes. The following table summarizes four subtypes of dementia on various domains. [1][2]
| AD | VaD | LBD | FTD |
History | Gradual onset and progression
| Abrupt or gradual onset Stepwise or gradual progression | Insidious onset Progression with fluctuations | Early onset, insidious onset Rapid progression |
Physical Signs and Symptoms | Normal gait, normal neurological exam in the early to mid stages | Gait abnormalities, signs of vascular disease and focal neurological signs | Shuffled gait, increased tone, tremors, slow moving | At the late stage, patients develop gait abnormalities along with primitive reflexes |
Other Signs and Symptoms | Memory loss, language deficits, mood swings and personality changes | Memory loss, language deficits, dysarthria, emotional lability, decreased concentration | Depression, hallucinations, variable in terms of day to day symptoms | Poor judgement, social withdrawl and socially inappropriate behaviour |
Imaging | Generalized atrophy with noted medial temporal lobe atrophy | Strokes, lacunar infarcts, white matter lesions are noted | Generalized atrophy throughout | Frontal and temporal lobes are atrophied |
Pathology | Beta amyloid plaques and neurofibrillary tangles | Cerebrovascular disease due to common cerebrovascular risk factors | Lewy Bodies are present in both the cortex and the midbrain areas | Absence of plaques and tangles, Pick cells and bodies are present in the cortex |
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1. Dugue M, Neugroschl J, Sewell M, Marin D. Review of dementia. Mount Sinai Journal of Medicine 2003; 70:45-53.
2. Dugue M, Neugroschl J, Sewell M, Marin D. Review of dementia. Mount Sinai Journal of Medicine 2003; 70:45-53.