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Hachinski Scale

Hachinski Ischaemia Score This widely used scoring test is used to try and distinguish Alzheimer's disease from multi-infarct dementia. A score of 0-4 suggests Alzheimer's, and 7 suggests an ischaemic cause:

Feature Score
Abrupt onset
Stepwise deterioration
Fluctuating course
Nocturnal confusion
Personality relatively preserved
Depression
Somatic complaints
Emotional incontinence
H/o Hypertension
H/o Strokes
Evidence of other Atherosclerosis
Focal neurological symptoms
Focal neurological signs
2
1
2
1
1
1
1
1
1
2
1
2
2

References and Internet information:

  1. Hachinski VC, Iliff LD, Zilhka E, et al; Cerebral blood flow in dementia.;Arch Neurol 1975 Sep;32(9):632-7.[abstract]

References and Internet information:

  1. Internet Stroke Center Hachinski scale on line and downloadable PDF
  2. Molsa PK, Paljarvi L, Rinne JO, et al; Validity of clinical diagnosis in dementia: a prospective clinicopathological study.;J Neurol Neurosurg Psychiatry 1985 Nov;48(11):1085-90.[abstract]


Last issued 01 Jun 2004





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PS - Health and Poverty

Perhaps the biggest cause of ill health in the world is poverty. Help to Make Poverty History. For example, why not lend some of your money to disadvantaged communities to enable them to trade their way out of poverty through schemes such as Shared Interest.

See also MAKEPOVERTYHISTORY North East for details and links to campaigns against poverty.

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