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Clinical check list for dementia in the neurological examination

Material and methods. 54 patients admitted to our department between September 1982 and September 1983 with presumed diagnosis of dementia and patients with history or clinical manifestations suggesting Cl in ica l damage with possible dementia were included in this study. Patients suffering from paralysis agitans and recent apoplexy were excluded. The patients were examined according to a modified Kew cognitive test developed for psychogeriatric patients (1) with testing on memory and orientation (14 questions), on aphasia (6 questions) and on 6 parietal signs. Each question/sign was scored 0 or 1, amounting to a maximum score of 26. Five primitive reflexes (grasp, snout, palmomental, corneomandibular and glabellar), gait disturbance, incontinence, signs of corticospinaland basal ganglia affection were also tested and recorded. In addition all patients received a routine neurological examination, EEG, CT brain scan and a battery of blood examinations as well as infusion test/cisternography or CSF examination when necessary.