1. Insidious onset 2. Clear-cut history of worsening 3. Initial and prominent cognitive deficits on history and examination with either amnestic or nonamnestic presentation |
Variants Language variant: progressive nonfluent aphasia Visuospatial variant: posterior cortical atrophy Frontal executive variant: frontal atrophy |
AD is considered improbable in case of: – Substantial evidence of cerebrovascular disease – Core features of dementia with Lewy body present (complex visual hallucinations, early parkinsonism, fluctuating cognition) – Prominent features of behavioral variant frontotemporal dementia (disinhibition, apathy, loss of empathy, hyperorality, executive dysfunction, perseverative behavior) – Prominent features of semantic dementia or primary progressive aphasia – Other neurologic or nonneurologic illness or drugs |